ArticleNature communications2019
El Niño-Southern oscillation and under-5 diarrhea in Botswana.
Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- The effect and attributable risk of daily temperature on category C infectious diarrhea in Guangdong Province, China.Environmental science and pollution research international · 2022Pooled it
- El Niño-Southern Oscillation and Diarrhea Risk among Young Children in Low- and Middle-Income Countries.Environmental health perspectives · 2026Article
- Waterborne diseases and climate change.Nature reviews. Microbiology · 2026Review
- Identifying key convection-sensitive oceanic regions to weaken the ENSO spring predictability barrier.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- The impact of El Niño-Southern Oscillation on the incidence of infectious diarrhea in China: insights from a 15-year national surveillance analysis.Frontiers in public health · 2026Article
- From El Niño forecasts to proportionate public health action: a forecast-to-action framework for climate-related health risks.Frontiers in public health · 2026Article
- Early signs of strong El Niño-Southern Oscillation episodes.Scientific reports · 2025Article
- Global trends, inequalities, and pathogen shifts in infectious diarrhea among children under five: a comprehensive analysis of the global burden of disease study 1990-2021.Frontiers in nutrition · 2025Article
- El Niño southern oscillation, weather patterns, and bacillary dysentery in the Yangtze River Basin, China.Global health research and policy · 2024Article
- Maternal preconceptional and prenatal exposure to El Niño Southern Oscillation levels and child mortality: a multi-country study.Nature communications · 2024Article
- Global climate change and human health: Pathways and possible solutions.Eco-Environment & Health · 2022Review
- El Niño Southern Oscillation, monsoon anomaly, and childhood diarrheal disease morbidity in Nepal.PNAS nexus · 2022Article
- Exploring the Association Between Infectious Diarrheal Diseases and Sea Surface Temperatures - Coastal Areas of China, 2009-2018.China CDC weekly · 2022Article
- Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015-2016 Demographic and Health Survey.PLOS global public health · 2022Article
- Effects of El Niño/La Niña on the Number of Imported Shigellosis Cases in the Republic of Korea, 2004-2017.International journal of environmental research and public health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
Childhood diarrheal disease causes significant morbidity and mortality in low and middle-income countries, yet our ability to accurately predict diarrhea incidence remains limited. El Niño-Southern Oscillation (ENSO) has been shown to affect diarrhea dynamics in South America and Asia. However, understanding of its effects in sub-Saharan Africa, where the burden of under-5 diarrhea is high, remains inadequate. Here we investigate the connections between ENSO, local environmental conditions, and childhood diarrheal disease in Chobe District, Botswana. Our results demonstrate that La Niña conditions are associated with cooler temperatures, increased rainfall, and higher flooding in the Chobe region during the rainy season. In turn, La Niña conditions lagged 0-5 months are associated with higher than average incidence of under-5 diarrhea in the early rainy season. These findings demonstrate the potential use of ENSO as a long-lead prediction tool for childhood diarrhea in southern Africa.
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Registered trials
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.