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

Author

Listed:
  • Yonghong Liu

    (Sun Yat-sen University)

  • Hui Ding

    (Sun Yat-sen University)

  • Shu-ting Chang

    (Academia Sinica)

  • Ran Lu

    (Chinese Center for Disease Control and Prevention)

  • Hui Zhong

    (Sun Yat-sen University)

  • Na Zhao

    (Chinese Academy of Sciences)

  • Tzu-Hsuan Lin

    (Academia Sinica)

  • Yiming Bao

    (Chinese Academy of Sciences & China National Center for Bioinformation)

  • Liwei Yap

    (Academia Sinica)

  • Weijia Xu

    (Guangdong Provincial Key Laboratory of Intelligent Transport System)

  • Minyi Wang

    (Guangdong Provincial Key Laboratory of Intelligent Transport System)

  • Yuan Li

    (Baoan District Centre for Disease Control and Prevention)

  • Shuwen Qin

    (Zhejiang Provincial Centre for Disease Control and Prevention)

  • Yu Zhao

    (Zhejiang Provincial Centre for Disease Control and Prevention)

  • Xingyi Geng

    (Jinan Centre for Disease Control and Prevention)

  • Supen Wang

    (Anhui Normal University)

  • Enfu Chen

    (Zhejiang Provincial Centre for Disease Control and Prevention)

  • Zhi Yu

    (Sun Yat-sen University)

  • Ta-Chien Chan

    (Academia Sinica)

  • Shelan Liu

    (Zhejiang Provincial Centre for Disease Control and Prevention)

Abstract

Scarlet 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

Suggested Citation

  • Yonghong Liu & Hui Ding & Shu-ting Chang & Ran Lu & Hui Zhong & Na Zhao & Tzu-Hsuan Lin & Yiming Bao & Liwei Yap & Weijia Xu & Minyi Wang & Yuan Li & Shuwen Qin & Yu Zhao & Xingyi Geng & Supen Wang & , 2020. "Exposure to air pollution and scarlet fever resurgence in China: a six-year surveillance study," Nature Communications, Nature, vol. 11(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-17987-8
    DOI: 10.1038/s41467-020-17987-8
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    Cited by:

    1. Hongbing Xu & Castiel Chen Zhuang & Vanessa M. Oddo & Espoir Bwenge Malembaka & Xinghou He & Qinghong Zhang & Wei Huang, 2024. "Maternal preconceptional and prenatal exposure to El Niño Southern Oscillation levels and child mortality: a multi-country study," Nature Communications, Nature, vol. 15(1), pages 1-15, December.

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