ArticleProceedings of the National Academy of Sciences of the United States of America2023
Uncovering social and environmental factors that increase the burden of climate-sensitive diarrheal infections on children.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Global childhood diarrhoea prevalence and its determinants: a systematic meta-analytic assessment, 1985-2024.EBioMedicine · 2025Pooled it
- WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh.Nature communications · 2024Trial
- Climate Change Impacts on One Health Systems: A Narrative Review of Empirical Evidence and Policy Responses.Public health challenges · 2026Review
- Waterborne diseases and climate change.Nature reviews. Microbiology · 2026Review
- Vulnerability to climate-driven pathogen-specific diarrheal diseases: secondary analysis from the Global Enteric Multicenter Study and Vaccine Impact on Diarrhea in Africa follow-up.Nature communications · 2026Article
- Household Water and Sanitation Practices and Their Association With Diarrheal and Acute Respiratory Infections Among Children Under Five in Ghana: A Cross-Sectional Predictive Model and Spatial Analysis.Health science reports · 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
- Prevalence and risk factors of diarrhea among young children in Kenya's drylands: A longitudinal study.PLOS global public health · 2026Article
- Variability of enteric pathogen infections by season and meteorological conditions in a low-income, urban setting in Mozambique.PLOS global public health · 2026Article
- The association between total precipitation and diarrhea morbidity: A multicountry study across diverse climate zones.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Variability of enteric pathogen infections by season and meteorological conditions in a low-income, urban setting in Mozambique.medRxiv : the preprint server for health sciences · 2025Article
- Air Temperature and Gastroenteritis Among Rohingya Populations in Bangladesh Refugee Camps.JAMA network open · 2025Article
- The burden and etiologies of diarrhea in Asia and its countries from 1990 to 2021 and the forecast to 2040: analyses informed by the global burden of disease study 2021.Frontiers in public health · 2025Article
- Association between precipitation and mortality due to diarrheal diseases by climate zone: A multi-country modeling study.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Influence of hydrometeorological risk factors on child diarrhea and enteropathogens in rural Bangladesh.PLoS neglected tropical diseases · 2024Article
- Associations between meteorological variation and hospitalisations for rotavirus infections in Kuala Lumpur, Malaysia.Heliyon · 2024Article
- Temperature anomalies undermine the health of reproductive-age women in low- and middle-income countries.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- The impact of anthropogenic climate change on pediatric viral diseases.Pediatric research · 2024Review
- Spatio-temporal pattern and associate factors of intestinal infectious diseases in Zhejiang Province, China, 2008-2021: a Bayesian modeling study.BMC public health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Climate-sensitive infectious diseases are an issue of growing concern due to global warming and the related increase in the incidence of extreme weather and climate events. Diarrhea, which is strongly associated with climatic factors, remains among the leading causes of child death globally, disproportionately affecting populations in low- and middle-income countries (LMICs). We use survey data for 51 LMICs between 2000 and 2019 in combination with gridded climate data to estimate the association between precipitation shocks and reported symptoms of diarrheal illness in young children. We account for differences in exposure risk by climate type and explore the modifying role of various social factors. We find that droughts are positively associated with diarrhea in the tropical savanna regions, particularly during the dry season and dry-to-wet and wet-to-dry transition seasons. In the humid subtropical regions, we find that heavy precipitation events are associated with increased risk of diarrhea during the dry season and the transition from dry-to-wet season. Our analysis of effect modifiers highlights certain social vulnerabilities that exacerbate these associations in the two climate zones and present opportunities for public health intervention. For example, we show that stool disposal practices, child feeding practices, and immunizing against the rotavirus modify the association between drought and diarrhea in the tropical savanna regions. In the humid subtropical regions, household's source of water and water disinfection practices modify the association between heavy precipitation and diarrhea. The evidence of effect modification varies depending on the type and duration of the precipitation shock.
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