A time series study of the association between extreme temperature and ozone on varicella incidence

Abstract This study aimed to discuss the effects of extreme temperatures and ozone on the incidence of varicella in Shijiazhuang City from 2014 to 2022, which provides new ideas for preventing public health events. METHODS We collected varicella cases in Shijiazhuang, China, from 2014 to 2022 and ev...

Full description

Saved in:
Bibliographic Details
Main Authors: Juan Zhang, Binhao Wang, Zixuan Li, Wanze Zhang, Siyao Yan, Qiaoling Geng, Xian Guo, Zitong Zhao, Jianning Cai, Lijuan Liu, Xiaolin Zhang
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-82306-w
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850103407449210880
author Juan Zhang
Binhao Wang
Zixuan Li
Wanze Zhang
Siyao Yan
Qiaoling Geng
Xian Guo
Zitong Zhao
Jianning Cai
Lijuan Liu
Xiaolin Zhang
author_facet Juan Zhang
Binhao Wang
Zixuan Li
Wanze Zhang
Siyao Yan
Qiaoling Geng
Xian Guo
Zitong Zhao
Jianning Cai
Lijuan Liu
Xiaolin Zhang
author_sort Juan Zhang
collection DOAJ
description Abstract This study aimed to discuss the effects of extreme temperatures and ozone on the incidence of varicella in Shijiazhuang City from 2014 to 2022, which provides new ideas for preventing public health events. METHODS We collected varicella cases in Shijiazhuang, China, from 2014 to 2022 and evaluated the relationship between temperature extremes and ozone on varicella incidence by building distributional lag nonlinear models. The analysis was stratified by age and sex, with 19,188 varicella cases reported. A nonlinear “J”-shaped relationship emerged between mean daily temperature and varicella incidence, where colder temperatures heightened risk, while hotter ones reduced it, particularly affecting females and adolescents. Additionally, ozone concentration displayed an “S”-shaped correlation, with low levels posing a risk and high levels protective against varicella, notably among females and adults. Our study results show a significant correlation between extreme temperatures and ozone concentrations on varicella incidence, and this study may help prevention and control authorities to create timely warnings of high-risk outbreaks, and assist the public in responding to varicella outbreaks.
format Article
id doaj-art-2a89ceb4917e42ca9f16d71563c092a1
institution DOAJ
issn 2045-2322
language English
publishDate 2024-12-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-2a89ceb4917e42ca9f16d71563c092a12025-08-20T02:39:34ZengNature PortfolioScientific Reports2045-23222024-12-011411810.1038/s41598-024-82306-wA time series study of the association between extreme temperature and ozone on varicella incidenceJuan Zhang0Binhao Wang1Zixuan Li2Wanze Zhang3Siyao Yan4Qiaoling Geng5Xian Guo6Zitong Zhao7Jianning Cai8Lijuan Liu9Xiaolin Zhang10Department of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Dermatology, Subcenter of National Clinical Research Center for Skin and Immune Diseases, Hebei provincial Innovation Center of Dermatology and Medical Cosmetology Technology, The First hospital of Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityDepartment of Epidemic Control and Prevention, Center for Disease Prevention and Control of Shijiazhuang CityDepartment of Dermatology, Subcenter of National Clinical Research Center for Skin and Immune Diseases, Hebei provincial Innovation Center of Dermatology and Medical Cosmetology Technology, The First hospital of Hebei Medical UniversityDepartment of Epidemiology and Statistics, School of Public Health, Hebei Province Key Laboratory of Environment and Human Health, Hebei Medical UniversityAbstract This study aimed to discuss the effects of extreme temperatures and ozone on the incidence of varicella in Shijiazhuang City from 2014 to 2022, which provides new ideas for preventing public health events. METHODS We collected varicella cases in Shijiazhuang, China, from 2014 to 2022 and evaluated the relationship between temperature extremes and ozone on varicella incidence by building distributional lag nonlinear models. The analysis was stratified by age and sex, with 19,188 varicella cases reported. A nonlinear “J”-shaped relationship emerged between mean daily temperature and varicella incidence, where colder temperatures heightened risk, while hotter ones reduced it, particularly affecting females and adolescents. Additionally, ozone concentration displayed an “S”-shaped correlation, with low levels posing a risk and high levels protective against varicella, notably among females and adults. Our study results show a significant correlation between extreme temperatures and ozone concentrations on varicella incidence, and this study may help prevention and control authorities to create timely warnings of high-risk outbreaks, and assist the public in responding to varicella outbreaks.https://doi.org/10.1038/s41598-024-82306-w
spellingShingle Juan Zhang
Binhao Wang
Zixuan Li
Wanze Zhang
Siyao Yan
Qiaoling Geng
Xian Guo
Zitong Zhao
Jianning Cai
Lijuan Liu
Xiaolin Zhang
A time series study of the association between extreme temperature and ozone on varicella incidence
Scientific Reports
title A time series study of the association between extreme temperature and ozone on varicella incidence
title_full A time series study of the association between extreme temperature and ozone on varicella incidence
title_fullStr A time series study of the association between extreme temperature and ozone on varicella incidence
title_full_unstemmed A time series study of the association between extreme temperature and ozone on varicella incidence
title_short A time series study of the association between extreme temperature and ozone on varicella incidence
title_sort time series study of the association between extreme temperature and ozone on varicella incidence
url https://doi.org/10.1038/s41598-024-82306-w
work_keys_str_mv AT juanzhang atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT binhaowang atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT zixuanli atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT wanzezhang atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT siyaoyan atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT qiaolinggeng atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT xianguo atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT zitongzhao atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT jianningcai atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT lijuanliu atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT xiaolinzhang atimeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT juanzhang timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT binhaowang timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT zixuanli timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT wanzezhang timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT siyaoyan timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT qiaolinggeng timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT xianguo timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT zitongzhao timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT jianningcai timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT lijuanliu timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence
AT xiaolinzhang timeseriesstudyoftheassociationbetweenextremetemperatureandozoneonvaricellaincidence