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Open access, freely available online
Perspectives
Seasonal Patterns of Infectious Diseases
Mercedes Pascual*, Andy Dobson
M
eningococcal meningitis
in western Africa shows
recurrent seasonal patterns
from year to year so important? Isn’t
it more important for us to instead
understand the effects of long-term
climate change on human health?
At ?rst sight, understanding seasonal
patterns seems disconnected from
understanding the impact of long-term
climate change. However, seasonal
patterns are one major pathway for
the subtle but potentially drastic
effects of climate change on disease
dynamics. Long-term climate change
affects seasonal patterns through the
lengthening of the transmission season
and the crossing of environmental
and demographic thresholds that
underlie seasonal outbreaks [2].
Thus, identifying the speci?c
In other words, there are only
weak correlations between seasonal
variations and climate variables at small
scales because of the multiple other
factors that play a local role and act as
noise.
But we should be cautious about
the suggestion that appropriate larger
scales will always resolve the problem
of local variability and present strong
linear associations between climate and
disease. Public health measures might
require predictions not only at national
and regional scales, but also at a variety
of smaller scales.
every year. Epidemics typically start
at the beginning of February and last
until May. We can try to explain the
observed patterns on the basis of some
seasonally varying environmental factor
that favors disease transmission. Air
dryness produced by strong dust winds
is the most likely candidate.
But while there are qualitative
“stories” of this kind in the literature
for many seasonal phenomena,
convincing quantitative evidence
to support them remains largely
elusive. Instead, we tend to see weak
associations between environmental
and transmission variables when
measured by simple, linear correlations.
The study of meningococcal me
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