Climate Trends at a Hotspot of Chronic Kidney Disease of Unknown Causes in Nicaragua, 1973-2014.

Climate Trends at a Hotspot of Chronic Kidney Disease of Unknown Causes in Nicaragua, 1973-2014.
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DOI:
10.3390/ijerph18105418
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发表时间:
2021-05-19
影响因子:
--
通讯作者:
Brooks DR
Brooks DR
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Petropoulos ZE;Ramirez-Rubio O;Scammell MK;Laws RL;Lopez-Pilarte D;Amador JJ;Ballester J;O'Callaghan-Gordo C;Brooks DR

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病因不明的慢性肾病(CKDu)持续流行,影响着中美洲大部分地区,推测与工作中的热应激有关。自 20 世纪 70 年代以来,CKDu 的死亡率似乎急剧上升。为了探索这种关系,我们评估了 1973 年至 2014 年收获月份最高和最低气温的趋势,以及收获季节最高气温超过 35 °C 的天数。数据是在尼加拉瓜一家糖业公司的气象站收集的,该公司有大量工人受到 CKDu 的影响。 1996年至2014年间每日最高气温的月平均值也与尼加拉瓜各地八个自动地面观测系统网络气象站的同期天气数据进行了比较。我们的目标是评估收获季节的温度变化,估计工人面临高温相关疾病风险的天数,并比较尼加拉瓜各个地点的每日最高气温。 1973年至1990年间,收获季节月平均日最高气温每十年增加0.7℃。1974年至1990年间,收获季节最高气温超过35℃的天数每年增加约5天,从32天增加到114天。 1991年至2013年,最高气温超过35℃的采收天数每年减少两天,月平均日最高气温每十年减少0.3℃。与尼加拉瓜各地气象站的比较表明,该公司位于该国一贯最热的地区之一。
An ongoing epidemic of chronic kidney disease of uncertain etiology (CKDu) afflicts large parts of Central America and is hypothesized to be linked to heat stress at work. Mortality rates from CKDu appear to have increased dramatically since the 1970s. To explore this relationship, we assessed trends in maximum and minimum temperatures during harvest months between 1973 and 2014 as well as in the number of days during the harvest season for which the maximum temperature surpassed 35 °C. Data were collected at a weather station at a Nicaraguan sugar company where large numbers of workers have been affected by CKDu. Monthly averages of the daily maximum temperatures between 1996 and 2014 were also compared to concurrent weather data from eight Automated Surface Observing System Network weather stations across Nicaragua. Our objectives were to assess changes in temperature across harvest seasons, estimate the number of days that workers were at risk of heat-related illness and compare daily maximum temperatures across various sites in Nicaragua. The monthly average daily maximum temperature during the harvest season increased by 0.7 °C per decade between 1973 and 1990. The number of days per harvest season with a maximum temperature over 35 °C increased by approximately five days per year between 1974 and 1990, from 32 days to 114 days. Between 1991 and 2013, the number of harvest days with a maximum temperature over 35 °C decreased by two days per year, and the monthly average daily maximum temperature decreased by 0.3 °C per decade. Comparisons with weather stations across Nicaragua demonstrate that this company is located in one of the consistently hottest regions of the country.
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