title: Climate change and occurrence of diarrheal diseases: evolving facts from Nepal.
abstract: BACKGROUND
  Climate change is becoming huge threat to health especially for those from developing countries. Diarrhea as one of the major diseases linked with changing climate. This study has been carried out to assess the relationship between climatic variables, and malaria and to find out the range of non-climatic factors that can confound the relationship of climate change and human health.
  
  
  METHODS
  It is a Retrospective study where data of past ten years relating to climate and disease (diarrhea) variable were analyzed. The study conducted trend analysis based on correlation. The climate related data were obtained from Department of Hydrology and Meteorology. Time Series analysis was also being conducted.
  
  
  RESULTS
  The trend of number of yearly cases of diarrhea has been increasing from 1998 to 2001 after which the cases remain constant till 2006.The climate types in Jhapa vary from humid to per-humid based on the moisture index and Mega-thermal based on thermal efficiency. The mean annual temperature is increasing at an average of 0.04 °C/year with maximum temperature increasing faster than the minimum temperature. The annual total rainfall of Jhapa is decreasing at an average rate of -7.1 mm/year. Statistically significant correlation between diarrheal cases occurrence and temperature and rainfall has been observed. However, climate variables were not the significant predictors of diarrheal occurrence.
  
  
  CONCLUSIONS
  The association among climate variables and diarrheal disease occurrence cannot be neglected which has been showed by this study. Further prospective longitudinal study adjusting influence of non-climatic factors is recommended.
authors.affiliation: Nepal Public Health Foundation, Kathmandu, Nepal. gpbhandari@gmail.com
authors.forename: G P
authors.initials: GP
authors.lastname: Bhandari
authors.forename: S
authors.initials: S
authors.lastname: Gurung
authors.forename: M
authors.initials: M
authors.lastname: Dhimal
authors.forename: C L
authors.initials: CL
authors.lastname: Bhusal
mesh_terms: D057231:Climate Change; D003967:Diarrhea / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015994:Incidence; D009390:Nepal / Q000453:epidemiology; D011891:Rain; D012189:Retrospective Studies