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Association between childhood diarrhoeal incidence and climatic factors in urban and rural settings in the health district of Mbour, Senegal

Thiam, Sokhna and Diène, Aminata N. and Sy, Ibrahima and Winkler, Mirko S. and Schindler, Christian and Ndione, Jacques A. and Faye, Ousmane and Vounatsou, Penelope and Utzinger, Jürg and Cissé, Guéladio. (2017) Association between childhood diarrhoeal incidence and climatic factors in urban and rural settings in the health district of Mbour, Senegal. International journal of environmental research and public health, 14 (9). p. 1049.

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Abstract

We assessed the association between childhood diarrhoeal incidence and climatic factors in rural and urban settings in the health district of Mbour in western Senegal. We used monthly diarrhoeal case records among children under five years registered in 24 health facilities over a four-year period (2011-2014). Climatic data (i.e., daily temperature, night temperature and rainfall) for the same four-year period were obtained. We performed a negative binomial regression model to establish the relationship between monthly diarrhoeal incidence and climatic factors of the same and the previous month. There were two annual peaks in diarrhoeal incidence: one during the cold dry season and one during the rainy season. We observed a positive association between diarrhoeal incidence and high average temperature of 36 °C and above and high cumulative monthly rainfall at 57 mm and above. The association between diarrhoeal incidence and temperature was stronger in rural compared to urban settings, while higher rainfall was associated with higher diarrhoeal incidence in the urban settings. Concluding, this study identified significant health-climate interactions and calls for effective preventive measures in the health district of Mbour. Particular attention should be paid to urban settings where diarrhoea was most common in order to reduce the high incidence in the context of climatic variability, which is expected to increase in urban areas in the face of global warming.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Biostatistics > Bayesian Modelling and Analysis (Vounatsou)
UniBasel Contributors:Winkler, Mirko S. and Schindler, Christian and Vounatsou, Penelope and Utzinger, Jürg and Cissé, Guéladio
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:MDPI
ISSN:1661-7827
e-ISSN:1660-4601
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:08 Dec 2017 13:06
Deposited On:08 Dec 2017 06:54

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