Evidence map›Paper›PMID 41524229›Full record

Observational studyJournal of global health2026

Weather elements and the risk of tuberculosis incidence in China from 2005 to 2019: a county-level large observational study.

Qiao Liu, Xiaoqiu Liu, Yuhong Li, Yaping Wang, Hongliang Zhang, Jue Liu, Yanlin Zhao

Abstract readObservational Study
In one paragraph

Observational study in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Qiao Liu *Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Xiaoqiu Liu *National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Yuhong Li *National Key laboratory of intelligent tracking and forecasting for infectious diseases, Chinese Center for Disease Control and Prevention, Beijing, China.
Yaping WangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Hongliang ZhangDepartment of Environmental Science and Engineering, Fudan University, Shanghai, China.
Jue LiuDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Yanlin ZhaoNational Key laboratory of intelligent tracking and forecasting for infectious diseases, Chinese Center for Disease Control and Prevention, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tuberculosis (TB) remains a major public health challenge in China. Although meteorological factors are known to influence its transmission, their nonlinear and lagged impacts across regions and seasons remain unclear. We quantified these effects using the most detailed national data set available and explored how climate information can enhance TB prediction and control. Methods: We conducted a nationwide ecological time-series study by integrating weekly TB surveillance data (2005-19) with high-resolution meteorological and air pollution models. We assessed associations between TB incidence and meteorological factors using negative binomial regression and distributed lag nonlinear models to account for nonlinear and delayed effects. Results: From 2005 to 2019, TB cases in China decreased from 1.23 million to 0.75 million (estimated annual percent change <0 across all regions), with the burden remaining highest in western and southern China. Higher weekly mean temperature (incidence rate ratio (IRR) = 1.33) and precipitation (IRR = 1.03) increased TB risk, while greater temperature differences (IRR = 0.96) and relative humidity (IRR = 0.92) had protective effects. Temperature effects peaked in summer (IRR = 1.80; P < 0.05). Lagged analyses showed that extreme high temperatures and high wind speeds initially suppressed, but subsequently elevated TB risk, while higher precipitation and humidity showed delayed risk effects. Conclusions: By integrating fine-scale epidemiological and meteorological data, our study adds to our knowledge on TB epidemiology by more accurately characterising climate-disease interactions and enhancing the predictive capability of risk models. The findings provide empirical evidence to support the development of risk stratification tools and guide the implementation of proactive, phased intervention strategies aimed at mitigating the persistent TB burden in high-risk regions.

Indexed as

TuberculosisWeatherChinaHumansIncidenceRisk FactorsSeasons

Identifiers

PMID41524229
PMCPMC12794371

What OpenQuestion holds

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Registered trials

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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.