Exposure to air pollution and scarlet fever resurgence in China: a six-year surveillance study

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dc.creatorLiu, Yonghong
dc.creatorDing, Hui
dc.creatorChang, Shu-ting
dc.creatorLu, Ran
dc.creatorZhong, Hui
dc.creatorZhao, Na
dc.creatorLin, Tzu-Hsuan
dc.creatorBao, Yiming
dc.creatorYap, Liwei
dc.creatorXu, Weijia
dc.creatorWang, Minyi
dc.creatorLi, Yuan
dc.creatorQin, Shuwen
dc.creatorZhao, Yu
dc.creatorGeng, Xingyi
dc.creatorWang, Supen
dc.creatorChen, Enfu
dc.creatorYu, Zhi
dc.creatorChan, Ta-Chien
dc.creatorLiu, Shelan
dc.date.accessioned2020-09-19T17:12:04Z
dc.date.available2020-09-19T17:12:04Z
dc.date.created2020-08-25
dc.description.abstractenglishScarlet 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.spa
dc.format.extent13 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.1038/s41467-020-17987-8spa
dc.identifier.issn2041-1723spa
dc.identifier.otherhttps://www.nature.com/articles/s41467-020-17987-8spa
dc.identifier.urihttps://hdl.handle.net/20.500.12010/13491
dc.language.isoengspa
dc.publisherNature Communicationsspa
dc.rights.accessrightsinfo:eu-repo/semantics/restrictedAccessspa
dc.rights.localAcceso restringidospa
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectExposure to air pollutionspa
dc.subjectpollutionspa
dc.subjectscarlet fever resurgence in Chinaspa
dc.subjectscarletspa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.titleExposure to air pollution and scarlet fever resurgence in China: a six-year surveillance studyspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localArtículospa

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