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分析累西腓市(巴西)降水与确诊登革热病例之间的相互关系,涵盖气候和公共卫生信息。

Analysis of the interrelationship between precipitation and confirmed dengue cases in the city of Recife (Brazil) covering climate and public health information.

机构信息

Department of Atmospheric Sciences, Institute of Astronomy, Geophysics and Atmospheric Sciences (IAG), University of São Paulo, São Paulo, Brazil.

Department of Civil Environmental and Geomatic Engineering, University College London, London, United Kingdom.

出版信息

Front Public Health. 2024 Oct 23;12:1456043. doi: 10.3389/fpubh.2024.1456043. eCollection 2024.

Abstract

Large-scale epidemics of arboviruses, such as dengue, have heightened societal awareness regarding the necessity of combating the primary transmission vectors. Equally critical is the identification of environmental conditions and variables that influence vector population dynamics. , the primary vector of arboviruses such as dengue and Zika in Brazil, is closely associated with the climatic and geographical conditions of urban environments. This study examines the relationship between precipitation and confirmed dengue cases in Recife (Brazil), employing regression and quantile analyses to evaluate the influence of meteorological conditions on the disease's spread. The findings reveal a direct correlation between monthly averages of precipitation and confirmed cases, although this is apparent only when excluding years of epidemic peaks. The highest number of cases generally aligns with the rainy season, and the lowest with the dry season, with weak, moderate and strong precipitation events being closely linked to increased dengue incidence. However, notable discrepancies were identified: four out of six major outbreaks occurred in drier months, challenging the assumption of a straightforward relationship between rainfall and dengue incidence. These findings underscore the multifaceted nature of dengue dynamics, suggesting that while precipitation plays a significant role, other factors, including serotype circulation and broader climatic phenomena, are equally critical in driving outbreaks. This complexity highlights the need for a more comprehensive understanding of the mechanisms influencing dengue epidemics.

摘要

大规模的虫媒病毒(如登革热)疫情提高了社会对防治主要传播媒介的必要性的认识。同样重要的是确定影响媒介种群动态的环境条件和变量。埃及伊蚊是巴西登革热和寨卡病毒等虫媒病毒的主要传播媒介,它与城市环境的气候和地理条件密切相关。本研究考察了降水与累西腓(巴西)确诊登革热病例之间的关系,采用回归和分位数分析来评估气象条件对疾病传播的影响。研究结果表明,降水月平均值与确诊病例之间存在直接相关性,但这种相关性仅在排除流行高峰期的年份时才明显。大多数情况下,病例数量最多的月份与雨季相对应,而最少的月份与旱季相对应,弱、中、强降水事件与登革热发病率的增加密切相关。然而,也发现了一些显著的差异:6 次大暴发中有 4 次发生在较干燥的月份,这挑战了降雨与登革热发病率之间存在直接关系的假设。这些发现强调了登革热动态的多面性,表明尽管降水起着重要作用,但其他因素,包括血清型循环和更广泛的气候现象,在引发疫情方面同样至关重要。这种复杂性突出表明需要更全面地了解影响登革热疫情的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b9/11537940/4400c04cbe11/fpubh-12-1456043-g001.jpg

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