Dataset Information

Effects of daily mean temperature and other meteorological variables on bacillary dysentery in Beijing-Tianjin-Hebei region, China.

ABSTRACT:

Background

Although previous studies have shown that meteorological factors such as temperature are related to the incidence of bacillary dysentery (BD), researches about the non-linear and interaction effect among meteorological variables remain limited. The objective of this study was to analyze the effects of temperature and other meteorological variables on BD in Beijing-Tianjin-Hebei region, which is a high-risk area for BD distribution.

Methods

Our study was based on the daily-scale data of BD cases and meteorological variables from 2014 to 2019, using generalized additive model (GAM) to explore the relationship between meteorological variables and BD cases and distributed lag non-linear model (DLNM) to analyze the lag and cumulative effects. The interaction effects and stratified analysis were developed by the GAM.

Results

A total of 147,001 cases were reported from 2014 to 2019. The relationship between temperature and BD was approximately liner above 0 °C, but the turning point of total temperature effect was 10 °C. Results of DLNM indicated that the effect of high temperature was significant on lag 5d and lag 6d, and the lag effect showed that each 5 °C rise caused a 3% [Relative risk (RR) = 1.03, 95% Confidence interval (CI): 1.02-1.05] increase in BD cases. The cumulative BD cases delayed by 7 days increased by 31% for each 5 °C rise in temperature above 10 °C (RR = 1.31, 95% CI: 1.30-1.33). The interaction effects and stratified analysis manifested that the incidence of BD was highest in hot and humid climates.

Conclusions

This study suggests that temperature can significantly affect the incidence of BD, and its effect can be enhanced by humidity and precipitation, which means that the hot and humid environment positively increases the incidence of BD.

SUBMITTER: Chang Q

PROVIDER: S-EPMC9251629 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundBacillary dysentery (BD) remains a significant public health issue, especially in developing countries. Evidence assessing the risk of BD from temperature is limited, particularly from national studies including multiple locations with different climatic characteristics.ObjectivesWe estimated the effect of temperature on BD across China, assessed heterogeneity and attributable risks across cities and regions, and projected the future risk of BD under climate change.MethodsDaily BD surveillance and meteorological data over 2014-2016 were collected from the Chinese Center for Disease Control and Prevention and the China Meteorology Administration, respectively. A two-stage statistical model was used to estimate city-specific temperature-BD relationships that were pooled to derive regional and national estimates. The risk of BD attributable to temperature was estimated, and the future burden of BD attributable to temperature was projected under different climate change scenarios.ResultsA positive linear relationship for the pooled effect was estimated at the national level. Subgroup analyses indicate that the estimated effect of temperature on BD was similar by age (≤5y or >5y) and gender. At baseline, estimated attributable risks for BD due to average daily mean temperatures above the 50th percentile were highest for the Inner Mongolia (16%), Northeast China (14%), and Northern China (13%). Most of the individual cities in the same regions and most of the cities in the Northwest, Southern, and Southwest regions, had high attributable risks (≥5%). The Northern, Northeast, Inner Mongolia, Northwest, and Southern China regions were identified as high risk for future BD, with estimated increases by the 2090s compared with baseline of 20% (95% confidence interval: 11%, 27%), 15% (6%, 20%), 15% (-1%, 22%), 12% (1%, 19%), and 11% (5%, 15%), respectively, under Representative Concentration Pathway 8.5.ConclusionsThe positive association between temperature and BD in different climatic regions of China, and the projection for increased risk due to climate change, support efforts to mitigate future risks. https://doi.org/10.1289/EHP5779.

Project description:The impacts of the meteorological condition and emissions reduction on the aerosol concentration over the Beijing–Tianjin–Hebei (BTH) region during the COVID-19 lockdown were analyzed by conducting three numerical experiments, including one with the meteorological field in 2019 and MEIC-2019 (2019 monthly Multi-resolution Emissions Inventory for China), one with the meteorological field in 2020 and MEIC-2019, and one with the meteorological field in 2020 and MEIC-2020, via a WRF-Chem model. The numerical experiments were performed from 3 to 16 February in 2019 and in 2020, during which a severe fog–haze event (3–16 February 2020) occurred in the BTH region, with a simulated maximum daily PM2.5 of 245 μg m−3 in Tangshan and 175 μg m−3 in Beijing. The results indicate that the daily PM2.5 decreased by 5–150 μg m−3 due to the emissions reduction and increased by 10–175 μg m−3 due to the meteorological condition in Beijing, Shijiazhuang, Cangzhou, Handan, Hengshui, Chengde, Zhangjiakou, and Tangshan from 7 to 14 February. For the horizontal distribution, PM2.5 and different aerosol species concentrations from 7 to 14 February 2020 increased compared with those during the same period in 2019, indicating that the accumulation of pollutants caused by the unfavorable meteorological condition offset the decreases caused by the emissions reduction, leading to the high aerosol concentration during the COVID-19 lockdown. 摘要本研究从气象条件和减排两方面探讨了COVID-19封锁期间严重雾霾发生的原因[研究目的], 并定量的分析了气象条件和减排对PM2.5浓度的相对影响[创新点].使用WRF-Chem在2019年2月3日–16日和2020年2月3日–16日进行了三个数值模拟试验, 分别为2019年气象场与MEIC-2019 (2019年中国多分辨率月度排放清单) ,2020年气象场与MEIC-2019,2020年气象场与MEIC-2020[研究方法].结果表明COVID-19封锁期间严重雾霾的原因是不利气象条件增加的PM2.5浓度大于减排减少的PM2.5浓度[重要结论]. Graphical abstract Image, graphical abstract

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