Weather and the transmission of bacillary dysentery in Jinan, northern China: a time-series analysis.

OBJECTIVES

This article aims to quantify the relationship between weather variations and bacillary dysentery in Jinan, a city in northern China with a temperate climate, to reach a better understanding of the effect of weather variations on enteric infections.

METHODS

The weather variables and number of cases of bacillary dysentery during the period 1987-2000 has been studied on a monthly basis. The Spearman correlation between each weather variable and dysentery cases was conducted. Seasonal autoregressive integrated moving average (SARIMA) models were used to perform the regression analyses.

RESULTS

Maximum temperature (one-month lag), minimum temperature (one-month lag), rainfall (one-month lag), relative humidity (without lag), and air pressure (one-month lag) were all significantly correlated with the number of dysentery cases in Jinan. After controlling for the seasonality, lag time, and long-term trend, the SARIMA model suggested that a 1 degree C rise in maximum temperature might relate to more than 10% (95% confidence interval 10.19, 12.69) increase in the cases of bacillary dysentery in this city.

CONCLUSIONS

Weather variations have already affected the transmission of bacillary dysentery in China. Temperatures could be used as a predictor of the number of dysentery cases in a temperate city in northern China. Public health interventions should be undertaken at this stage to adapt and mitigate the possible consequences of climate change in the future.