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dc.contributor.authorDelahoy, Miranda J.
dc.contributor.authorCárcamo, César
dc.contributor.authorHuerta, Adrian
dc.contributor.authorLavado-Casimiro, W.
dc.contributor.authorEscajadillo Fernandez, Yury
dc.contributor.authorOrdoñez, Luis
dc.contributor.authorVasquez-Apestegui, Vanessa
dc.contributor.authorLopman, Benjamin
dc.contributor.authorClasen, Thomas
dc.contributor.authorGonzales, Gustavo F.
dc.contributor.authorSteenland, Kyle
dc.contributor.authorLevy, Karen
dc.date.accessioned2021-03-31T16:57:49Z
dc.date.available2021-03-31T16:57:49Z
dc.date.issued2021-02-26
dc.identifier.citationDelahoy, M.J., Cárcamo, C., Huerta, A. et al. Meteorological factors and childhood diarrhea in Peru, 2005–2015: a time series analysis of historic associations, with implications for climate change. Environ Health 20, 22 (2021). https://doi.org/10.1186/s12940-021-00703-4es_PE
dc.identifier.urihttps://hdl.handle.net/20.500.12542/857
dc.description.abstractBackground: Global temperatures are projected to rise by ≥2 °C by the end of the century, with expected impacts on infectious disease incidence. Establishing the historic relationship between temperature and childhood diarrhea is important to inform future vulnerability under projected climate change scenarios. Methods: We compiled a national dataset from Peruvian government data sources, including weekly diarrhea surveillance records, annual administered doses of rotavirus vaccination, annual piped water access estimates, and daily temperature estimates. We used generalized estimating equations to quantify the association between ambient temperature and childhood (< 5 years) weekly reported clinic visits for diarrhea from 2005 to 2015 in 194 of 195 Peruvian provinces. We estimated the combined effect of the mean daily high temperature lagged 1, 2, and 3 weeks, in the eras before (2005–2009) and after (2010–2015) widespread rotavirus vaccination in Peru and examined the influence of varying levels of piped water access. Results: Nationally, an increase of 1 °C in the temperature across the three prior weeks was associated with a 3.8% higher rate of childhood clinic visits for diarrhea [incidence rate ratio (IRR): 1.04, 95% confidence interval (CI): 1.03–1.04]. Controlling for temperature, there was a significantly higher incidence rate of childhood diarrhea clinic visits during moderate/strong El Niño events (IRR: 1.03, 95% CI: 1.01–1.04) and during the dry season (IRR: 1.01, 95% CI: 1.00–1.03). Nationally, there was no evidence that the association between temperature and the childhood diarrhea rate changed between the pre- and post-rotavirus vaccine eras, or that higher levels of access to piped water mitigated the effects of temperature on the childhood diarrhea rate. Conclusions: Higher temperatures and intensifying El Niño events that may result from climate change could increase clinic visits for childhood diarrhea in Peru. Findings underscore the importance of considering climate in assessments of childhood diarrhea in Peru and globally, and can inform regional vulnerability assessments and mitigation planning efforts.es_PE
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherBioMed Central Ltdes_PE
dc.relation.ispartofurn:issn:1476-069X
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Estados Unidos de América*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.sourceRepositorio Institucional - SENAMHIes_PE
dc.sourceServicio Nacional de Meteorología e Hidrología del Perúes_PE
dc.subjectDrinking Wateres_PE
dc.subjectEnvironmental temperaturees_PE
dc.subjectCambio Climáticoes_PE
dc.subjectData Setes_PE
dc.subjectWater Qualityes_PE
dc.subjectTap water
dc.subjectDrinking water;
dc.subjectAgua Potable
dc.subjectChild health
dc.subjectInfectious disease
dc.titleMeteorological factors and childhood diarrhea in Peru, 2005–2015: a time series analysis of historic associations, with implications for climate changees_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.description.peerreviewPor pares
dc.identifier.doihttps://doi.org/10.1186/s12940-021-00703-4
dc.identifier.journalEnvironmental Health: : A Global Access Science Source
dc.subject.ocdehttp://purl.org/pe-repo/ocde/ford#1.05.10es_PE


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