ArticleEnvironmental health perspectives2014
Associations between extreme precipitation and gastrointestinal-related hospital admissions in Chennai, India.
Article in Environmental health perspectives, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Rainfall and Temperature Influences on Childhood Diarrhea and the Effect Modification Role of Water and Sanitation Conditions: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2024Pooled it
- Understanding the Impact of Rainfall on Diarrhea: Testing the Concentration-Dilution Hypothesis Using a Systematic Review and Meta-Analysis.Environmental health perspectives · 2020Pooled it
- Seasonal trends and short-term association between meteorological factors and diarrheal diseases among children under five in Tanzania.PloS one · 2026Article
- Article
- Climate change impacts on the health of South Asian children and women subpopulations - A scoping review.Heliyon · 2022Article
- Effects of extreme precipitation on hospital visit risk and disease burden of depression in Suzhou, China.BMC public health · 2022Article
- Exposure Assessment for Tropical Cyclone Epidemiology.Current environmental health reports · 2022Review
- Hurricane flooding and acute gastrointestinal illness in North Carolina.The Science of the total environment · 2022Article
- Associations between floods and bacillary dysentery cases in main urban areas of Chongqing, China, 2005-2016: a retrospective study.Environmental health and preventive medicine · 2021Article
- Short-term effects of rainfall on childhood hand, foot and mouth disease and related spatial heterogeneity: evidence from 143 cities in mainland China.BMC public health · 2020Article
- Precipitation and Salmonellosis Incidence in Georgia, USA: Interactions between Extreme Rainfall Events and Antecedent Rainfall Conditions.Environmental health perspectives · 2019Article
- Spatiotemporal Error in Rainfall Data: Consequences for Epidemiologic Analysis of Waterborne Diseases.American journal of epidemiology · 2019Article
- Associations between High Temperature, Heavy Rainfall, and Diarrhea among Young Children in Rural Tamil Nadu, India: A Prospective Cohort Study.Environmental health perspectives · 2019Article
- Climate Change Impacts on Waterborne Diseases: Moving Toward Designing Interventions.Current environmental health reports · 2018Review
- Combined sewer overflow events and childhood emergency department visits: A case-crossover study.The Science of the total environment · 2017Article
- Seasonality of water quality and diarrheal disease counts in urban and rural settings in south India.Scientific reports · 2016Article
- Extreme Precipitation and Emergency Room Visits for Gastrointestinal Illness in Areas with and without Combined Sewer Systems: An Analysis of Massachusetts Data, 2003-2007.Environmental health perspectives · 2015Article
- Impacts of tropical cyclones and accompanying precipitation on infectious diarrhea in cyclone landing areas of Zhejiang Province, China.International journal of environmental research and public health · 2015Article
- Impacts of different grades of tropical cyclones on infectious diarrhea in Guangdong, 2005-2011.PloS one · 2015Article
- Precipitation and primary health care visits for gastrointestinal illness in Gothenburg, Sweden.PloS one · 2015Article
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7 authors.
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Abstract
backgroundUnderstanding the potential links between extreme weather events and human health in India is important in the context of vulnerability and adaptation to climate change. Research exploring such linkages in India is sparse.
objectivesWe evaluated the association between extreme precipitation and gastrointestinal (GI) illness-related hospital admissions in Chennai, India, from 2004 to 2007.
methodsDaily hospital admissions were extracted from two government hospitals in Chennai, India, and meteorological data were retrieved from the Chennai International Airport. We evaluated the association between extreme precipitation (≥ 90th percentile) and hospital admissions using generalized additive models. Both single-day and distributed lag models were explored over a 15-day period, controlling for apparent temperature, day of week, and long-term time trends. We used a stratified analysis to explore the association across age and season.
resultsExtreme precipitation was consistently associated with GI-related hospital admissions. The cumulative summary of risk ratios estimated for a 15-day period corresponding to an extreme event (relative to no precipitation) was 1.60 (95% CI: 1.29, 1.98) among all ages, 2.72 (95% CI: 1.25, 5.92) among the young (≤ 5 years of age), and 1.62 (95% CI: 0.97, 2.70) among the old (≥ 65 years of age). The association was stronger during the pre-monsoon season (March-May), with a cumulative risk ratio of 6.50 (95% CI: 2.22, 19.04) for all ages combined compared with other seasons.
conclusionsHospital admissions related to GI illness were positively associated with extreme precipitation in Chennai, India, with positive cumulative risk ratios for a 15-day period following an extreme event in all age groups. Projected changes in precipitation and extreme weather events suggest that climate change will have important implications for human health in India, where health disparities already exist. CITATION: Bush KF, O'Neill MS, Li S, Mukherjee B, Hu H, Ghosh S, Balakrishnan K. 2014. Associations between extreme precipitation and gastrointestinal-related hospital admissions in Chennai, India. Environ Health Perspect 122:249-254; http://dx.doi.org/10.1289/ehp.1306807.
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