The impact of temperature and precipitation on all-infectious-, bacterial-, and viral-diarrheal disease in Taiwan
(2023) In Science of the Total Environment 862.- Abstract
BACKGROUND: The ongoing climate change will elevate the incidence of diarrheal in 2030-2050 in Asia, including Taiwan. This study investigated associations between meteorological factors (temperature, precipitation) and burden of age-cause-specific diarrheal diseases in six regions of Taiwan using 13 years of (2004-2016) population-based data.
METHODS: Weekly cause-specific diarrheal and meteorological data were obtained from 2004 to 2016. We used distributed lag non-linear model to assess age (under five, all age) and cause-specific (viral, bacterial) diarrheal disease burden associated with extreme high (99th percentile) and low (5th percentile) of climate variables up to lag 8 weeks in six regions of Taiwan. Random-effects... (More)
BACKGROUND: The ongoing climate change will elevate the incidence of diarrheal in 2030-2050 in Asia, including Taiwan. This study investigated associations between meteorological factors (temperature, precipitation) and burden of age-cause-specific diarrheal diseases in six regions of Taiwan using 13 years of (2004-2016) population-based data.
METHODS: Weekly cause-specific diarrheal and meteorological data were obtained from 2004 to 2016. We used distributed lag non-linear model to assess age (under five, all age) and cause-specific (viral, bacterial) diarrheal disease burden associated with extreme high (99th percentile) and low (5th percentile) of climate variables up to lag 8 weeks in six regions of Taiwan. Random-effects meta-analysis was used to pool these region-specific estimates.
RESULTS: Extreme low temperature (15.30 °C) was associated with risks of all-infectious and viral diarrhea, with the highest risk for all-infectious diarrheal found at lag 8 weeks among all age [Relative Risk (RR): 1.44; 95 % Confidence Interval (95 % CI): 1.24-1.67]. The highest risk of viral diarrheal infection was observed at lag 2 weeks regardless the age. Extreme high temperature (30.18 °C) was associated with risk of bacterial diarrheal among all age (RR: 1.07; 95 % CI: 1.02-1.13) at lag 8 weeks. Likewise, extreme high precipitation (290 mm) was associated with all infectious diarrheal, with the highest risk observed for bacterial diarrheal among population under five years (RR: 2.77; 95 % CI: 1.60-4.79) at lag 8 weeks. Extreme low precipitation (0 mm) was associated with viral diarrheal in all age at lag 1 week (RR: 1.08; 95 % CI: 1.01-1.15)].
CONCLUSION: In Taiwan, extreme low temperature is associated with an increased burden of viral diarrheal, while extreme high temperature and precipitation elevated burden of bacterial diarrheal. This distinction in cause-specific and climate-hazard specific diarrheal disease burden underscore the importance of incorporating differences in public health preparedness measures designed to enhance community resilience against climate change.
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- author
- Andhikaputra, Gerry ; Sapkota, Amir ; Lin, Yu-Kai ; Chan, Ta-Chien ; Gao, Chuansi LU ; Deng, Li-Wen and Wang, Yu-Chun
- organization
- publishing date
- 2023-03-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Extreme weather, Climate change, Health, Infectious diarrhea
- in
- Science of the Total Environment
- volume
- 862
- article number
- 160850
- pages
- 8 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:36526204
- scopus:85144289506
- ISSN
- 1879-1026
- DOI
- 10.1016/j.scitotenv.2022.160850
- project
- Addressing Extreme Weather Related Diarrheal Disease Risks in the Asia-Pacific Region
- language
- English
- LU publication?
- yes
- additional info
- Copyright © 2022. Published by Elsevier B.V.
- id
- 22b1cebe-cbd7-4995-af4b-6c8e73bbc61e
- date added to LUP
- 2022-12-27 11:01:09
- date last changed
- 2024-06-15 00:50:33
@article{22b1cebe-cbd7-4995-af4b-6c8e73bbc61e,
abstract = {{<p>BACKGROUND: The ongoing climate change will elevate the incidence of diarrheal in 2030-2050 in Asia, including Taiwan. This study investigated associations between meteorological factors (temperature, precipitation) and burden of age-cause-specific diarrheal diseases in six regions of Taiwan using 13 years of (2004-2016) population-based data.</p><p>METHODS: Weekly cause-specific diarrheal and meteorological data were obtained from 2004 to 2016. We used distributed lag non-linear model to assess age (under five, all age) and cause-specific (viral, bacterial) diarrheal disease burden associated with extreme high (99th percentile) and low (5th percentile) of climate variables up to lag 8 weeks in six regions of Taiwan. Random-effects meta-analysis was used to pool these region-specific estimates.</p><p>RESULTS: Extreme low temperature (15.30 °C) was associated with risks of all-infectious and viral diarrhea, with the highest risk for all-infectious diarrheal found at lag 8 weeks among all age [Relative Risk (RR): 1.44; 95 % Confidence Interval (95 % CI): 1.24-1.67]. The highest risk of viral diarrheal infection was observed at lag 2 weeks regardless the age. Extreme high temperature (30.18 °C) was associated with risk of bacterial diarrheal among all age (RR: 1.07; 95 % CI: 1.02-1.13) at lag 8 weeks. Likewise, extreme high precipitation (290 mm) was associated with all infectious diarrheal, with the highest risk observed for bacterial diarrheal among population under five years (RR: 2.77; 95 % CI: 1.60-4.79) at lag 8 weeks. Extreme low precipitation (0 mm) was associated with viral diarrheal in all age at lag 1 week (RR: 1.08; 95 % CI: 1.01-1.15)].</p><p>CONCLUSION: In Taiwan, extreme low temperature is associated with an increased burden of viral diarrheal, while extreme high temperature and precipitation elevated burden of bacterial diarrheal. This distinction in cause-specific and climate-hazard specific diarrheal disease burden underscore the importance of incorporating differences in public health preparedness measures designed to enhance community resilience against climate change.</p>}},
author = {{Andhikaputra, Gerry and Sapkota, Amir and Lin, Yu-Kai and Chan, Ta-Chien and Gao, Chuansi and Deng, Li-Wen and Wang, Yu-Chun}},
issn = {{1879-1026}},
keywords = {{Extreme weather; Climate change; Health; Infectious diarrhea}},
language = {{eng}},
month = {{03}},
publisher = {{Elsevier}},
series = {{Science of the Total Environment}},
title = {{The impact of temperature and precipitation on all-infectious-, bacterial-, and viral-diarrheal disease in Taiwan}},
url = {{http://dx.doi.org/10.1016/j.scitotenv.2022.160850}},
doi = {{10.1016/j.scitotenv.2022.160850}},
volume = {{862}},
year = {{2023}},
}