tetano
Editor, Senior Moderator
Sci Total Environ. 2019 Oct 28;701:134607. doi: 10.1016/j.scitotenv.2019.134607. [Epub ahead of print] [h=1]The complex associations of climate variability with seasonal influenza A and B virus transmission in subtropical Shanghai, China.[/h]
Zhang Y[SUP]1[/SUP], Ye C[SUP]2[/SUP], Yu J[SUP]3[/SUP], Zhu W[SUP]2[/SUP], Wang Y[SUP]2[/SUP], Li Z[SUP]3[/SUP], Xu Z[SUP]1[/SUP], Cheng J[SUP]1[/SUP], Wang N[SUP]1[/SUP], Hao L[SUP]4[/SUP], Hu W[SUP]5[/SUP].
[h=3]Author information[/h] 1 School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. 2 Research Base of Key Laboratory of Surveillance and Early Warning of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Shanghai, China. 3 Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China. 4 Research Base of Key Laboratory of Surveillance and Early Warning of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Shanghai, China. Electronic address: haolipeng_cc@163.com. 5 School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. Electronic address: w2.hu@qut.edu.au.
[h=3]Abstract[/h] Most previous studies focused on the association between climate variables and seasonal influenza activity in tropical or temperate zones, little is known about the associations in different influenza types in subtropical China. The study aimed to explore the associations of multiple climate variables with influenza A (Flu-A) and B virus (Flu-B) transmissions in Shanghai, China. Weekly influenza virus and climate data (mean temperature (MeanT), diurnal temperature range (DTR), relative humidity (RH) and wind velocity (Wv)) were collected between June 2012 and December 2018. Generalized linear models (GLMs), distributed lag non-linear models (DLNMs) and regression tree models were developed to assess such associations. MeanT exerted the peaking risk of Flu-A at 1.4 ?C (2-weeks' cumulative relative risk (RR): 14.88, 95% confidence interval (CI): 8.67-23.31) and 25.8 ?C (RR: 12.21, 95%CI: 6.64-19.83), Flu-B had the peak at 1.4 ?C (RR: 26.44, 95%CI: 11.52-51.86). The highest RR of Flu-A was 23.05 (95%CI: 5.12-88.45) at DTR of 15.8 ?C, that of Flu-B was 38.25 (95%CI: 15.82-87.61) at 3.2 ?C. RH of 51.5% had the highest RR of Flu-A (9.98, 95%CI: 4.03-26.28) and Flu-B (4.63, 95%CI: 1.95-11.27). Wv of 3.5 m/s exerted the peaking RR of Flu-A (7.48, 95%CI: 2.73-30.04) and Flu-B (7.87, 95%CI: 5.53-11.91). DTR ≥ 12 ?C and MeanT <22 ?C were the key drivers for Flu-A and Flu-B, separately. The study found complex non-linear relationships between climate variability and different influenza types in Shanghai. We suggest the careful use of meteorological variables in influenza prediction in subtropical regions, considering such complex associations, which may facilitate government and health authorities to better minimize the impacts of seasonal influenza.
Copyright ? 2019 Elsevier B.V. All rights reserved.
[h=4]KEYWORDS:[/h] China; Climate factors; Influenza; Shanghai; Subtropical area
PMID: 31710904 DOI: 10.1016/j.scitotenv.2019.134607
Zhang Y[SUP]1[/SUP], Ye C[SUP]2[/SUP], Yu J[SUP]3[/SUP], Zhu W[SUP]2[/SUP], Wang Y[SUP]2[/SUP], Li Z[SUP]3[/SUP], Xu Z[SUP]1[/SUP], Cheng J[SUP]1[/SUP], Wang N[SUP]1[/SUP], Hao L[SUP]4[/SUP], Hu W[SUP]5[/SUP].
[h=3]Author information[/h] 1 School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. 2 Research Base of Key Laboratory of Surveillance and Early Warning of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Shanghai, China. 3 Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China. 4 Research Base of Key Laboratory of Surveillance and Early Warning of Infectious Disease, Pudong New Area Center for Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Shanghai, China. Electronic address: haolipeng_cc@163.com. 5 School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. Electronic address: w2.hu@qut.edu.au.
[h=3]Abstract[/h] Most previous studies focused on the association between climate variables and seasonal influenza activity in tropical or temperate zones, little is known about the associations in different influenza types in subtropical China. The study aimed to explore the associations of multiple climate variables with influenza A (Flu-A) and B virus (Flu-B) transmissions in Shanghai, China. Weekly influenza virus and climate data (mean temperature (MeanT), diurnal temperature range (DTR), relative humidity (RH) and wind velocity (Wv)) were collected between June 2012 and December 2018. Generalized linear models (GLMs), distributed lag non-linear models (DLNMs) and regression tree models were developed to assess such associations. MeanT exerted the peaking risk of Flu-A at 1.4 ?C (2-weeks' cumulative relative risk (RR): 14.88, 95% confidence interval (CI): 8.67-23.31) and 25.8 ?C (RR: 12.21, 95%CI: 6.64-19.83), Flu-B had the peak at 1.4 ?C (RR: 26.44, 95%CI: 11.52-51.86). The highest RR of Flu-A was 23.05 (95%CI: 5.12-88.45) at DTR of 15.8 ?C, that of Flu-B was 38.25 (95%CI: 15.82-87.61) at 3.2 ?C. RH of 51.5% had the highest RR of Flu-A (9.98, 95%CI: 4.03-26.28) and Flu-B (4.63, 95%CI: 1.95-11.27). Wv of 3.5 m/s exerted the peaking RR of Flu-A (7.48, 95%CI: 2.73-30.04) and Flu-B (7.87, 95%CI: 5.53-11.91). DTR ≥ 12 ?C and MeanT <22 ?C were the key drivers for Flu-A and Flu-B, separately. The study found complex non-linear relationships between climate variability and different influenza types in Shanghai. We suggest the careful use of meteorological variables in influenza prediction in subtropical regions, considering such complex associations, which may facilitate government and health authorities to better minimize the impacts of seasonal influenza.
Copyright ? 2019 Elsevier B.V. All rights reserved.
[h=4]KEYWORDS:[/h] China; Climate factors; Influenza; Shanghai; Subtropical area
PMID: 31710904 DOI: 10.1016/j.scitotenv.2019.134607