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The impacts of global and local climates on dengue fever in Lao PDR and Cambodia

机译:全球与地方气候对老挝人民民主党和柬埔寨登革热的影响

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Background: Climate change and climate variability are increasingly recognized as one of factors influencing emergence or re-emergence of vector-borne diseases such as dengue fever. For the past years, the increment of dengue has been observed and studies showed much evidence of strong correlations between climate variables and dengue cases. There is the potential increase in the latitudinal and altitudinal distribution of vector mosquitoes and dengue under global warming. Aims: This study was conducted to explore the associations between climate variables and dengue fever in Lao PDR and Cambodia. Methods: Dengue case data was obtained from three regions (North, Central, and South) of Lao PDR (2005-2010) and two cities (Phnom Penh and Siem Reap) of Cambodia (2006-2011). Time series analysis was performed to assess the associations with monthly climate variability, fitting global climate Southern Oscillation Index (SOI) and Dipole Mode Index (DMI)) and local weather variables (rainfall and maximum temperature) into generalized linear quasi-Poisson models. Result: The seasonality of dengue cases appeared to be mostly concomitant with rainy season (April to September) in both countries. Rainfall was positively associated with the number of dengue cases throughout the year in all locations whereas SOI showed a negative association. The effects of maximum temperature and DMI, on the other hand, varied depending on season and location, and the consistent pattern was hardly defined. Conclusion: In both countries, the number of dengue cases was positively and negatively associated with rainfall and SOI, respectively. The effects of maximum temperature and DMI were highly variable. Understanding the association between rainfall and SOI might assist further clarification of the impact of climate change on dengue fever.
机译:背景:气候变化和气候变化越来越被认为是影响饲养疾病(如登革热等饲养疾病的因素之一)。在过去几年中,已观察到登革热的增量,并且研究表明了气候变量与登革热病例之间有强相关的迹象。在全球变暖下,传染媒介蚊子和登革热的纬度和海拔地区潜在增加。目的:这项研究是为了探讨气候变量与老挝人和柬埔寨的气候变量与登革热的协会。方法:登革热案数据是从老挝人民委员会(2005-2010)的三个地区(北,中央和南部)和柬埔寨(2006 - 2011年)的两个城市(金边和暹粒)获得。进行时间序列分析,以评估与月度气候变异性的关联,拟合全球气候南方振荡指数(SOI)和偶极模式指数(DMI))以及局部天气变量(降雨和最高温度)进入广义的线性准泊松模型。结果:登革热病例的季节性似乎与两国多个雨季(四月至9月)伴随着。降雨与所有地点全年的登革热病例数量正相关,而SOI则表现出负面关联。另一方面,根据季节和位置而变化,最大温度和DMI的影响,几乎没有定义一致的模式。结论:在两国,分别与降雨和SOI呈积极和负面影响。最大温度和DMI的影响是高度变化的。了解降雨与SOI之间的关联可能有助于进一步澄清气候变化对登革热的影响。

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