Evidence map›Paper›PMID 27035949›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Differential and enhanced response to climate forcing in diarrheal disease due to rotavirus across a megacity of the developing world.

Pamela P Martinez, Aaron A King, Mohammad Yunus, A S G Faruque, Mercedes Pascual

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  3. Modeling environmentally mediated rotavirus transmission: The role of temperature and hydrologic factors.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Pooled it
  4. Trial
  5. Waterborne diseases and climate change.Nature reviews. Microbiology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Pamela P MartinezDepartment of Ecology and Evolution, University of Chicago, Chicago, IL 60637;
Aaron A KingDepartment of Ecology and Evolutionary Biology, University of Michigan, Ann Arbor, MI 48109; Department of Mathematics, University of Michigan, Ann Arbor, MI 48109;
Mohammad YunusInternational Centre for Diarrheal Disease Research, Dhaka 1000, Bangladesh;
A S G FaruqueInternational Centre for Diarrheal Disease Research, Dhaka 1000, Bangladesh;
Mercedes PascualDepartment of Ecology and Evolution, University of Chicago, Chicago, IL 60637; Santa Fe Institute, Santa Fe, NM 87501 pascualmm@uchicago.edu.
International Centre for Diarrhoeal Disease Research · BDUniversity of Chicago · USUniversity of Michigan–Ann Arbor · US

Funding

Understanding Transmission with Integrated Genetic and Epidemiologic InferenceU54GM111274 · NIGMS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BEDFORD, TREVOR BC · 2014 to 2018
$12.5M
Integrating immunology, epidemiology, and evolution to understand and control perR01AI101155 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, AARON A., ROHANI, PEJMAN · 2012 to 2016
$1.7M
NIAID NIH HHS R01 AI101155NIGMS NIH HHS U54 GM111274
6 · The paper itself

Abstract

The role of climate forcing in the population dynamics of infectious diseases has typically been revealed via retrospective analyses of incidence records aggregated across space and, in particular, over whole cities. Here, we focus on the transmission dynamics of rotavirus, the main diarrheal disease in infants and young children, within the megacity of Dhaka, Bangladesh. We identify two zones, the densely urbanized core and the more rural periphery, that respond differentially to flooding. Moreover, disease seasonality differs substantially between these regions, spanning variation comparable to the variation from tropical to temperate regions. By combining process-based models with an extensive disease surveillance record, we show that the response to climate forcing is mainly seasonal in the core, where a more endemic transmission resulting from an asymptomatic reservoir facilitates the response to the monsoons. The force of infection in this monsoon peak can be an order of magnitude larger than the force of infection in the more epidemic periphery, which exhibits little or no postmonsoon outbreak in a pattern typical of nearby rural areas. A typically smaller peak during the monsoon season nevertheless shows sensitivity to interannual variability in flooding. High human density in the core is one explanation for enhanced transmission during troughs and an associated seasonal monsoon response in this diarrheal disease, which unlike cholera, has not been widely viewed as climate-sensitive. Spatial demographic, socioeconomic, and environmental heterogeneity can create reservoirs of infection and enhance the sensitivity of disease systems to climate forcing, especially in the populated cities of the developing world.

Indexed as

ClimateDeveloping CountriesBangladeshDiarrheaFloodsHumansRotavirus InfectionsSeasonsdiarrheal diseaseepidemiological modelmonsoon floodingrotavirus transmissionurban health

Identifiers

PMID27035949
PMCPMC4839397
OpenAlexW2332840156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.