scholarly journals The Association Between Diurnal Temperature Range and Clinic Visits for Upper Respiratory Tract Infection Among College Students in Wuhan, China

2021 ◽  
Author(s):  
Faxue Zhang ◽  
Chuangxin Wu ◽  
Miaoxuan Zhang ◽  
Han Zhang ◽  
Huan Feng ◽  
...  
Keyword(s):  
College Students ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Diurnal Temperature Range ◽  
Upper Respiratory Tract ◽  
Diurnal Temperature ◽  
Temperature Range ◽  
Outpatient Visits ◽  
Upper Respiratory

Abstract The effects of daily mean temperature on health outcomes have been discussed in many previous studies, but few have considered the adverse impacts due to variance of temperature in one day. Diurnal temperature range (DTR) was a novel indicator calculated as maximum temperature minus minimum temperature in the same day. In this study, generalized additive model (GAM) with quasi-Poisson distribution was used to investigate the association between DTR and the number of daily outpatient visits for upper respiratory tract infection (URTI) among college students. Data about meteorological factors and air pollutants were provided by Hubei Meteorological Bureau and Wuhan Environmental Protection Bureau, respectively. Outpatient visits data were provided by the Hospital of Wuhan University from January 1, 2016 to November 31, 2018. Short-term exposure to DTR was associated with the increased risk of outpatient for URTI among all college students. Per 1 ℃ increased in DTR was associated with 0.89% (95%CI: 0.40, 1.38) increased in outpatient visits of all college students for URTI at lag 0 day. The greatest effect values were observed in males [1.83% (95%CI: 0.81, 2.86)], and in females [1.44% (95%CI: 0.51, 2.38)] at lag 0–6 days. DTR had more adverse health impact in the warm season than that in the cold season. Public health departments should consider the negative effect of DTR to formulate more effective preventive and control measures for protecting vulnerable people.

scholarly journals Exposure to Ambient Air Pollutions and Upper Respiratory Tract Infection in Zhengzhou City, China: A Approximate Five-Year Surveillance Study

2021 ◽  
Author(s):  
Shan-shan Lin ◽  
Hui hui He ◽  
Rui Jia ◽  
Juan Du ◽  
Ning yi Ma ◽  
...  
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Upper Respiratory Tract Infection ◽  
Cumulative Effects ◽  
Upper Respiratory Tract ◽  
Outpatient Visits ◽  
Gender And Age ◽  
Air Pollutions ◽  
Upper Respiratory

Abstract Background: Studies indicated that air pollutions were associated with respiratory disease have with a lag exposure–response relationship, but not linear. However, few evidences in Zhengzhou, one of the most polluted cities for China.Method: Upper respiratory tract infection (URTI) outpatient visits in the hospital, meteorological parameters and air pollutions data were obtained from October 28, 2013 to May 1, 2018 and were used for evaluating the risk effects of the air pollutants with a distributed lag non-linear model (DLNM), including the stratified analysis of gender and age.Result: 475013 cases were included, with obvious seasonal fluctuations,higher in cool/cold and lower in warm. Every increase of 10μg/m3 of PM2.5, PM10, SO2, NO2 and CO showed similar impacts on URTI outpatient visits in different genders and age sub-groups,within 0 to15 days of lag. PM10, SO2 and NO2 had the strongest immediately risk at lag 0 [RRPM10: 1.0011, 95%CI (1.0002-1.0020); RRSO2: 1.0084, 95%CI (1.0039-1.0130); RRNO2: 1.0149, 95%CI: (1.0111-1.0188), respectively], while PM2.5 and CO got highest risk at lag 15 days [RRPM2.5: 1.0014, 95%CI (1.0003-1.0025); RRCO: 1.0002, 95%CI: (1.0001-1.0003), respectively]. In addition, calculating overall accumulated effects of each 10μg/m3 increase in PM10, SO2, NO2, and CO was greater in females than in males, as well as greater in the adolescents (aged 0-18 years) and elderly (aged ≥ 60 years) than in adults (aged 19-59 years), except CO was greater in the adolescents and adults than in the elderly. No significant cumulative effects were found in PM2.5. O3 levelwasno significant correlation withURTI outpatient visits throughout the lag period.Conclusions: Our results indicated that PM10, SO2, NO2 and CO had strong immediate and lag cumulative effects in the females, adolescents, and elderly. PM2.5 has lag effects but has no significant lag cumulative impact effects on gender and age.

scholarly journals Effect of diurnal temperature range on emergency room visits for acute upper respiratory tract infections

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Jin Young Jang ◽  
Byung Chul Chun
Keyword(s):  
Respiratory Tract ◽  
Emergency Room ◽  
Diurnal Temperature Range ◽  
Common Disease ◽  
Upper Respiratory Tract ◽  
Lag Effects ◽  
Diurnal Temperature ◽  
Temperature Range ◽  
Upper Respiratory ◽  
Tract Infections

Abstract Background An acute upper respiratory tract infection (URI) is the most common disease worldwide, irrespective of age or sex. This study aimed to evaluate the short-term effect of diurnal temperature range (DTR) on emergency room (ER) visits for URI in Seoul, Korea, between 2009 and 2013. Methods Daily ER visits for URI were selected from the National Emergency Department Information System, which is a nationwide daily reporting system for ER visits in Korea. URI cases were defined according to International Classification of Diseases, 10thRevision codes J00–J06. The search for DTR effects associated with URI was performed using a semi-parametric generalized additive model approach with log link. Results There were 529,527 ER visits for URI during the study period, with a daily mean of 290 visits (range, 74–1942 visits). The mean daily DTR was 8.05 °C (range, 1.1–17.6 °C). The cumulative day (lag 02) effect of DTR above 6.57 °C per 1 °C increment was associated with a 1.42% (95% confidence interval [CI] 0.04–2.82) increase in total URI. Children (≤ 5 years of age) were affected by DTR above 6.57 °C per 1 °C, with 1.45% (95% CI 0.32–2.60) at lag 02, adults (19–64 years) with 2.77% (95% CI 0.39–5.20) at lag 07. When the DTR (lag02) was 6.57 °C to 11.03 °C, the relative risk was significant at 6.01% (95% CI 2.45–9.69) for every 1 °C increase in youth subjects aged for 6 to 18 years. Conclusions DTR was associated with a higher risk for ER visits for URI. In addition, the results suggested that the lag effects and relative risks of DTR on URI were quite different according to age.

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