Evidence map›Paper›PMID 30760757›Full record

ArticleScientific reports2019

Global Disease Outbreaks Associated with the 2015-2016 El Niño Event.

Assaf Anyamba, Jean-Paul Chretien, Seth C Britch, Radina P Soebiyanto, Jennifer L Small, Rikke Jepsen, Brett M Forshey, Jose L Sanchez, Ryan D Smith, Ryan Harris and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
–field-weighted citation impact
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

71 citing papers in PubMed.

  1. Article
  2. Review
  3. Marine ecosystems in peril: Time to prepare for super El Niño.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Climate Change and Zoonotic Disease Outbreaks: Emerging Evidence from Epidemiology and Toxicology.International journal of environmental research and public health · 2025
    Review
  16. Chikungunya and Dengue Encephalitis: A Critical Narrative Review.Annals of Indian Academy of Neurology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Assaf AnyambaUniversities Space Research Association, Columbia, Maryland, USA. assaf.anyamba@nasa.gov.
Jean-Paul ChretienDepartment of Defense, Armed Forces Health Surveillance Branch, Silver Spring, Maryland, USA.
Seth C BritchUSDA-Agricultural Research Service Center for Medical, Agricultural, and Veterinary Entomology, Gainesville, Florida, USA.
Radina P SoebiyantoUniversities Space Research Association, Columbia, Maryland, USA.
Jennifer L SmallNASA Goddard Space Flight Center, Biospheric Sciences Laboratory, Greenbelt, Maryland, USA.
Rikke JepsenNASA Goddard Space Flight Center, Biospheric Sciences Laboratory, Greenbelt, Maryland, USA.
Brett M ForsheyDepartment of Defense, Armed Forces Health Surveillance Branch, Silver Spring, Maryland, USA.
Jose L SanchezDepartment of Defense, Armed Forces Health Surveillance Branch, Silver Spring, Maryland, USA.
Ryan D SmithUnited States Air Force, 14th Weather Squadron - DoD Climate Services, Asheville, North Carolina, USA.
Ryan HarrisUnited States Air Force, 14th Weather Squadron - DoD Climate Services, Asheville, North Carolina, USA.
Compton J TuckerNASA Goddard Space Flight Center, Biospheric Sciences Laboratory, Greenbelt, Maryland, USA.
William B KareshEcoHealth Alliance, New York, New York, USA.
Kenneth J LinthicumUSDA-Agricultural Research Service Center for Medical, Agricultural, and Veterinary Entomology, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interannual climate variability patterns associated with the El Niño-Southern Oscillation phenomenon result in climate and environmental anomaly conditions in specific regions worldwide that directly favor outbreaks and/or amplification of variety of diseases of public health concern including chikungunya, hantavirus, Rift Valley fever, cholera, plague, and Zika. We analyzed patterns of some disease outbreaks during the strong 2015-2016 El Niño event in relation to climate anomalies derived from satellite measurements. Disease outbreaks in multiple El Niño-connected regions worldwide (including Southeast Asia, Tanzania, western US, and Brazil) followed shifts in rainfall, temperature, and vegetation in which both drought and flooding occurred in excess (14-81% precipitation departures from normal). These shifts favored ecological conditions appropriate for pathogens and their vectors to emerge and propagate clusters of diseases activity in these regions. Our analysis indicates that intensity of disease activity in some ENSO-teleconnected regions were approximately 2.5-28% higher during years with El Niño events than those without. Plague in Colorado and New Mexico as well as cholera in Tanzania were significantly associated with above normal rainfall (p < 0.05); while dengue in Brazil and southeast Asia were significantly associated with above normal land surface temperature (p < 0.05). Routine and ongoing global satellite monitoring of key climate variable anomalies calibrated to specific regions could identify regions at risk for emergence and propagation of disease vectors. Such information can provide sufficient lead-time for outbreak prevention and potentially reduce the burden and spread of ecologically coupled diseases.

Indexed as

Disease OutbreaksEl Nino-Southern OscillationModels, BiologicalCommunicable DiseasesHumans

Identifiers

PMID30760757
PMCPMC6374399

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Registered trials

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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.