Predicting the outbreak of hand, foot, and mouth disease in Nanjing, China: a time-series model based on weather variability

Hand, foot, and mouth disease (HFMD) is a significant public health issue in China and an accurate prediction of epidemic can improve the effectiveness of HFMD control. This study aims to develop a weather-based forecasting model for HFMD using the information on climatic variables and HFMD surveill...

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Veröffentlicht in:International journal of biometeorology 2018-04, Vol.62 (4), p.565-574
Hauptverfasser: Liu, Sijun, Chen, Jiaping, Wang, Jianming, Wu, Zhuchao, Wu, Weihua, Xu, Zhiwei, Hu, Wenbiao, Xu, Fei, Tong, Shilu, Shen, Hongbing
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container_end_page 574
container_issue 4
container_start_page 565
container_title International journal of biometeorology
container_volume 62
creator Liu, Sijun
Chen, Jiaping
Wang, Jianming
Wu, Zhuchao
Wu, Weihua
Xu, Zhiwei
Hu, Wenbiao
Xu, Fei
Tong, Shilu
Shen, Hongbing
description Hand, foot, and mouth disease (HFMD) is a significant public health issue in China and an accurate prediction of epidemic can improve the effectiveness of HFMD control. This study aims to develop a weather-based forecasting model for HFMD using the information on climatic variables and HFMD surveillance in Nanjing, China. Daily data on HFMD cases and meteorological variables between 2010 and 2015 were acquired from the Nanjing Center for Disease Control and Prevention, and China Meteorological Data Sharing Service System, respectively. A multivariate seasonal autoregressive integrated moving average (SARIMA) model was developed and validated by dividing HFMD infection data into two datasets: the data from 2010 to 2013 were used to construct a model and those from 2014 to 2015 were used to validate it. Moreover, we used weekly prediction for the data between 1 January 2014 and 31 December 2015 and leave-1-week-out prediction was used to validate the performance of model prediction. SARIMA (2,0,0) 52 associated with the average temperature at lag of 1 week appeared to be the best model ( R 2  = 0.936, BIC = 8.465), which also showed non-significant autocorrelations in the residuals of the model. In the validation of the constructed model, the predicted values matched the observed values reasonably well between 2014 and 2015. There was a high agreement rate between the predicted values and the observed values (sensitivity 80%, specificity 96.63%). This study suggests that the SARIMA model with average temperature could be used as an important tool for early detection and prediction of HFMD outbreaks in Nanjing, China.
doi_str_mv 10.1007/s00484-017-1465-3
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subjects Animal Physiology
Biological and Medical Physics
Biophysics
Climate
Climate change
Data retrieval
Disease control
Disease prevention
Earth and Environmental Science
Environment
Environmental Health
Epidemics
Hand-foot-and-mouth disease
Health surveillance
Infections
Infectious diseases
Mathematical models
Meteorological data
Meteorology
Modelling
Original Paper
Outbreaks
Plant Physiology
Predictions
Public health
Rain
Tropical diseases
Weather forecasting
title Predicting the outbreak of hand, foot, and mouth disease in Nanjing, China: a time-series model based on weather variability
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