Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013

Background: Bacillary dysentery (BD) is an acute bacterial infection of the intestine caused by Shigella spp., with clinical symptoms ranging from fever to bloody diarrhoea to abdominal cramps to tenesmus. In Vietnam, enteric bacterial pathogens are an important cause of diarrhoea and most cases in...

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Main Authors: Hu Suk Lee, Ha Hoang T.T., Phuc Pham Duc, Lee, M., Grace, Delia, Dac Cam Phung, Vu Minh Thuc, Hung Nguyen-Viet
Format: Journal Article
Language:Inglés
Published: Springer 2017
Subjects:
Online Access:https://hdl.handle.net/10568/82605
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author Hu Suk Lee
Ha Hoang T.T.
Phuc Pham Duc
Lee, M.
Grace, Delia
Dac Cam Phung
Vu Minh Thuc
Hung Nguyen-Viet
author_browse Dac Cam Phung
Grace, Delia
Ha Hoang T.T.
Hu Suk Lee
Hung Nguyen-Viet
Lee, M.
Phuc Pham Duc
Vu Minh Thuc
author_facet Hu Suk Lee
Ha Hoang T.T.
Phuc Pham Duc
Lee, M.
Grace, Delia
Dac Cam Phung
Vu Minh Thuc
Hung Nguyen-Viet
author_sort Hu Suk Lee
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Bacillary dysentery (BD) is an acute bacterial infection of the intestine caused by Shigella spp., with clinical symptoms ranging from fever to bloody diarrhoea to abdominal cramps to tenesmus. In Vietnam, enteric bacterial pathogens are an important cause of diarrhoea and most cases in children under 5 years of age are due to Shigella strains. The serogroups S. flexneri and S. sonnei are considered to be the most common. The main objective of this study was to, for the first time, assess the seasonal patterns and geographic distribution of BD in Vietnam, and to determine the climate risk factors associated with the incidence of BD in Kon Tum Province, where the highest rate of bacillary dysentery was observed from 1999 to 2013. Methods: The seasonal patterns and geographic distribution of BD was assessed in Vietnam using a seasonaltrend decomposition procedure based on loess. In addition, negative binomial regression models were used to determine the climate risk factors associated with the incidence of BD in Kon Tum Province, from 1999 to 2013. Results: Overall, incidence rates of BD have slightly decreased over time (except for an extremely high incidence in 2012 in the north of Vietnam). The central regions (north/south central coast and central highlands) had relatively high incidence rates, whereas the northwest/east and Red River Delta regions had low incidence rates. Overall, seasonal plots showed a high peak in the mid-rainy reason and a second smaller peak in the early or late rainy season. The incidence rates significantly increased between May and October (“wet season”) across the country. In Kon Tum Province, temperature, humidity, and precipitation were found to be positively associated with the incidence of BD. Conclusions: Our findings provide insights into the seasonal patterns and geographic distribution of BD in Vietnam and its associated climate risk factors in Kon Tum Province. This study may help clinicians and the general public to better understand the timings of outbreaks and therefore equip them with the knowledge to plan better interventions (such as improving water, sanitation, and hygiene conditions) during peak seasons. This can, in turn, prevent or reduce outbreaks and onwards transmission during an outbreak.
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spelling CGSpace826052024-05-01T08:19:33Z Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013 Hu Suk Lee Ha Hoang T.T. Phuc Pham Duc Lee, M. Grace, Delia Dac Cam Phung Vu Minh Thuc Hung Nguyen-Viet epidemiology food safety health Background: Bacillary dysentery (BD) is an acute bacterial infection of the intestine caused by Shigella spp., with clinical symptoms ranging from fever to bloody diarrhoea to abdominal cramps to tenesmus. In Vietnam, enteric bacterial pathogens are an important cause of diarrhoea and most cases in children under 5 years of age are due to Shigella strains. The serogroups S. flexneri and S. sonnei are considered to be the most common. The main objective of this study was to, for the first time, assess the seasonal patterns and geographic distribution of BD in Vietnam, and to determine the climate risk factors associated with the incidence of BD in Kon Tum Province, where the highest rate of bacillary dysentery was observed from 1999 to 2013. Methods: The seasonal patterns and geographic distribution of BD was assessed in Vietnam using a seasonaltrend decomposition procedure based on loess. In addition, negative binomial regression models were used to determine the climate risk factors associated with the incidence of BD in Kon Tum Province, from 1999 to 2013. Results: Overall, incidence rates of BD have slightly decreased over time (except for an extremely high incidence in 2012 in the north of Vietnam). The central regions (north/south central coast and central highlands) had relatively high incidence rates, whereas the northwest/east and Red River Delta regions had low incidence rates. Overall, seasonal plots showed a high peak in the mid-rainy reason and a second smaller peak in the early or late rainy season. The incidence rates significantly increased between May and October (“wet season”) across the country. In Kon Tum Province, temperature, humidity, and precipitation were found to be positively associated with the incidence of BD. Conclusions: Our findings provide insights into the seasonal patterns and geographic distribution of BD in Vietnam and its associated climate risk factors in Kon Tum Province. This study may help clinicians and the general public to better understand the timings of outbreaks and therefore equip them with the knowledge to plan better interventions (such as improving water, sanitation, and hygiene conditions) during peak seasons. This can, in turn, prevent or reduce outbreaks and onwards transmission during an outbreak. 2017-12 2017-06-28T08:38:29Z 2017-06-28T08:38:29Z Journal Article https://hdl.handle.net/10568/82605 en Open Access Springer Hu Suk Lee, T.T. Ha Hoang, Phuc Pham-Duc, Lee, M., Grace, D., Dac Cam Phung, Vu Minh Thuc and Hung Nguyen-Viet. 2017. Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013. Infectious Diseases of Poverty 6: 113.
spellingShingle epidemiology
food safety
health
Hu Suk Lee
Ha Hoang T.T.
Phuc Pham Duc
Lee, M.
Grace, Delia
Dac Cam Phung
Vu Minh Thuc
Hung Nguyen-Viet
Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title_full Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title_fullStr Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title_full_unstemmed Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title_short Seasonal and geographical distribution of bacillary dysentery (shigellosis) and associated climate risk factors in Kon Tam Province in Vietnam from 1999 to 2013
title_sort seasonal and geographical distribution of bacillary dysentery shigellosis and associated climate risk factors in kon tam province in vietnam from 1999 to 2013
topic epidemiology
food safety
health
url https://hdl.handle.net/10568/82605
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