2016
DOI: 10.1038/srep27305
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The Association between Ambient Temperature and Childhood Hand, Foot and Mouth Disease in Chengdu, China: A Distributed Lag Non-linear Analysis

Abstract: Hand, foot and mouth disease (HFMD) has recently been recognized as a critical challenge to disease control and public health response in China. This study aimed to quantify the association between temperature and HFMD in Chengdu. Daily HFMD cases and meteorological variables in Chengdu between January 2010 and December 2013 were obtained to construct the time series. A distributed lag non-linear model was performed to investigate the temporal lagged association of daily temperature with age- and gender-specif… Show more

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Cited by 35 publications
(43 citation statements)
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“…More researchers explored the associations between meteorological factors and hand, foot, and mouth disease. [27][28][29] But no studies on the associations between meteorological factors and SFTS were conducted using DLNM to date.…”
Section: Discussionmentioning
confidence: 99%
“…More researchers explored the associations between meteorological factors and hand, foot, and mouth disease. [27][28][29] But no studies on the associations between meteorological factors and SFTS were conducted using DLNM to date.…”
Section: Discussionmentioning
confidence: 99%
“…Although most studies confirmed the association of high temperature and relative humidity with a high HFMD risk, some studies reported apparent differences in the elastic coefficients of these variables in difference locations [10,13,15,[20][21][22][23]. A study in the city of Guangzhou in south China city reported that a rise of 1°C in air temperature corresponded to an almost 10% increase (about 9·5%) in the risk of HFMD [15].…”
Section: Discussionmentioning
confidence: 99%
“…Although the previous studies detected a link between the risk of HFMD and meteorological factors, the association between these factors differed, depending on the region. For example, although most studies concluded that high temperatures and relative humidity were associated with a high risk of HFMD [15][16][17], some studies reported apparent differences in the exposure-response relationship in different locations and inverse influences of these factors [10,13,15,[20][21][22][23].…”
Section: Introductionmentioning
confidence: 99%
“…The relationship between meteorological factors and HFMD outbreaks is often nonlinear in nature. In 23 of the 61 studies reporting a positive association with temperature, cases occurred most frequently within a specific temperature range, and extreme heat was associated with fewer case outbreaks . Whether or not this relates to viral biology or changes in human behavior at the extremes of temperature is unclear.…”
Section: Discussionmentioning
confidence: 99%