Evidence map›Paper›PMID 41088312›Full record

Observational studyBMC public health2025

Urban environment and RSV: a retrospective observational study of neighbourhood factors associated with the risk of severe disease in the infant population of a metropolitan area, Lyon, France.

Kaisa Jaakkola, Florent Renard, Alvaro Roy, Mehdi Benchaib, Jessica Metcalf, Rachel Baker, Bruno Simon, Gabriel Vecchi, Dominique Ploin, Yves Gillet and 5 more

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Kaisa JaakkolaInstitut des Agents Infectieux, Laboratoire de Virologie, Hospices Civils de Lyon, Hôpital de La Croix-Rousse, Lyon, France. kaisa.jaakkola@fimnet.fi.
Florent RenardUMR CNRS Environment City Society, University, Jean Moulin Lyon 3, 69007, Lyon, France.
Alvaro RoyNational Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
Mehdi BenchaibHôpital Femme Mère Enfant: Service de Médecine Et de La Reproduction, Hospices Civils de Lyon, Bron, France.
Jessica MetcalfDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.
Rachel BakerDepartment of Epidemiology, Brown University, Providence, RI, USA.
Bruno SimonInstitut des Agents Infectieux, Laboratoire de Virologie, Hospices Civils de Lyon, Hôpital de La Croix-Rousse, Lyon, France.
Gabriel VecchiProgram in Atmospheric and Oceanic Sciences, Princeton University, 300 Forrestal Road, Princeton, NJ, USA.
Dominique PloinHôpital Femme Mère Enfant: Service de Réanimation Pédiatrique Et d'Accueil Des Urgences, Hospices Civils de Lyon, Bron, France.
Yves GilletHôpital Femme Mère Enfant: Service de Réanimation Pédiatrique Et d'Accueil Des Urgences, Hospices Civils de Lyon, Bron, France.
Etienne JavouheyHôpital Femme Mère Enfant: Service de Réanimation Pédiatrique Et d'Accueil Des Urgences, Hospices Civils de Lyon, Bron, France.
Bruno LinaInstitut des Agents Infectieux, Laboratoire de Virologie, Hospices Civils de Lyon, Hôpital de La Croix-Rousse, Lyon, France.
Bryan T GrenfellDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.
Jean-Sebastien CasalegnoInstitut des Agents Infectieux, Laboratoire de Virologie, Hospices Civils de Lyon, Hôpital de La Croix-Rousse, Lyon, France.
VRS study group in Lyon

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute respiratory infections (SARI) caused by a human respiratory syncytial virus (RSV) are a leading cause of hospitalisation among infants. We aimed to estimate the incidence of RSV SARI across neighbourhoods in the Lyon metropolitan area and to assess how urban environmental factors at the metropolitan scale are associated with spatial variation in incidence.

methodsLaboratory-confirmed cases of RSV SARI (< 2 years of age) were extracted from the university hospitals of Lyon laboratory database 2015-2023. We calculated and mapped the incidence to assess spatial variation. Remote sensing data were used to derive spectral indices characterising the metropolitan area and to model temperature and air humidity at this scale. Temporal and spatial regression models were fitted using variables selected based on prior knowledge and data availability.

resultsCumulative incidence varied significantly across neighbourhoods (0 to 1166 cases per 100,000 people at risk; p-value < 0.001). The best spatial multivariate model (r

conclusionsSubstantial neighbourhood-level differences in RSV SARI incidence exist in a large European metropolis. These differences are associated with the urban environment such as particulate pollution. The use of spectral indices shows promise in identifying vulnerable populations within cities to guide public health measures and to integrate public health and urban planning.

Indexed as

Neighborhood CharacteristicsRespiratory Syncytial Virus InfectionsUrban PopulationFemaleFranceHumansIncidenceInfantInfant, NewbornMaleRetrospective StudiesRisk FactorsSeverity of Illness IndexAir pollutionBronchiolitisHuman respiratory syncytial virusNeighbourhoodsSARIUrban environment

Identifiers

PMID41088312
PMCPMC12522887

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.