title: Spatiotemporal dynamics of rotavirus disease in Europe: can climate or demographic variability explain the patterns observed.
abstract: We found a south to north movement of rotavirus activity across Europe. Lower birth rates, higher winter temperatures, and higher winter rainfall were associated with variations in timing of rotavirus activity between European countries but not with temporal variations within countries. Patterns of rotavirus activity are likely to be driven by a complex interaction of population, virus, and environmental factors.
authors.affiliation: London School of Hygiene and Tropical Medicine, Department of Epidemiology and Population Health, London, United Kingdom. Christina.Atchison@lshtm.ac.uk
authors.forename: Christina
authors.initials: C
authors.lastname: Atchison
authors.forename: Miren
authors.initials: M
authors.lastname: Iturriza-Gómara
authors.forename: Clarence
authors.initials: C
authors.lastname: Tam
authors.forename: Ben
authors.initials: B
authors.lastname: Lopman
mesh_terms: D001723:Birth Rate; D005060:Europe / Q000453:epidemiology; D005843:Geography; D006801:Humans; D015999:Multivariate Analysis; D012044:Regression Analysis; D012401:Rotavirus / Q000302:isolation & purification*; D012400:Rotavirus Infections / Q000453:epidemiology*; D012621:Seasons; D014887:Weather