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Temperature and risk of infectious diarrhea: a systematic review and meta-analysis

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Abstract

Infectious diarrhea (ID) is an intestinal infectious disease including cholera, typhoid and paratyphoid fever, bacterial and amebic dysentery, and other infectious diarrhea. There are many studies that have explored the relationship between ambient temperature and the spread of infectious diarrhea, but the results are inconsistent. It is necessary to systematically evaluate the impact of temperature on the incidence of ID. This study was based on the PRISMA statement to report this systematic review. We conducted literature searches from CNKI, VIP databases, CBM, PubMed, Web of Science, Cochrane Library, and other databases. The number registered in PROSPERO is CRD42021225472. After searching a total of 4915 articles in the database and references, 27 studies were included. The number of people involved exceeded 7.07 million. The overall result demonstrated when the temperature rises, the risk of infectious diarrhea increases significantly (RRcumulative=1.42, 95%CI: 1.07–1.88, RRsingle-day=1.08, 95%CI: 1.03–1.14). Subgroup analysis found the effect of temperature on the bacillary dysentery group (RRcumulative=1.85, 95%CI: 1.48–2.30) and unclassified diarrhea groups (RRcumulative=1.18, 95%CI: 0.59–2.34). The result of the single-day effect subgroup analysis was similar to the result of the cumulative effect. And the sensitivity analysis proved that the results were robust. This systematic review and meta-analysis support that temperature will increase the risk of ID, which is helpful for ID prediction and early warning in the future.

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  1. Mingming Liang and Xiuxiu Ding contributed equally to this work.

Authors and Affiliations

  1. Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, People’s Republic of China

    Mingming Liang, Xiuxiu Ding & Yehuan Sun

  2. Department of Hospital Infection Prevention and Control, The Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Hefei, 230601, Anhui, People’s Republic of China

    Yile Wu

  3. Center for Evidence-Based Practice, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, People’s Republic of China

    Yehuan Sun

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  1. Mingming Liang
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  2. Xiuxiu Ding
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Contributions

M.L.: data curation, writing, original draft preparation, software. X.D.: conceptualization, original draft preparation, methodology. Y.W.: data curation and writing—reviewing. Y.S.: supervision, writing—reviewing and editing. All authors read and approved the final manuscript.

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Correspondence to Yehuan Sun.

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Liang, ., Ding, X., Wu, Y. et al. Temperature and risk of infectious diarrhea: a systematic review and meta-analysis. Environ Sci Pollut Res 28, 68144–68154 (2021). https://doi.org/10.1007/s11356-021-15395-z

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