Exposure to air pollution and scarlet fever resurgence in China: a six-year surveillance study

Yonghong Liu, Hui Ding, Shu-ting Chang, Ran Lu, Hui Zhong, Na Zhao, Tzu-Hsuan Lin, Yiming Bao, Liwei Yap, Weijia Xu, Minyi Wang, Yuan Li, Shuwen Qin, Yu Zhao, Xingyi Geng, Supen Wang, Enfu Chen (), Zhi Yu (), Ta-Chien Chan () and Shelan Liu ()
Additional contact information
Yonghong Liu: Sun Yat-sen University
Hui Ding: Sun Yat-sen University
Shu-ting Chang: Academia Sinica
Ran Lu: Chinese Center for Disease Control and Prevention
Hui Zhong: Sun Yat-sen University
Na Zhao: Chinese Academy of Sciences
Tzu-Hsuan Lin: Academia Sinica
Yiming Bao: Chinese Academy of Sciences & China National Center for Bioinformation
Liwei Yap: Academia Sinica
Weijia Xu: Guangdong Provincial Key Laboratory of Intelligent Transport System
Minyi Wang: Guangdong Provincial Key Laboratory of Intelligent Transport System
Yuan Li: Baoan District Centre for Disease Control and Prevention
Shuwen Qin: Zhejiang Provincial Centre for Disease Control and Prevention
Yu Zhao: Zhejiang Provincial Centre for Disease Control and Prevention
Xingyi Geng: Jinan Centre for Disease Control and Prevention
Supen Wang: Anhui Normal University
Enfu Chen: Zhejiang Provincial Centre for Disease Control and Prevention
Zhi Yu: Sun Yat-sen University
Ta-Chien Chan: Academia Sinica
Shelan Liu: Zhejiang Provincial Centre for Disease Control and Prevention

Nature Communications, 2020, vol. 11, issue 1, 1-13

Abstract: Abstract Scarlet fever has resurged in China starting in 2011, and the environment is one of the potential reasons. Nationwide data on 655,039 scarlet fever cases and six air pollutants were retrieved. Exposure risks were evaluated by multivariate distributed lag nonlinear models and a meta-regression model. We show that the average incidence in 2011–2018 was twice that in 2004–2010 [RR = 2.30 (4.40 vs. 1.91), 95% CI: 2.29–2.31; p

Date: 2020
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DOI: 10.1038/s41467-020-17987-8

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