ArticleEnvironmental health perspectives2025
Impact of Environmental Factors on the Distribution Patterns of Nephropathia Epidemica Cases in Western Europe.
Article in Environmental health perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The Changing Landscape of Hantavirus Infections: A Narrative Review of Epidemiology, Pathogenesis, and Countermeasures.Reviews in medical virology · 2026Review
- Spatiotemporal pattern of hemorrhagic fever with renal syndrome and driving factors in Shandong Province of China, 2018-2024.PLoS neglected tropical diseases · 2026Article
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10 authors.
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Abstract
backgroundEnvironmental factors, such as fluctuations of climatic conditions and land cover, play a pivotal role in driving infectious disease epidemics, particularly those originating from wildlife reservoirs.
objectiveOur study aims to bridge this gap by investigating the specific ecological and climatic factors influencing nephropathia epidemica outbreaks in western Europe.
methodsWe compiled monthly, serologically confirmed nephropathia epidemica case data obtained from public health authorities in Belgium, France, Germany, and the Netherlands for the period 2004-2012. Cases were georeferenced to the finest available administrative unit. We selected 28 covariates, including climatic variables, land cover, tree species distributions, and human population, and implemented a Bayesian spatiotemporal model using integrated nested Laplace approximation (INLA) with zero-inflated Poisson distribution, including fixed effects and spatial, temporal, and nonstructured random effects.
resultsWe identified key triggers for nephropathia epidemica outbreaks, particularly climate-mediated changes in all seasons up to 2 years before, favoring tree mast impacting bank vole abundance. Our findings revealed that while land-cover factors mostly determine hotspot locations, climatic fluctuation patterns rather tend to modulate outbreak intensity. DISCUSSION: Crucially, our model allows for the generation of yearly maps showcasing nephropathia epidemica incidence and risk factors, aiding in public health preparedness against climate change-induced disease emergence. This work represents a significant step toward developing targeted forecasting tools for
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