Int. J. Environ. Res. Public Health 2013, 10(12), 6319-6334; doi:10.3390/ijerph10126319
Article

Assessing Weather Effects on Dengue Disease in Malaysia

1,2,* email, 3email, 4email and 1email
Received: 23 September 2013; in revised form: 4 November 2013 / Accepted: 8 November 2013 / Published: 26 November 2013
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: The number of dengue cases has been increasing on a global level in recent years, and particularly so in Malaysia, yet little is known about the effects of weather for identifying the short-term risk of dengue for the population. The aim of this paper is to estimate the weather effects on dengue disease accounting for non-linear temporal effects in Selangor, Kuala Lumpur and Putrajaya, Malaysia, from 2008 to 2010. We selected the weather parameters with a Poisson generalized additive model, and then assessed the effects of minimum temperature, bi-weekly accumulated rainfall and wind speed on dengue cases using a distributed non-linear lag model while adjusting for trend, day-of-week and week of the year. We found that the relative risk of dengue cases is positively associated with increased minimum temperature at a cumulative percentage change of 11.92% (95% CI: 4.41–32.19), from 25.4 °C to 26.5 °C, with the highest effect delayed by 51 days. Increasing bi-weekly accumulated rainfall had a positively strong effect on dengue cases at a cumulative percentage change of 21.45% (95% CI: 8.96, 51.37), from 215 mm to 302 mm, with the highest effect delayed by 26–28 days. The wind speed is negatively associated with dengue cases. The estimated lagged effects can be adapted in the dengue early warning system to assist in vector control and prevention plan.
Keywords: dengue risk; weather effects; time-lag effects; generalized additive model (GAM); distributed non-linear lag model (DLNM); time series analysis
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MDPI and ACS Style

Cheong, Y.L.; Burkart, K.; Leitão, P.J.; Lakes, T. Assessing Weather Effects on Dengue Disease in Malaysia. Int. J. Environ. Res. Public Health 2013, 10, 6319-6334.

AMA Style

Cheong YL, Burkart K, Leitão PJ, Lakes T. Assessing Weather Effects on Dengue Disease in Malaysia. International Journal of Environmental Research and Public Health. 2013; 10(12):6319-6334.

Chicago/Turabian Style

Cheong, Yoon L.; Burkart, Katrin; Leitão, Pedro J.; Lakes, Tobia. 2013. "Assessing Weather Effects on Dengue Disease in Malaysia." Int. J. Environ. Res. Public Health 10, no. 12: 6319-6334.


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