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The non-linear and lagged short-term relationship between rainfall and leptospirosis and the intermediate role of floods in the Philippines
http://hdl.handle.net/10069/38212
http://hdl.handle.net/10069/38212056f9cf1-83d0-446b-92c0-7a23e99be346
名前 / ファイル | ライセンス | アクション |
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PLoSNeg12_6331.pdf (2.6 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-05-24 | |||||
タイトル | ||||||
タイトル | The non-linear and lagged short-term relationship between rainfall and leptospirosis and the intermediate role of floods in the Philippines | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Matsushita, Naohiko
× Matsushita, Naohiko× Ng, Chris Fook Sheng× Kim, Yoonhee× Suzuki, Motoi× Saito, Nobuo× Ariyoshi, Koya× Salva, Eumelia P.× Dimaano, Efren M.× Villarama, Jose B.× Go, Winston S.× Hashizume, Masahiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Leptospirosis is a worldwide bacterial zoonosis. Outbreaks of leptospirosis after heavy rainfall and flooding have been reported. However, few studies have formally quantified the effect of weather factors on leptospirosis incidence. We estimated the association between rainfall and leptospirosis cases in an urban setting in Manila, the Philippines, and examined the potential intermediate role of floods in this association. Methods/Principal findings: Relationships between rainfall and the weekly number of hospital admissions due to leptospirosis from 2001 to 2012 were analyzed using a distributed lag non-linear model in a quasi-Poisson regression framework, controlling for seasonally varying factors other than rainfall. The role of floods on the rainfall?leptospirosis relationship was examined using an indicator. We reported relative risks (RRs) by rainfall category based on the flood warning system in the country. The risk of post-rainfall leptospirosis peaked at a lag of 2 weeks (using 0 cm/week rainfall as the reference) with RRs of 1.30 (95% confidence interval: 0.99?1.70), 1.53 (1.12?2.09), 2.45 (1.80?3.33), 4.61 (3.30?6.43), and 13.77 (9.10?20.82) for light, moderate, heavy, intense and torrential rainfall (at 2, 5, 16, 32 and 63 cm/week), respectively. After adjusting for floods, RRs (at a lag of 2 weeks) decreased at higher rainfall levels suggesting that flood is on the causal pathway between rainfall and leptospirosis. Conclusions: Rainfall was strongly associated with increased hospital admission for leptospirosis at a lag of 2 weeks, and this association was explained in part by floods. |
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書誌情報 |
PLoS Neglected Tropical Diseases 巻 12, 号 4, p. e0006331, 発行日 2018-04 |
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出版者 | ||||||
出版者 | Public Library of Science | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 19352735 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1371/journal.pntd.0006331 | |||||
権利 | ||||||
権利情報 | c 2018 Matsushita et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | PLoS Neglected Tropical Diseases, 12(4), e0006331; 2018 |