Meteorological Institute, Albert-Ludwigs-University Freiburg, Freiburg, Germany.
Int J Biometeorol. 2012 Sep;56(5):873-85. doi: 10.1007/s00484-011-0492-8. Epub 2011 Sep 18.
We investigated the temporal and spatial dynamics, as well as the seasonal occurrence of measles in Ondo state, Nigeria, to better understand the role of the thermal environment in the occurrence of the childhood killer disease measles, which ranks among the top ten leading causes of child deaths worldwide. The linkages between measles and atmospheric environmental factors were examined by correlating human-biometeorological parameters in the study area with reported clinical cases of measles for the period 1998-2008. We also applied stepwise regression analysis in order to determine the human-biometeorological parameters that lead to statistical changes in reported clinical cases of measles. We found that high reported cases of measles are associated with the least populated areas, where rearing and cohabitation of livestock/domestic animals within human communities are common. There was a significant correlation (P < 0.01) between monthly cases of measles and human-biometeorological parameters except wind speed and vapour pressure. High transmission of measles occurred in the months of January to May during the dry season when human thermal comfort indices are very high. This highlights the importance of the thermal environment in disease demographics since it accounted for more than 40% variation in measles transmission within the study period.
我们研究了尼日利亚翁多州麻疹的时空动态和季节性发生情况,以便更好地了解热环境在发生这种排名世界十大儿童杀手疾病麻疹中的作用,麻疹是全世界导致儿童死亡的十大原因之一。通过将研究区域内的人类生物气象参数与 1998 年至 2008 年报告的麻疹临床病例相关联,我们考察了麻疹与大气环境因素之间的联系。我们还应用逐步回归分析来确定导致报告的麻疹临床病例发生统计学变化的人类生物气象参数。我们发现,高报告的麻疹病例与人口最少的地区有关,在这些地区,家畜/家禽在人类社区中饲养和共存是很常见的。除风速和蒸汽压力外,麻疹每月病例与人类生物气象参数之间存在显著相关性(P<0.01)。在旱季的 1 月至 5 月,人类热舒适度指数非常高的时期,麻疹的传播率很高。这突出了热环境在疾病流行学中的重要性,因为它在研究期间占麻疹传播变化的 40%以上。