ArticleBMJ open2023
Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Extreme rainfall and anaemia among children under five in 46 low- and middle-income countries.BMJ global health · 2026Article
- Cause specific mortality risks associated with tropical cyclones in multiple countries and territories: two stage, time series study.BMJ (Clinical research ed.) · 2025Article
- Prevalence and associated risk factors of acute respiratory tract infections among under-five children in a tertiary hospital in Nigeria.BMC pediatrics · 2025Article
- Antimicrobial resistance and etiological dynamics affected by tropical climate variability on year-round diagnosis of upper respiratory infections in companion rabbits with snuffles.Scientific reports · 2025Article
- Household air pollution and respiratory health in Africa: persistent risk and unchanged health burdens.Current opinion in pulmonary medicine · 2025Review
- Spatiotemporal clusters of acute respiratory infections associated with socioeconomic, meteorological, and air pollution factors in South Punjab, Pakistan.BMC public health · 2025Article
- Assessing Sub-Saharan Africa's readiness to address the impact of climate change and health: A scoping review.PloS one · 2025Article
- Rainfall events and daily mortality across 645 global locations: two stage time series analysis.BMJ (Clinical research ed.) · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite an increase in the number of studies examining the association between extreme weather events and infectious diseases, evidence on respiratory infection remains scarce. This study examined the association between extreme rainfall and acute respiratory infection (ARI) in children aged <5 years in sub-Saharan Africa.
settingStudy data were taken from recent (2006-2020) Demographic and Health Survey data sets from 33 countries in sub-Saharan Africa.
participants280 157 children aged below 5 years were included. OUTCOME MEASURES: The proportions of ARI according to individual, household and geographical characteristics were compared using the χ
resultsThe prevalence of ARI in children aged <5 years ranged from 1.0% to 9.1% across sub-Saharan Africa. By country, no significant association was observed between extreme rainfall and ARI, except in Nigeria (OR: 2.14, 95% CI 1.06 to 4.31). Larger effect estimates were observed in the tropical zone (OR: 1.13, 95% CI 0.69 to 1.84) than in the arid zone (OR: 0.72, 95% CI 0.17 to 2.95), although the difference was not statistically significant.
conclusionWe found no association between extreme rainfall and ARI in sub-Saharan Africa. Effect estimates tended to be larger in the tropical zone where intense rainfall events regularly occur. Comprehensive studies to investigate subsequent extreme climate events, such as flooding, are warranted in the future.
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