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Exposure to air pollution and scarlet fever resurgence in China: a six-year surveillance study.
Liu, Yonghong; Ding, Hui; Chang, Shu-Ting; Lu, Ran; Zhong, Hui; Zhao, Na; Lin, Tzu-Hsuan; Bao, Yiming; Yap, Liwei; Xu, Weijia; Wang, Minyi; Li, Yuan; Qin, Shuwen; Zhao, Yu; Geng, Xingyi; Wang, Supen; Chen, Enfu; Yu, Zhi; Chan, Ta-Chien; Liu, Shelan.
Afiliación
  • Liu Y; School of Intelligent Systems Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
  • Ding H; School of Intelligent Systems Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
  • Chang ST; Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan.
  • Lu R; Division of Infectious Disease, Key Laboratory of Surveillance and Early-Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Zhong H; School of Intelligent Systems Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
  • Zhao N; CAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, China.
  • Lin TH; Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan.
  • Bao Y; National Genomics Data Center, Beijing Institute of Genomics, Chinese Academy of Sciences & China National Center for Bioinformation, Beijing, China.
  • Yap L; Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan.
  • Xu W; Guangdong Provincial Key Laboratory of Intelligent Transport System, Guangzhou, Guangdong Province, China.
  • Wang M; Guangdong Provincial Key Laboratory of Intelligent Transport System, Guangzhou, Guangdong Province, China.
  • Li Y; Department of Infectious Diseases, Baoan District Centre for Disease Control and Prevention, Shenzhen, Guangdong Province, China.
  • Qin S; Department of Infectious Diseases, Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang Province, China.
  • Zhao Y; Department of Infectious Diseases, Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang Province, China.
  • Geng X; Emergency Offices, Jinan Centre for Disease Control and Prevention, Jinan, Shandong Province, China.
  • Wang S; College of Life Sciences, Anhui Normal University, Wuhu, Anhui Province, China.
  • Chen E; Department of Infectious Diseases, Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang Province, China. enfchen@cdc.zj.cn.
  • Yu Z; School of Intelligent Systems Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China. stsyuz@mail.sysu.edu.cn.
  • Chan TC; Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan. dachianpig@gmail.com.
  • Liu S; Department of Infectious Diseases, Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang Province, China. liushelan@126.com.
Nat Commun ; 11(1): 4229, 2020 08 25.
Article en En | MEDLINE | ID: mdl-32843631
Scarlet fever has resurged in China starting in 2011, and the environment is one of the potential reasons. Nationwide data on 655,039 scarlet fever cases and six air pollutants were retrieved. Exposure risks were evaluated by multivariate distributed lag nonlinear models and a meta-regression model. We show that the average incidence in 2011-2018 was twice that in 2004-2010 [RR = 2.30 (4.40 vs. 1.91), 95% CI: 2.29-2.31; p < 0.001] and generally lower in the summer and winter holiday (p = 0.005). A low to moderate correlation was seen between scarlet fever and monthly NO2 (r = 0.21) and O3 (r = 0.11). A 10 µg/m3 increase of NO2 and O3 was significantly associated with scarlet fever, with a cumulative RR of 1.06 (95% CI: 1.02-1.10) and 1.04 (95% CI: 1.01-1.07), respectively, at a lag of 0 to 15 months. In conclusion, long-term exposure to ambient NO2 and O3 may be associated with an increased risk of scarlet fever incidence, but direct causality is not established.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escarlatina / Contaminantes Atmosféricos / Contaminación del Aire / Exposición a Riesgos Ambientales Tipo de estudio: Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Nat Commun Asunto de la revista: BIOLOGIA / CIENCIA Año: 2020 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escarlatina / Contaminantes Atmosféricos / Contaminación del Aire / Exposición a Riesgos Ambientales Tipo de estudio: Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Nat Commun Asunto de la revista: BIOLOGIA / CIENCIA Año: 2020 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido