Dataset Information

Distributed lag effects and vulnerable groups of floods on bacillary dysentery in Huaihua, China.

ABSTRACT: Understanding the potential links between floods and bacillary dysentery in China is important to develop appropriate intervention programs after floods. This study aimed to explore the distributed lag effects of floods on bacillary dysentery and to identify the vulnerable groups in Huaihua, China. Weekly number of bacillary dysentery cases from 2005-2011 were obtained during flood season. Flood data and meteorological data over the same period were obtained from the China Meteorological Data Sharing Service System. To examine the distributed lag effects, a generalized linear mixed model combined with a distributed lag non-linear model were developed to assess the relationship between floods and bacillary dysentery. A total of 3,709 cases of bacillary dysentery were notified over the study period. The effects of floods on bacillary dysentery continued for approximately 3 weeks with a cumulative risk ratio equal to 1.52 (95% CI: 1.08-2.12). The risks of bacillary dysentery were higher in females, farmers and people aged 15-64 years old. This study suggests floods have increased the risk of bacillary dysentery with 3 weeks' effects, especially for the vulnerable groups identified. Public health programs should be taken to prevent and control a potential risk of bacillary dysentery after floods.

SUBMITTER: Liu ZD

PROVIDER: S-EPMC4947917 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Distributed lag effects and vulnerable groups of floods on bacillary dysentery in Huaihua, China.

Liu Zhi-Dong ZD Li Jing J Zhang Ying Y Ding Guo-Yong GY Xu Xin X Gao Lu L Liu Xue-Na XN Liu Qi-Yong QY Jiang Bao-Fa BF

Scientific reports 20160718

Understanding the potential links between floods and bacillary dysentery in China is important to develop appropriate intervention programs after floods. This study aimed to explore the distributed lag effects of floods on bacillary dysentery and to identify the vulnerable groups in Huaihua, China. Weekly number of bacillary dysentery cases from 2005-2011 were obtained during flood season. Flood data and meteorological data over the same period were obtained from the China Meteorological Data Sh ...[more]

PMID: 27427387

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Project description:BackgroundUnderstanding the association between floods and bacillary dysentery (BD) incidence is necessary for us to assess the health risk of extreme weather events. This study aims at exploring the association between floods and daily bacillary dysentery cases in main urban areas of Chongqing between 2005 and 2016 as well as evaluating the attributable risk from floods.MethodsThe association between floods and daily bacillary dysentery cases was evaluated by using distributed lag non-linear model, controlling for meteorological factors, long-term trend, seasonality, and day of week. The fraction and number of bacillary dysentery cases attributable to floods was calculated. Subgroup analyses were conducted to explore the association across age, gender, and occupation.ResultsAfter controlling the impact of temperature, precipitation, relative humidity, long-term trend, and seasonality, a significant lag effect of floods on bacillary dysentery cases was found at 0-day, 3-day, and 4-day lag, and the cumulative relative risk (CRR) over a 7-lag day period was 1.393 (95%CI 1.216-1.596). Male had higher risk than female. People under 5 years old and people aged 15-64 years old had significantly higher risk. Students, workers, and children had significantly higher risk. During the study period, based on 7-lag days, the attributable fraction of bacillary dysentery cases due to floods was 1.10% and the attributable number was 497 persons.ConclusionsThis study confirms that floods can increase the risk of bacillary dysentery incidence in main urban areas of Chongqing within an accurate time scale, the risk of bacillary dysentery caused by floods is still serious. The key population includes male, people under 5 years old, students, workers, and children. Considering the lag effect of floods on bacillary dysentery, the government and public health emergency departments should advance to the emergency health response in order to minimize the potential risk of floods on public.

Dataset Information

Distributed lag effects and vulnerable groups of floods on bacillary dysentery in Huaihua, China.

Publications

Distributed lag effects and vulnerable groups of floods on bacillary dysentery in Huaihua, China.

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