Hydroclimatological variability and dengue transmission in Dhaka, Bangladesh: a time-series study

BMC Infectious Diseases

Research Article

Ashraf M Dewan¹  M Ziaur Rahman²  Masahiro Hashizume³  Taro Yamamoto³  Toshihiko Sunahara³ 

[1] Department of Geography and Environment, University of Dhaka, 1000, Ramna, Dhaka, Bangladesh;Department of Spatial Sciences, Curtin University of Technology, Kent Street, Bentley, 6102, Perth, Australia;Department of Sociology, University of Dhaka, 1000, Ramna, Dhaka, Bangladesh;Institute of Tropical Medicine (NEKKEN) and the Global Center of Excellence program, Nagasaki University, 1-12-4 Sakamoto, 852-8523, Nagasaki, Japan;

关键词: Bangladesh;    Climate;    Dengue;    River level;    Time-series;   

DOI  :  10.1186/1471-2334-12-98

 received in 2011-08-27, accepted in 2012-03-21,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundWhile floods can potentially increase the transmission of dengue, only few studies have reported the association of dengue epidemics with flooding. We estimated the effects of river levels and rainfall on the hospital admissions for dengue fever at 11 major hospitals in Dhaka, Bangladesh.MethodsWe examined time-series of the number of hospital admissions of dengue fever in relation to river levels from 2005 to 2009 using generalized linear Poisson regression models adjusting for seasonal, between-year variation, public holidays and temperature.ResultsThere was strong evidence for an increase in dengue fever at high river levels. Hospitalisations increased by 6.9% (95% CI: 3.2, 10.7) for each 0.1 metre increase above a threshold (3.9 metres) for the average river level over lags of 0–5 weeks. Conversely, the number of hospitalisations increased by 29.6% (95% CI: 19.8, 40.2) for a 0.1 metre decrease below the same threshold of the average river level over lags of 0–19 weeks.ConclusionsOur findings provide evidence that factors associated with both high and low river levels increase the hospitalisations of dengue fever cases in Dhaka.

【 授权许可】

CC BY   
© Hashizume et al.; licensee BioMed Central Ltd. 2012