Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea

<p>Background</p><p>Climate change could increase the number of regions affected by meteorologic disasters. Meteorologic disasters can increase the risk of infectious disease outbreaks, including waterborne and foodborne diseases. Although many outbreaks of waterborne diseases afte...

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Autores principales: Wonwoong Na, Kyeong Eun Lee, Hyung-Nam Myung, Soo-Nam Jo, Jae-Yeon Jang
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Publicado: Ubiquity Press 2017
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spelling oai:doaj.org-article:eadbea58ce584ea8b9ed05fcdd34a80c2021-12-02T05:02:54ZIncidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea2214-999610.1016/j.aogh.2016.10.007https://doaj.org/article/eadbea58ce584ea8b9ed05fcdd34a80c2017-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/713https://doaj.org/toc/2214-9996<p>Background</p><p>Climate change could increase the number of regions affected by meteorologic disasters. Meteorologic disasters can increase the risk of infectious disease outbreaks, including waterborne and foodborne diseases. Although many outbreaks of waterborne diseases after single disasters have been analyzed, there have not been sufficient studies reporting comprehensive analyses of cases occurring during long-term surveillance after multiple disasters, which could provide evidence of whether meteorologic disasters cause infectious disease outbreaks.</p><p>Objectives</p><p>This study aimed to assess the nationwide short-term changes in waterborne and foodborne disease incidences after a meteorologic disaster.</p><p>Methods</p><p>We analyzed cases after all 65 floods and typhoons between 2001 and 2009 using the Korean National Emergency Management Agency's reports. Based on these data, we compared the weekly incidences of 'Vibrio vulnificus' septicemia (VVS), shigellosis, typhoid fever, and paratyphoid fever before, during, and after the disasters, using multivariate Poisson regression models. We also analyzed the interactions between disaster characteristics and the relative risk of each disease.</p><p>Findings</p><p>Compared with predisaster incidences, the incidences of VVS and shigellosis were 2.49-fold (95% confidence interval, 1.47-4.22) and 3.10-fold (95% confidence interval, 1.21-7.92) higher, respectively, the second week after the disaster. The incidences of VVS and shigellosis peaked the second week postdisaster and subsequently decreased. The risks of typhoid and paratyphoid fever did not significantly increase throughout the 4 weeks postdisaster. The daily average precipitation interacted with VVS and shigellosis incidences, whereas disaster type only interacted with VVS incidence patterns.</p><p>Conclusions</p><p>The incidences of VVS and shigellosis were associated with meteorologic disasters, and disaster characteristics were associated with the disease incidence patterns postdisaster. These findings provide important comprehensive evidence to develop and support policies for managing and protecting public health after meteorologic disasters.Wonwoong NaKyeong Eun LeeHyung-Nam MyungSoo-Nam JoJae-Yeon JangUbiquity Pressarticlewaterborne diseasesfoodborne diseasescommunicable diseasesdisastersRepublic of KoreaInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 5, Pp 848-857 (2017)
institution DOAJ
collection DOAJ
language EN
topic waterborne diseases
foodborne diseases
communicable diseases
disasters
Republic of Korea
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle waterborne diseases
foodborne diseases
communicable diseases
disasters
Republic of Korea
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Wonwoong Na
Kyeong Eun Lee
Hyung-Nam Myung
Soo-Nam Jo
Jae-Yeon Jang
Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
description <p>Background</p><p>Climate change could increase the number of regions affected by meteorologic disasters. Meteorologic disasters can increase the risk of infectious disease outbreaks, including waterborne and foodborne diseases. Although many outbreaks of waterborne diseases after single disasters have been analyzed, there have not been sufficient studies reporting comprehensive analyses of cases occurring during long-term surveillance after multiple disasters, which could provide evidence of whether meteorologic disasters cause infectious disease outbreaks.</p><p>Objectives</p><p>This study aimed to assess the nationwide short-term changes in waterborne and foodborne disease incidences after a meteorologic disaster.</p><p>Methods</p><p>We analyzed cases after all 65 floods and typhoons between 2001 and 2009 using the Korean National Emergency Management Agency's reports. Based on these data, we compared the weekly incidences of 'Vibrio vulnificus' septicemia (VVS), shigellosis, typhoid fever, and paratyphoid fever before, during, and after the disasters, using multivariate Poisson regression models. We also analyzed the interactions between disaster characteristics and the relative risk of each disease.</p><p>Findings</p><p>Compared with predisaster incidences, the incidences of VVS and shigellosis were 2.49-fold (95% confidence interval, 1.47-4.22) and 3.10-fold (95% confidence interval, 1.21-7.92) higher, respectively, the second week after the disaster. The incidences of VVS and shigellosis peaked the second week postdisaster and subsequently decreased. The risks of typhoid and paratyphoid fever did not significantly increase throughout the 4 weeks postdisaster. The daily average precipitation interacted with VVS and shigellosis incidences, whereas disaster type only interacted with VVS incidence patterns.</p><p>Conclusions</p><p>The incidences of VVS and shigellosis were associated with meteorologic disasters, and disaster characteristics were associated with the disease incidence patterns postdisaster. These findings provide important comprehensive evidence to develop and support policies for managing and protecting public health after meteorologic disasters.
format article
author Wonwoong Na
Kyeong Eun Lee
Hyung-Nam Myung
Soo-Nam Jo
Jae-Yeon Jang
author_facet Wonwoong Na
Kyeong Eun Lee
Hyung-Nam Myung
Soo-Nam Jo
Jae-Yeon Jang
author_sort Wonwoong Na
title Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
title_short Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
title_full Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
title_fullStr Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
title_full_unstemmed Incidences of Waterborne and Foodborne Diseases After Meteorologic Disasters in South Korea
title_sort incidences of waterborne and foodborne diseases after meteorologic disasters in south korea
publisher Ubiquity Press
publishDate 2017
url https://doaj.org/article/eadbea58ce584ea8b9ed05fcdd34a80c
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AT soonamjo incidencesofwaterborneandfoodbornediseasesaftermeteorologicdisastersinsouthkorea
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