Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Department of Pathology and Laboratory Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Pediatr Nephrol. 2025 Jan;40(1):159-164. doi: 10.1007/s00467-024-06508-0. Epub 2024 Sep 9.
Shiga toxin-producing Escherichia coli (STEC) is influenced by seasonality, but there is limited understanding of how specific climatic variables contribute to disease spread. This information aids in understanding disease transmission dynamics and could potentially inform public health modeling.
This retrospective cohort study analyzed public health data from Ontario, Canada, between 2012 and 2021, along with historical climate data from Environment Canada. We employed Seasonal Autoregressive Integrated Moving Average (S-ARIMA) models to assess how temperature and precipitation impact the incidence of STEC infections, measured per 10,000,000 population.
The study included 1658 confirmed STEC cases. A significant correlation was found between STEC incidence and climatic variables. Each degree Celsius increase in maximum temperature was associated with a rise of 3 STEC cases per 10,000,000 population (Centers for Disease Control and Prevention (2024)). Additionally, each millimeter of increased precipitation correlated with an increase of 1.1 cases per 10,000,000 population.
The findings demonstrate a significant impact of temperature and precipitation on STEC transmission, highlighting the importance of integrating meteorological data into public health surveillance. This integration may help inform public health responses and support healthcare systems in planning for future outbreaks. Further studies are needed to refine predictive models and develop effective early warning systems for clinical settings.
产志贺毒素大肠杆菌(STEC)受季节性影响,但对于特定气候变量如何影响疾病传播的了解有限。这些信息有助于了解疾病传播动态,并可能为公共卫生建模提供信息。
本回顾性队列研究分析了 2012 年至 2021 年间加拿大安大略省的公共卫生数据,以及加拿大环境部的历史气候数据。我们采用季节性自回归综合移动平均(S-ARIMA)模型来评估温度和降水如何影响每 1000 万人口的 STEC 感染发生率。
本研究纳入了 1658 例确诊的 STEC 病例。STEC 发病率与气候变量之间存在显著相关性。最高温度每升高 1°C,STEC 病例就会增加 3 例/每 1000 万人口(疾病控制与预防中心(2024 年))。此外,降水量每增加 1 毫米,就会导致 STEC 病例增加 1.1 例/每 1000 万人口。
这些发现表明温度和降水对 STEC 传播有显著影响,强调了将气象数据纳入公共卫生监测的重要性。这种整合可能有助于为公共卫生应对措施提供信息,并支持医疗保健系统为未来的疫情爆发做好规划。需要进一步研究来改进预测模型并为临床环境开发有效的早期预警系统。