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气象因素对传染病发病率的影响及其预测:系统评价。

The Impact of Meteorological Factors on Communicable Disease Incidence and Its Projection: A Systematic Review.

机构信息

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.

Department of Earth Sciences and Environment, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Oct 22;18(21):11117. doi: 10.3390/ijerph182111117.

Abstract

BACKGROUND

Climate change poses a real challenge and has contributed to causing the emergence and re-emergence of many communicable diseases of public health importance. Here, we reviewed scientific studies on the relationship between meteorological factors and the occurrence of dengue, malaria, cholera, and leptospirosis, and synthesized the key findings on communicable disease projection in the event of global warming.

METHOD

This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 flow checklist. Four databases (Web of Science, Ovid MEDLINE, Scopus, EBSCOhost) were searched for articles published from 2005 to 2020. The eligible articles were evaluated using a modified scale of a checklist designed for assessing the quality of ecological studies.

RESULTS

A total of 38 studies were included in the review. Precipitation and temperature were most frequently associated with the selected climate-sensitive communicable diseases. A climate change scenario simulation projected that dengue, malaria, and cholera incidence would increase based on regional climate responses.

CONCLUSION

Precipitation and temperature are important meteorological factors that influence the incidence of climate-sensitive communicable diseases. Future studies need to consider more determinants affecting precipitation and temperature fluctuations for better simulation and prediction of the incidence of climate-sensitive communicable diseases.

摘要

背景

气候变化带来了真正的挑战,并促成了许多具有公共卫生重要性的传染病的出现和再现。在这里,我们回顾了关于气象因素与登革热、疟疾、霍乱和钩端螺旋体病发生之间关系的科学研究,并综合了关于全球变暖情况下传染病预测的关键发现。

方法

本系统评价按照系统评价和荟萃分析的首选报告项目(PRISMA)2020 流程图清单进行。从 2005 年到 2020 年,在四个数据库(Web of Science、Ovid MEDLINE、Scopus、EBSCOhost)中搜索了文章。使用为评估生态研究质量而设计的检查表的修改版对合格文章进行了评估。

结果

共有 38 项研究纳入了综述。降水和温度与所选的气候敏感传染病最常相关。气候变化情景模拟预测,根据区域气候响应,登革热、疟疾和霍乱的发病率将会增加。

结论

降水和温度是影响气候敏感传染病发病率的重要气象因素。未来的研究需要考虑更多影响降水和温度波动的决定因素,以便更好地模拟和预测气候敏感传染病的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def0/8583681/f9751478c698/ijerph-18-11117-g001.jpg

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