ArticleEnvironmental health : a global access science source2017
Extreme precipitation and emergency room visits for influenza in Massachusetts: a case-crossover analysis.
Article in Environmental health : a global access science source, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 23 citations in OpenAlex.
- Development and validation of a multivariable predictive model for Emergency Department Overcrowding based on the National Emergency Department Overcrowding Study (NEDOCS) score.Internal and emergency medicine · 2025Article
- Climate Change and the Future of Allergies and Asthma.Current allergy and asthma reports · 2025Review
- Planetary health: an imperative for pediatric radiology.Pediatric radiology · 2024Review
- Joint extremes in precipitation and infectious disease in the USA: A bivariate POT study.One health (Amsterdam, Netherlands) · 2023Article
- Viral respiratory infections in a rapidly changing climate: the need to prepare for the next pandemic.EBioMedicine · 2023Review
- Article
- Agreement in extreme precipitation exposure assessment is modified by race and social vulnerability.Frontiers in epidemiology · 2023Article
- Racial Disparities in Climate Change-Related Health Effects in the United States.Current environmental health reports · 2022Review
- Projecting the Impacts of a Changing Climate: Tropical Cyclones and Flooding.Current environmental health reports · 2022Review
- Effects of extreme precipitation on hospitalization risk and disease burden of schizophrenia in urban and rural Lu'an, China, from 2010 to 2019.Environmental science and pollution research international · 2022Article
- Article
- Association of extreme precipitation with hospitalizations for acute myocardial infarction in Beijing, China: A time-series study.Frontiers in public health · 2022Article
- Extreme Precipitation Events and Infectious Disease Risk: A Scoping Review and Framework for Infectious Respiratory Viruses.International journal of environmental research and public health · 2021Article
- Seasonality of Non-SARS, Non-MERS Coronaviruses and the Impact of Meteorological Factors.Pathogens (Basel, Switzerland) · 2021Article
- Human respiratory syncytial virus and influenza seasonality patterns-Early findings from the WHO global respiratory syncytial virus surveillance.Influenza and other respiratory viruses · 2020Article
- Climate Change and Childhood Respiratory Health: A Call to Action for Paediatricians.International journal of environmental research and public health · 2020Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInfluenza peaks during the wintertime in temperate regions and during the annual rainy season in tropical regions - however reasons for the observed differences in disease ecology are poorly understood. We hypothesize that episodes of extreme precipitation also result in increased influenza in the Northeastern United States, but this association is not readily apparent, as no defined 'rainy season' occurs. Our objective was to evaluate the association between extreme precipitation (≥ 99th percentile) events and risk of emergency room (ER) visit for influenza in Massachusetts during 2002-2008.
methodsA case-crossover analysis of extreme precipitation events and influenza ER visits was conducted using hospital administrative data including patient town of residence, date of visit, age, sex, and associated diagnostic codes. Daily precipitation estimates were generated for each town based upon data from the National Oceanic and Atmospheric Administration. Odds ratio (OR) and 95% confidence intervals (CI) for associations between extreme precipitation and ER visits for influenza were estimated using conditional logistic regression.
resultsExtreme precipitation events were associated with an OR = 1.23 (95%CI: 1.16, 1.30) for ER visits for influenza at lag days 0-6. There was significant effect modification by race, with the strongest association observed among Blacks (OR = 1.48 (1.30, 1.68)).
conclusionsWe observed a positive association between extreme precipitation events and ER visits for influenza, particularly among Blacks. Our results suggest that influenza is associated with extreme precipitation in a temperate area; this association could be a result of disease ecology, behavioral changes such as indoor crowding, or both. Extreme precipitation events are expected to increase in the Northeastern United States as climate change progresses. Additional research exploring the basis of this association can inform potential interventions for extreme weather events and influenza transmission.
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