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Table 4 Region, objective, exposure variables and data sources, analytical method, results and conclusions in the included articles by type of study unit

From: Analytical studies assessing the association between extreme precipitation or temperature and drinking water-related waterborne infections: a review

Study units

First author publication year

Objective

Exposure variable under study (Precipitation/Air temperature)

Exposure variable data source

Analytical method

Additional information

Association found

Outbreaks

Yang [12]; 2012

Risk factors associated with spatio-temporal distributions of water-associated outbreaks

Average precipitation per year

Records from international organizations

Zero-inflated Poisson regression

-

Waterborne diseases are inversely related to average annual precipitation.

Global average accumulated temperature (degree-days)

No association between temperature and waterborne disease.

Curriero [14]; 2001

Association between extreme precipitation and waterborne disease outbreaks.

Extreme precipitation above certain threshold by watershed

Readings of relevant weather stations

Monte Carlo version of the Fisher exact test

Analysis stratified by water source and control for seasonality

Positive association between extreme precipitation and outbreak occurrence

Both for surface water (strongest association during the month of the outbreak) and groundwater contamination (2-month prior to the outbreaks)

Thomas [11]; 2006

Test the association between high impact weather event and waterborne disease outbreaks

Accumulated precipitation, smoothed using a five-day moving average, maximum percentile of the accumulated precipitation amount, number of days between the maximum percentile and the case or control onset day temperature

Readings of relevant weather stations

Time-stratified matched case-crossover analysis

Control for seasonality

Positive association between accumulated precipitation percentile and outbreak occurrence

Positive association between degree-days above 0 C and outbreak occurrence

Degree-days above 0 C, the maximum temperature smoothed using a five-day moving average, and the number of days between max temp and the case and the control onset day

Nichols [13]; 2009

Association between precipitation and outbreaks of drinking water related disease.

Cumulative precipitation in four time periods prior to each outbreak

Readings of relevant weather stations

Time-stratified matched case-crossover analysis

Water source, season, water supply considered as effect modifiers

Positive association with excess precipitation over the previous week and low precipitation in the three weeks before the week of the outbreak.

Excessive precipitation: total number of days in which the precipitation exceeded a certain upper limit

Greater risk in groundwater, spring and private water supplies. These interactions were non-significant when including them together in a model, suggesting confounding.

Cases of infection

Tornevi [22]; 2013

Determine if variation in the incidence of acute gastrointestinal illnesses is associated with upstream precipitation

Daily precipitation

Readings of relevant weather stations

Poisson regression (with nonlinear distributed lag function)

Control for seasonality

Heavy precipitation was associated with increased calls.

Louis [18]; 2005

Investigate the relationship between environmental conditions and Campylobacter infections

Precipitation divided into three categories up and down a certain threshold

Readings of relevant weather stations

Time series analysis

Seasonality and water supply also included in the study

Campylobacter rates were correlated with temperature

Linear regression

No association with precipitation

No association with surface water.

Daily max and minimum temperature

Eisenberg [15]; 2013

Examine the relationship between cholera and precipitation in Haiti including statistical and dynamic models

Cumulative daily totals for precipitation

Rain gauges and satellite measurements

Statistical modeling

Control for seasonality

All analysis support a strong positive association between precipitation and cholera incidence in Haiti

Quasi-Poisson regression (with nonlinear distributed lag function)

Granger Causality Wald Test

Case-crossover analysis

Dynamic modeling

White [25]; 2009

Association between environmental factors and campylobacter infection

Precipitation

Readings of relevant weather stations

Poisson regression

Control for seasonality

Weekly incidence was associated with increasing mean temperature.

Temperature

Time-stratified matched case-crossover analysis

No association with precipitation

Drayna [26]; 2010

Association between precipitation and acute gastrointestinal illness in pediatric population

Total daily precipitation, extreme considered above a certain percentile

Readings of relevant weather stations

Autoregressive moving average (ARMA) model

Control for seasonality

Positive association between precipitation and daily visits

Teschke [21]; 2010

Association between the incidence of intestinal infections and environmental factors

Precipitation categories according accumulated millimeters of rain over certain periods

Readings of relevant weather stations

Logistic regression

Season, water supply, water source, disinfection and well depth included as variables

The association between incidence of disease and precipitation did not remain when controlling for other variables

Water chlorination was associated with reduced physician visits

Two water systems with the highest proportion of surface water had increased incidence

Private well water and well depth were not associated with increased risk

Harper; [16]; 2011

Association between weather variables and gastrointestinal-related clinic visits

Total daily precipitation

Readings of relevant weather stations

Zero-inflated Poisson regression

Control for seasonality

Positive associations were observed between high levels of water volume input (precipitation + snowmelt) and IGI clinic visits.

Daily average temperature

No association with temperature

Hashizume [27]; 2007

Impact of precipitation and temperature on the number of non-cholera diarrhea cases

Daily Precipitation, weekly means Above/below certain threshold

Records from national level

Poisson regression

Control for seasonality

Non-cholera diarrhea cases increased both above and below a threshold level with high and low precipitation in the preceding weeks. Cases also increased with higher temperature.

Daily minimum/maximum temperature, weekly means

Vollaard [23]; 2004

Determine risk factors for typhoid and paratyphoid fever in an endemic area

Precipitation

Interviews with the participants

Logistic regression

-

Flooding was associated with the occurrence of paratyphoid fever. Flooding was not associated with typhoid fever.

Flooding: defined as inundation of the house of a participant in the 12 months preceding the investigation

Kelly-Hope [33]; 2007

Environmental risk factors of cholera, shigellosis and typhoid fever infections

Precipitation

Worldwide maps generated by the interpolation of information from ground-based weather stations

Linear regression

Type of water supply

Shigellosis and cholera were positively associated with precipitation

Temperature

Typhoid fever was not associated with precipitation

No association with temperature

Emch [31]; 2008

Association between cholera and the local environment

Monthly precipitation

Readings of relevant weather stations

Ordered probit model to analyze ordinal outcome (Bangladesh). Probit model for dichotomous outcome. (Vietnam).

-

Temperature and precipitation not associated with cholera

Monthly temperature

Constantin de Magny [30]; 2008

Association of environmental signatures with cholera epidemics

Monthly precipitation

Merged satellite/gauge estimates

Quasi Poisson regression

Control for seasonality

Positive association between cholera and increased precipitation in Kolkata.

No association cholera and increased precipitation in Matlab

Wang [24]; 2012

Impact of meteorological variations on para/typhoid fever (PTF)

Monthly cumulative precipitation

Records from national level

-Spearman’s rank correlation analysis to analyze the association between the infection incidence and the weather variables

-

Temperature and precipitation were positively associated with the monthly incidence of PTF

Wavelet analysis and wavelet coherence to detect the variation of periodicity over time

Monthly average temperature

Chen [29]; 2012

Association between precipitation and distribution patterns of various infectious diseases, including water-borne

Precipitation coded as: regular, torrential and extreme torrential

Readings of relevant weather stations

Poisson regression (with GAM and GAMM)

Control for seasonality using monthly indicator

Daily extreme precipitation levels correlated with the infections

Jutla, [32]; 2013

Seek an understanding between hydro-climatological processes and cholera in epidemic regions

Precipitation and temperature above/below average during the previous months

Reports from the government

Spearman’s rank correlation analysis

-

India. -Odds of cholera occurring were significantly higher when the temperature was above climatological average over the previous two months. Odds of cholera outbreak was higher when above average precipitation occurs.

satellite sensors

Daily precipitation and temperature

Haiti: Strong correlation between precipitation and cholera cases.

Singh [20]; 2001

Association between climate variability and incidence of diarrhea

Precipitation : dichotomous variable above/below certain threshold

Gridded data from international institute

Linear regression Poisson

Control for seasonality

Positive association between annual average temperature and rates of diarrhea

Extremes of precipitation were independently associated with increased reports of diarrhea

Annual average temperature

regression

Hu [17]; 2007

Impact of weather variability on the transmission of cryptosporidiosis.

Monthly total precipitation

Records from national level

Poisson regression

Control for seasonality

Association between cryptosporidiosis and monthly maximum. temperature

Seasonal auto-regression integrated moving average (SARIMA)

Explore the difference in the predictive ability between Poisson regression and SARIMA models

Monthly mean minimum/maximum temperature

Rind [34]; 2010

Association between climate factors and local differences in campylobacteriosis rates

Monthly mean maximum total precipitation

Records from research center

Linear regression

Water supply, seasonality

No association found between temperature and precipitation and campylobacteriosis rates

Monthly mean maximum daily temperatures

Britton [28]; 2010

Association between precipitation and ambient temperature and notifications of cryptosporidiosis and giardiasis

Average annual precipitation to evaporation ratio

Mathematical surfaces fitted to long run average climate station data

Negative binomial regression

Water supply

Giardiasis: positive association between precipitation and temperature.

Cryptosporidiosis: positive association with precipitation and negative association with temperature. The effect of precipitation was modified by the quality of the domestic water supply

Average annual temperature

 

Sasaki [19]; 2009

Association between precipitation patterns and cholera outbreaks.

Daily precipitation data

Records from national level and readings of relevant weather stations

Spearman rank correlation analysis

 

Increased precipitation was associated with the occurrence of cholera outbreaks

  1. Literature Review (n = 24).