Epidemiology of infectious diarrhoea and the relationship with etiological and meteorological factors in Jiangsu Province, China.
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ABSTRACT: We depicted the epidemiological characteristics of infectious diarrhoea in Jiangsu Province, China. Generalized additive models were employed to evaluate the age-specific effects of etiological and meteorological factors on prevalence. A long-term increasing prevalence with strong seasonality was observed. In those aged 0-5 years, disease risk increased rapidly with the positive rate of virus (rotavirus, norovirus, sapovirus, astrovirus) in the 20-50% range. In those aged?>?20 years, disease risk increased with the positive rate of adenovirus and bacteria (Vibrio parahaemolyticus, Salmonella, Escherichia coli, Campylobacter jejuni) until reaching 5%, and thereafter stayed stable. The mean temperature, relative humidity, temperature range, and rainfall were all related to two-month lag morbidity in the group aged 0-5 years. Disease risk increased with relative humidity between 67-78%. Synchronous climate affected the incidence in those aged >20 years. Mean temperature and rainfall showed U-shape associations with disease risk (with threshold 15?°C and 100?mm per month, respectively). Meanwhile, disease risk increased gradually with sunshine duration over 150?hours per month. However, no associations were found in the group aged 6-19 years. In brief, etiological and meteorological factors had age-specific effects on the prevalence of infectious diarrhoea in Jiangsu. Surveillance efforts are needed to prevent its spread.
SUBMITTER: Fang X
PROVIDER: S-EPMC6925108 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
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