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ABSTRACT: Background
Precipitation could affect the transmission of diarrheal diseases. The diverse precipitation patterns across different climates might influence the degree of diarrheal risk from precipitation. This study determined the associations between precipitation and diarrheal mortality in tropical, temperate, and arid climate regions.Methods
Daily counts of diarrheal mortality and 28-day cumulative precipitation from 1997 to 2019 were analyzed across 29 locations in eight middle-income countries (Argentina, Brazil, Costa Rica, India, Peru, the Philippines, South Africa, and Thailand). A two-stage approach was employed: the first stage is conditional Poisson regression models for each location, and the second stage is meta-analysis for pooling location-specific coefficients by climate zone.Results
In tropical climates, higher precipitation increases the risk of diarrheal mortality. Under extremely wet conditions (95th percentile of 28-day cumulative precipitation), diarrheal mortality increased by 17.8% (95% confidence interval [CI] = 10.4%, 25.7%) compared with minimum-risk precipitation. For temperate and arid climates, diarrheal mortality increases in both dry and wet conditions. In extremely dry conditions (fifth percentile of 28-day cumulative precipitation), diarrheal mortality risk increases by 3.8% (95% CI = 1.2%, 6.5%) for temperate and 5.5% (95% CI = 1.0%, 10.2%) for arid climates. Similarly, under extremely wet conditions, diarrheal mortality risk increases by 2.5% (95% CI = -0.1%, 5.1%) for temperate and 4.1% (95% CI = 1.1%, 7.3%) for arid climates.Conclusions
Associations between precipitation and diarrheal mortality exhibit variations across different climate zones. It is crucial to consider climate-specific variations when generating global projections of future precipitation-related diarrheal mortality.
SUBMITTER: Chua PLC
PROVIDER: S-EPMC11257672 | biostudies-literature | 2024 Aug
REPOSITORIES: biostudies-literature

Chua Paul L C PLC Tobias Aurelio A Madaniyazi Lina L Ng Chris Fook Sheng CFS Phung Vera Ling Hui VLH Fu Sze Hang SH Rodriguez Peter S PS Brown Patrick P Coelho Micheline de Sousa Zanotti Stagliorio MSZS Saldiva Paulo Hilario Nascimento PHN Scovronick Noah N Deshpande Aniruddha A Salazar Miguel Antonio S MAS Dorotan Miguel Manuel C MMC Tantrakarnapa Kraichat K Kliengchuay Wissanupong W Abrutzky Rosana R Carrasco-Escobar Gabriel G Roye Dominic D Hales Simon S Hashizume Masahiro M
Environmental epidemiology (Philadelphia, Pa.) 20240717 4
<h4>Background</h4>Precipitation could affect the transmission of diarrheal diseases. The diverse precipitation patterns across different climates might influence the degree of diarrheal risk from precipitation. This study determined the associations between precipitation and diarrheal mortality in tropical, temperate, and arid climate regions.<h4>Methods</h4>Daily counts of diarrheal mortality and 28-day cumulative precipitation from 1997 to 2019 were analyzed across 29 locations in eight middl ...[more]