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Meteorological factors and risk of community-acquired Legionnaires' disease in Switzerland: an epidemiological study.
[legionellosis]
The
aim
of
this
study
was
to
identify
meteorological
factors
that
could
be
associated
with
an
increased
risk
of
community-acquired
Legionnaires
'
disease
(
LD
)
in
two
Swiss
regions
.
Retrospective
epidemiological
study
using
discriminant
analysis
and
multivariable
Poisson
regression
.
We
analysed
legionellosis
cases
notified
between
January
2003
and
December
2007
and
we
looked
for
a
possible
relationship
between
incidence
rate
and
meteorological
factors
.
Community
-acquired
LD
cases
in
two
Swiss
regions
,
the
Canton
Ticino
and
the
Basle
region
,
with
climatically
different
conditions
were
investigated
.
Vapour
pressure
,
temperature
,
relative
humidity
,
wind
,
precipitation
and
radiation
recorded
in
weather
stations
of
the
two
Swiss
regions
during
the
period
January
2003
and
December
2007
.
Discriminant
analysis
showed
that
the
two
regions
are
characterised
by
different
meteorological
conditions
.
A
multiple
Poisson
regression
analysis
identified
region
,
temperature
and
vapour
pressure
during
the
month
of
infection
as
significant
risk
factors
for
legionellosis
.
The
risk
of
developing
LD
was
129
.
5
%
(
or
136
.
4
%
when
considering
vapour
pressure
instead
of
temperature
in
the
model
)
higher
in
the
Canton
Ticino
as
compared
to
the
Basle
region
.
There
was
an
increased
relative
risk
of
LD
by
11
.
4
%
(
95
%
CI
7
.
70
%
to
15
.
30
%
)
for
each
1
hPa
rise
of
vapour
pressure
or
by
6
.
7
%
(
95
%
CI
4
.
22
%
to
9
.
22
%
)
for
1
°
C
increase
of
temperature
.
In
this
study
,
higher
water
vapour
pressure
and
heat
were
associated
with
a
higher
risk
of
community-acquired
LD
in
two
regions
of
Switzerland
.
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"different meteorological conditions"
symptom
legionellosis
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