The relationship between meteorological variables and sporadic cases of Legionnaires' disease in residents of England and Wales.


Halsby, KD; Joseph, CA; Lee, JV; Wilkinson, P; (2014) The relationship between meteorological variables and sporadic cases of Legionnaires' disease in residents of England and Wales. Epidemiology and infection, 142 (11). pp. 2352-9. ISSN 0950-2688 DOI: 10.1017/S0950268813003294

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Abstract

: We studied the timing of occurrence of 1676 sporadic, community-acquired cases of Legionnaires' disease in England and Wales between 1993 and 2008, in relation to temperature, relative humidity, rainfall, windspeed and ultraviolet light using a fixed-stratum case-crossover approach. The analysis was conducted using conditional logistic regression, with consideration of appropriate lag periods. There was evidence of an association between the risk of Legionnaires' disease and temperature with an apparently long time lag of 1-9 weeks [odds of disease at 95th vs. 75th centiles: 3·91, 95% confidence interval (CI) 2·06-7·40], and with rainfall at short time lags (of 2-10 days) (odds of disease at 75th vs. 50th centiles: 1·78, 95% CI 1·50-2·13). There was some evidence that the risk of disease in relation to high temperatures was greater at high relative humidities. A higher risk of Legionnaires' disease may be indicated by preceding periods of warmer wetter weather.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 24406306
Web of Science ID: 344921000013
URI: http://researchonline.lshtm.ac.uk/id/eprint/1462888

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