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dc.contributor.authorHuong, Xuan Nguyen
dc.contributor.authorChu, Cordia
dc.contributor.authorHuong, Lien Thi Nguyen
dc.contributor.authorHa, Thanh Nguyen
dc.contributor.authorCuong, Manh Do
dc.contributor.authorRutherford, Shannon
dc.contributor.authorDung, Phung
dc.date.accessioned2018-07-02T01:30:26Z
dc.date.available2018-07-02T01:30:26Z
dc.date.issued2017
dc.identifier.issn0048-9697
dc.identifier.doi10.1016/j.scitotenv.2017.01.006
dc.identifier.urihttp://hdl.handle.net/10072/343122
dc.description.abstractThis study examined the temporal and spatial patterns of hand, foot, and mouth disease (HFMD) in the Mekong Delta region in Vietnam. A time-series analysis was used to examine the temporal patterns of HFMD in relation to climate factors while a retrospective space-time scan was used to detect the high-risk space-time clusters of this disease. A 1 °C increase in average temperature was associated with 5.6% increase in HFMD rate at lag 5 days (95% CI 0.3–10.9). A 1% increase in humidity had equal influence of 1.7% increases on HFMD rate at both lag 3 days and 6 days (95% CI 0.7–2.7 and 95% CI 0.8–2.6, respectively). An increase in 1 unit of rainfall was associated with a 0.5% increase of HFMD rate on the lag 1 and 6 days (95% CI 0.2–0.9 and 95% CI 0.1–0.8, respectively). The predictive model indicated that the peak of HFMD was from October to December - the rainy season in the Mekong Delta region. Most high-risk clusters were located in areas with high population density and close to transport routes. The findings suggest that HFMD is influenced by climate factors and is likely to increase in the future due to climate change related weather events.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom766
dc.relation.ispartofpageto772
dc.relation.ispartofjournalScience of the Total Environment
dc.relation.ispartofvolume581-582
dc.subject.fieldofresearchEnvironmental Sciences not elsewhere classified
dc.subject.fieldofresearchcode059999
dc.titleTemporal and spatial analysis of hand, foot, and mouth disease in relation to climate factors: A study in the Mekong Delta region, Vietnam
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Sciences, School of Environment and Science
gro.rights.copyright© 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorChu, Cordia M.
gro.griffith.authorRutherford, Shannon
gro.griffith.authorPhung, Dung T.
gro.griffith.authorNguyen, Huong


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