Meteorological Influences on the Seasonality of Lyme Disease in the United States

Meteorological Influences on the Seasonality of Lyme Disease in the United States
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DOI:
10.4269/ajtmh.13-0180
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发表时间:
2014-03-01
影响因子:
3.3
通讯作者:
Mead, Paul
Mead, Paul
中科院分区:
医学4区
文献类型:
--
作者:
Moore, Sean M.;Eisen, Rebecca J.;Mead, Paul

文献摘要

被引文献

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莱姆病(伯氏疏螺旋体感染)是美国最常见的媒介传播疾病。大多数人类莱姆病(LD)病例发生在夏季,但发病高峰的时间因地理位置和年份而异。我们计算了从1992年到2007年12个高度流行的州的主要LD季节的开始、高峰、结束和持续时间,然后研究了这些季节变量的时间与几个气象变量之间的关联。较早开始的LD季节是正相关的,通过第20周,较低的累积降水量,较低的饱和赤字,并接近大西洋海岸的累积生长度日数较高。LD季节的峰值和持续时间的时间也与累积生长度日,饱和赤字和累积降水,但没有气象预报充分解释LD季节结束的时间。
Lyme disease (Borrelia burgdorferi infection) is the most common vector-transmitted disease in the United States. The majority of human Lyme disease (LD) cases occur in the summer months, but the timing of the peak occurrence varies geographically and from year to year. We calculated the beginning, peak, end, and duration of the main LD season in 12 highly endemic states from 1992 to 2007 and then examined the association between the timing of these seasonal variables and several meteorological variables. An earlier beginning to the LD season was positively associated with higher cumulative growing degree days through Week 20, lower cumulative precipitation, a lower saturation deficit, and proximity to the Atlantic coast. The timing of the peak and duration of the LD season were also associated with cumulative growing degree days, saturation deficit, and cumulative precipitation, but no meteorological predictors adequately explained the timing of the end of the LD season.