原创力文档the role of climate variability in the spread of malaria in bangladeshi highlands气候变化的作用在孟加拉高地疟疾的传播.pdfVIP
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the role of climate variability in the spread of malaria in bangladeshi highlands气候变化的作用在孟加拉高地疟疾的传播
The Role of Climate Variability in the Spread of Malaria in
Bangladeshi Highlands
1 1 2 3,4 5
Ubydul Haque , Masahiro Hashizume *, Gregory E. Glass , Ashraf M. Dewan , Hans J. Overgaard , Taro
Yamamoto1
1 Department of International Health, Institute of Tropical Medicine (NEKKEN) and The Global Center of Excellence Program, Nagasaki University, Nagasaki, Japan,
2 Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America,
3 Department of Geography and Environment, University of Dhaka, Dhaka, Bangladesh, 4 Department of Spatial Sciences, Curtin University of Technology, Perth, Australia,
5 Department of Mathematical Sciences and Technology, Norwegian University of Life Sciences, Aas, Norway
Abstract
Background: Malaria is a major public health problem in Bangladesh, frequently occurring as epidemics since the 1990s.
Many factors affect increases in malaria cases, including changes in land use, drug resistance, malaria control programs,
socioeconomic issues, and climatic factors. No study has examined the relationship between malaria epidemics and climatic
factors in Bangladesh. Here, we investigate the relationship between climatic parameters [rainfall, temperature, humidity,
˜
sea surface temperature (SST), El Nino-Southern Oscillation (ENSO), the normalized difference vegetation index (NDVI)], and
malaria cases over the last 20 years in the malaria endemic district of Chittagong Hill Tracts (CHT).
Methods and Principal Findings: Monthly malaria case data from January 1989 to December 2008, monthly rainfal
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