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Association between meteorological factors and COVID-19 transmission in low- and middle-income countries: A time-stratified case-crossover study.


ABSTRACT:

Background

Evidence is limited regarding the association between meteorological factors and COVID-19 transmission in low- and middle-income countries (LMICs).

Objective

To investigate the independent and interactive effects of temperature, relative humidity (RH), and ultraviolet (UV) radiation on the spread of COVID-19 in LMICs.

Methods

We collected daily data on COVID-19 confirmed cases, meteorological factors and non-pharmaceutical interventions (NPIs) in 2143 city- and district-level sites from 6 LMICs during 2020. We applied a time-stratified case-crossover design with distributed lag nonlinear model to evaluate the independent and interactive effects of meteorological factors on COVID-19 transmission after controlling NPIs. We generated an overall estimate through pooling site-specific relative risks (RR) using a multivariate meta-regression model.

Results

There was a positive, non-linear, association between temperature and COVID-19 confirmed cases in all study sites, while RH and UV showed negative non-linear associations. RR of the 90th percentile temperature (28.1 °C) was 1.14 [95% confidence interval (CI): 1.02, 1.28] compared with the 50th percentile temperature (24.4 °C). RR of the10th percentile UV was 1.41 (95% CI: 1.29, 1.54). High temperature and high RH were associated with increased risks in temperate climate but decreased risks in tropical climate, while UV exhibited a consistent, negative association across climate zones. Temperature, RH, and UV interacted to affect COVID-19 transmission. Temperature and RH also showed higher risks in low NPIs sites.

Conclusion

Temperature, RH, and UV appeared to independently and interactively affect the transmission of COVID-19 in LMICs but such associations varied with climate zones. Our results suggest that more attention should be paid to meteorological variation when the transmission of COVID-19 is still rampant in LMICs.

SUBMITTER: Wang Y 

PROVIDER: S-EPMC10166718 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Association between meteorological factors and COVID-19 transmission in low- and middle-income countries: A time-stratified case-crossover study.

Wang Yu Y   Lyu Yiran Y   Tong Shilu S   Ding Cheng C   Wei Lan L   Zhai Mengying M   Xu Kaiqiang K   Hao Ruiting R   Wang Xiaochen X   Li Na N   Luo Yueyun Y   Li Yonghong Y   Wang Jiao J  

Environmental research 20230509 Pt 1


<h4>Background</h4>Evidence is limited regarding the association between meteorological factors and COVID-19 transmission in low- and middle-income countries (LMICs).<h4>Objective</h4>To investigate the independent and interactive effects of temperature, relative humidity (RH), and ultraviolet (UV) radiation on the spread of COVID-19 in LMICs.<h4>Methods</h4>We collected daily data on COVID-19 confirmed cases, meteorological factors and non-pharmaceutical interventions (NPIs) in 2143 city- and d  ...[more]

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