Association of Normal Weather Periods and El Nino Events With Hospitalization for Viral Pneumonia in Females: California, 1983-1998
This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange. Associations between weather and hospitali...
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Published in | American journal of public health (1971) Vol. 91; no. 8; pp. 1200 - 1208 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
Am Public Health Assoc
01.08.2001
American Public Health Association American Journal of Public Health 2001 |
Subjects | |
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Abstract | This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange.
Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days.
Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%-50%) with a 5 degrees F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%-40%) with a 5 degrees F decrease in maximum temperature difference. The associations were independent of season. El Niño events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women.
The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. |
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AbstractList | This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange.
Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days.
Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%-50%) with a 5 degrees F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%-40%) with a 5 degrees F decrease in maximum temperature difference. The associations were independent of season. El Niño events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women.
The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. OBJECTIVESThis study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange.METHODSAssociations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days.RESULTSAssociations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%-50%) with a 5 degrees F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%-40%) with a 5 degrees F decrease in maximum temperature difference. The associations were independent of season. El Niño events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women.CONCLUSIONSThe results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange. Methods. Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days. Results. Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%–50%) with a 5°F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%–40%) with a 5°F decrease in maximum temperature difference. The associations were independent of season. El Niño events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women. Conclusions. The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. Examines associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange. Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated. Data were summed over 4 days. Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%-50%) with a 5F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%-40%) with a 5F decrease in maximum temperature difference. The associations were independent of season. El Nino events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women. Results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. (Original abstract - amended) Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange. Methods. Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days. Results. Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%–50%) with a 5°F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%–40%) with a 5°F decrease in maximum temperature difference. The associations were independent of season. El Niño events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women. Conclusions. The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino events in the California counties of Sacramento and Yolo, San Francisco and San Mateo, and Los Angeles and Orange. Methods. Associations between weather and hospitalizations (lagged 7 days) for January 1983 through June 1998 were evaluated with Poisson regression models. Generalized estimating equations were used to adjust for autocorrelation and overdispersion. Data were summed over 4 days. Results. Associations varied by region. Hospitalizations in San Francisco and Los Angeles increased significantly (30%-50%) with a 5 degree F decrease in minimum temperature. Hospitalizations in Sacramento increased significantly (25%-40%) with a 5 degree F decrease in maximum temperature difference. The associations were independent of season. El Nino events were associated with hospitalizations only in Sacramento, with significant decreases for girls and increases for women. Conclusions. The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations, even as the global mean temperature continues to rise. An understanding of population sensitivity under different weather conditions could lead to an improved understanding of virus transmission. Ebi et al examine associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino events in parts of California. The results suggest that viral pneumonia could continue to be a major public health issue, with a significant association between weather and hospitalizations. |
Author | Ebi, Kristie L Barnston, Anthony Kelsh, Michael Exuzides, K. Alex Lau, Edmund |
AuthorAffiliation | Kristie L. Ebi is with EPRI, Palo Alto, Calif. K. Alex Exuzides, Edmund Lau, and Michael Kelsh are with the Exponent Health Group, Menlo Park, Calif. Anthony Barnston is with the International Research Institute for Climate Prediction, Lamont-Doherty Earth Observatory of Columbia University, Palisades, NY |
AuthorAffiliation_xml | – name: Kristie L. Ebi is with EPRI, Palo Alto, Calif. K. Alex Exuzides, Edmund Lau, and Michael Kelsh are with the Exponent Health Group, Menlo Park, Calif. Anthony Barnston is with the International Research Institute for Climate Prediction, Lamont-Doherty Earth Observatory of Columbia University, Palisades, NY |
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Cites_doi | 10.1038/377217a0 10.2105/AJPH.88.12.1761 10.1093/biomet/73.1.13 10.1175/1520-0477(1998)079<0231:STOPAF>2.0.CO;2 10.1175/1520-0477(1996)077<0279:IOCCFT>2.0.CO;2 10.1136/jech.50.Suppl_1.S12 10.1289/ehp.00108367 |
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Keywords | Human Lung disease Pneumonia Meteorological phenomenon Respiratory disease Hospitalization Change Epidemiology Infection Weather Atmospheric temperature Seasonal variation Viral disease Female Atmospheric precipitation Public health Geographical variation |
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Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 Peer Reviewed K. L. Ebi planned the study and took the lead in writing the article. K. A. Exuzides developed the analysis approach, which was implemented by K. A. Exuzides and E. Lau. M. Kelsh contributed to the study design and analysis. A. Barnston provided climatological expertise and data. All authors contributed to evaluating the results and writing the paper. Note: The views expressed in this article are those of the authors and do not necessarily represent the views and policies of the California Energy Commission or the state of California. Requests for reprints should be sent to Kristie L. Ebi, PhD, MPH, EPRI, 3412 Hillview Ave, Palo Alto, CA 94304 (e-mail: krisebi@epri.com). |
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Snippet | This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events in the... Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño... Ebi et al examine associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino events in parts of... Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino... Examines associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Nino events in the California... OBJECTIVESThis study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño events... Objectives. This study examined associations between weather and hospitalizations of females for viral pneumonia during normal weather periods and El Niño... |
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SubjectTerms | Adolescent Adult Aged Biological and medical sciences California California - epidemiology Child Climate Climate change El Nino Female Females Geography Hospitalization Hospitalization - statistics & numerical data Hospitals Human viral diseases Humans Incidence Infant Infant, Newborn Infectious diseases Influenza Medical sciences Middle Aged Ocean currents Patient Admission - statistics & numerical data Pneumonia Pneumonia, Viral - epidemiology Pneumonia, Viral - transmission Poisson Distribution Population Population Surveillance Precipitation Public health Rain Regression Analysis Seasons Temperature Topography, Medical Treatment USA Viral diseases Viral diseases of the respiratory system and ent viral diseases Weather Women |
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Title | Association of Normal Weather Periods and El Nino Events With Hospitalization for Viral Pneumonia in Females: California, 1983-1998 |
URI | http://ajph.aphapublications.org/cgi/content/abstract/91/8/1200 https://www.ncbi.nlm.nih.gov/pubmed/11499104 https://www.proquest.com/docview/215108608/abstract/ https://search.proquest.com/docview/19259825 https://search.proquest.com/docview/57348038 https://search.proquest.com/docview/71078359 https://pubmed.ncbi.nlm.nih.gov/PMC1446746 |
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