title: Analysis of Risk and Burden of Dysentery Associated with Floods from 2004 to 2010 in Nanning, China.
abstract: This study aimed to examine the association between floods and the morbidity of dysentery and to quantify the burden of dysentery due to floods in Nanning, China. A generalized additive mixed model was conducted to assess the relationship between monthly morbidity of dysentery and floods from 2004 to 2010. The years lived with disability (YLDs) of dysentery attributable to floods were then estimated based on the WHO framework of the burden of disease study for calculating the potential impact fraction. The relative risk (RR) of floods on the morbidity of dysentery was 1.44 (95% confidence interval [CI] = 1.18-1.75). The models suggest that a potential 1-day rise in flood duration may lead to 8% (RR = 1.08, 95% CI = 1.04-1.12) increase in the morbidity of dysentery. The average attributable YLD per 1,000 of dysentery caused by floods were 0.013 in males, 0.005 in females, and 0.009 in persons. Our study confirms that floods have significantly increased the risk and the burden of dysentery in the study area. Public health action should be taken to prevent and control the potential risk of dysentery after floods. Vulnerable groups such as males and children should be paid more attention.
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.
authors.forename: Zhidong
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.
authors.forename: Guoyong
authors.initials: G
authors.lastname: Ding
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.
authors.forename: Xin
authors.initials: X
authors.lastname: Xu
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.
authors.forename: Qiyong
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Shandong Province, People's Republic of China; Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; Department of Occupational and Environmental Health, School of Public Health, Taishan Medical College, Shandong Province, People's Republic of China; School of Public Health, China Studies Centre, The University of Sydney, New South Wales, Australia; School of Population Health, Shandong University Climate Change and Health Center, Shandong Province, People's Republic of China; State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China bjiang@sdu.edu.cn.
authors.forename: Baofa
authors.initials: B
authors.lastname: Jiang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D004403:Dysentery / Q000453:epidemiology*; D005260:Female; D055868:Floods / Q000266:history*; D049674:History, 21st Century; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D055815:Young Adult