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Table 2 Characteristics of studies on the association between climatic variables and malaria transmission

From: Climate change and mosquito-borne diseases in China: a review

Study & Language

Study area & period

Data Collection

Statistical Methods

Main findings

Comments

  

Risk factors

Disease/vector

   

Huang et al. (2011) English [19]

Anhui, Henan, Hubei Provinces 1990-2009

Normalized annual temperature, relative humidity and rainfall

Cases counts

-Bayesian Poisson models

-Rainfall played a more important role in malaria transmission than other meteorological factors.

-Spatial-temporal models were developed

- GIS

-Socioeconomic factors were not taken into account.

Huang et al. (2011) English [20]

Motuo County, Tibet 1986-2009

Monthly average temperature, maximum temperature, minimum temperature, relative humidity and total amount of rainfall

Monthly incidence of malaria

-Spearman correlation analysis

-Relative humidity was more sensitive to monthly malaria incidence.

-Several statistical methods were applied

-Cross-correlation analysis

-The relationship between malaria incidence and rainfall was not directly and linearly.

-Only one county was considered

-SARIMA model

-Inter-annual analysis

Zhou et al. (2010) English [21]

Huaiyuan County of Anhui and Tongbai County of Henan Province 1990-2006

Monthly and annual average temperature, maximum temperature, minimum temperature, relative humidity and rainfall

Monthly and annual incidence of malaria Vectorial capacity

-Spearman correlation

-Temperature and rainfall were major determinants for malaria transmission. However, no relationship between malaria incidence and relative humidity was observed.

-Entomological investigate was conducted to determine the vectorial effect of malaria re-emergency.

-Stepwise regression analysis

-Curve fitting

-Trend analysis

-Only two counties were examined

- Entomological investigation

Zhang et al. (2010) English [22]

Jinan city, Shangdong Province 1959-1979

Monthly average maximum temperature, minimum temperature, relative humidity and rainfall

Cases counts

-Spearman correlation

-Temperature was greatest relative to the transmission of malaria, but rainfall and relative humidity were not.

-Only one city was included

-Cross-correlation

-Socioeconomic factors ware ignored.

-SARIMA model

Yang et al. (2010) English [23]

The P.R. China 1981-1995

Yearly growing degree days (YGDD), annual rainfall and relative humidity

Malaria-endemic strata

-A Delphi approach

-Relative humidity was found to be the most important environmental factor, followed by temperature and rainfall. However, temperature was the major contributor of malaria intensity in regions with relative humidity >60%,

-National-level analysis

-Multiple logistical regression

-Risk maps of malaria based on different climatic factors were developed

-GIS

-Annual indicators were used

Xiao et al. (2010) English [24]

Main island of Hainan province 1995-2008

Monthly average temperature, maximum temperature, minimum temperature, relative humidity and accumulative rainfall

Monthly incidence of malaria

-Cross correlation and autocorrelation analysis

- Temperature during the previous one and two months were observed as major predictors of malaria epidemics.

-Spatial-temporal analysis

-Poission regression

-GIS

-Countermeasure and socioeconomic circumstances ware not taken into account.

-It was not necessary to consider rainfall and relative humidity to make malaria epidemic predictions in the tropical province.

Hui et al. (2009) English [25]

Yunnan Province 1995-2005

Monthly average temperature, maximum temperature, minimum temperature, relative humidity and rainfall

Monthly incidence of P. vivax malaria Monthly incidence of P. falciparum malaria

-Spearman correlation analysis

-Obvious associations between both P. vivax and P. falciparum malaria and climatic factors with a clear 1-month lagged effect, especially in cluster areas.

-Analysis of both P. vivax malaria and P. falciparum malaria

-Temporal distribute analysis

-Spatio-temporal analysis

-Spatial autocorrelation

-Minimum temperature was most closely correlated to malaria incidence

-Spatial cluster analysis

- GIS

Clements et al. (2009) English [26]

Yunnan Province 1991-2006

Monthly average rainfall, maximum temperature and minimum temperature

Monthly incidence of P. vivax malaria Monthly incidence of P. falciparum malaria

-Corss-correlation

-Significant positive relationships between malaria incidence and rainfall and maximum temperature for both P. vivax and P.falciparum malaria

-Analysis of both P. vivax malaria and P. falciparum malaria

-Bayesian Poisson regression

-Spatial-temporal analysis

-GIS

-Socioeconomic factors were ignored.

-High-incidence clusters located adjacent the international borders were not explained by climate, but partly due to population migration.

Tian et al. (2008) English [27]

Mengla County, Yunnan Province 1971-1999

Monthly rainfall, minimum temperature, maximum temperature, relative humidity, and fog day frequency

Monthly incidence of malaria

-ARIMA models

-Temperature and fog day frequency were key predictors of monthly malaria incidence. However, relative humidity and rainfall were not.

-Fog day frequency used -P. vivax malaria and P. falciparum malaria were pooled together when malaria incidence was calculated.

-The annual fog frequency was the only weather predictor of the annual incidence of malaria

Bi et al. (2005) English [28]

Anhui province 1966-1987

Monthly EI-Nino Southern Oscillation Index (ENSO)

Monthly malaria cases

-Spearman correlation

-A positive correlation between ENSO and the incidence of malaria with no lag effect was found.

-The impact of ENSO on malaria was analysed -Other meteorological variables were not considered.

-Only used correlation method

Liu et al. (2006) English [29]

Twenty-one townships of 10 counties in Yunnan province 1984-1993

Monthly minimum temperature, maximum temperature, rainfall, sunshine duration, NDVI.

Monthly incidence of malaria and vector density.

-Principle component analysis

-Remote sensing NDVI and climatic variables had a good correlation with Anopheles density and malaria incidence rate.

-Both environmental and vector factors were analysed.

-Factor analysis

-Grey correlation analysis

Bi et al. (2003) English [30]

Sunchen County in Ahui Province 1980-1991

Monthly maximum temperature, minimum temperature, relative humidity and rainfall

Monthly incidence of malaria

-Spearman correlation

-Monthly average minimum temperature and total monthly rainfall, at one-month lag were major determinants in the transmission of malaria.

-Non-climatic factors were neglected

-Cross-correlation

-Only one county considered

-ARIMA models

Hu et al. (1998) English [31]

Yunnan Province 1991-1997

Annual rainfall, annual mean temperature

Annual incidence of malaria

- Multiple regression

-Malaria incidence rates are higher in areas with temperature above 18°C, rainfall of more than 1000 mm

-Socioeconomic factors such as income of farmers were taken into account.

-GIS

-Every one degree increase in temperature corresponds to 1.2/10,000 higher malaria incidence and when rainfall increase by 100 mm, malaria will increase to 100.0/10,000

-Annual data were used

Liu et al. (2011) Chinese [32]

Pizhou City, Jiangsu province 2001-2006

Monthly mean temperature, maximum temperature, minimum temperature, rainfall days, relative humidity, evaporation, total cloud cover, sunlight time and low cloud.

Monthly incidence of malaria

-Correlation analysis

-The incidence of malaria was passive relative to temperature, rainfall, relative humidity, evaporation and total cloud cover, but no relation with low cloud and sunlight.

-Various meteorological variables were considered

-Multiple regression

-Only one city was analysed based on a relative short study period

-The monthly minimum temperature and relative humidity were two major factors influencing malaria transmission.

Wu et al. (2011) Chinese [33]

Dianjiang county, Chongqing 1957-2010

Monthly mean temperature, maximum temperature, minimum temperature, rainfall days, relative humidity, absolute humidity, duration of sunshine, air pressure and wind speed.

Case counts

-Principal Component Analysis

-Significant associations between malaria incidence and monthly mean temperature, rainfall and duration of sunshine were observed.

-Various meteorological variables were considered

-Multiple regression

-Temperature was greatest relative to malaria transmission

-Long-term data from a fifty-four-years period-Only one county considered

Huang et al. (2009) Chinese [34]

Tongbai and Dabie mountain areas, Huibei Province 1990-2007

Monthly mean temperature, maximum temperature, minimum temperature, rainfall.

Case counts

Descriptive study

-Temperature and rainfall were major determinants for malaria transmission and the yearly peak of cases occurred one month after the rainy season.

-Not enough statistical methods

Wang et al. (2009) Chinese [35]

Anhui Province 2004-2006

Annually mean temperature and rainfall NDVI and elevation.

Cases counts

-Principal Component Analysis

-Malaria transmission intensity was positively associated with the NDVI, but negatively associated with minimum temperature, rainfall and elevation.

-Annual indicators were used

-Logistic regression

-A two-years short period of study.

-GIS

Wen et al. (2008) Chinese [36]

Hainan Province May-Oct in 2002

Monthly mean temperature, maximum temperature, minimum temperature, rainfall, relative humidity, land use, land surface temperature (LST) and elevation.

Monthly incidence of malaria

-Spearman correlation

-No associations between meteorological factors and malaria incidence were observed. However, land use, elevation and LST appeared to be good contributors of malaria transmission.

-Various environmental variables were collected

-Negative binomial regression analysis

-A six-month short period of study.

Su et al. (2006) Chinese [37]

Hainan Province 1995

Monthly mean temperature, maximum temperature, minimum temperature, rainfall, relative humidity and NDVI.

Monthly incidence of malaria

-Factor Analysis

-Rainfall and the NDVI may be used to explain the malaria transmission and distribution.

-A one-year short period of study.

-Principal Component Analysis

-Multiple liner regression analysis

Fan et al. (2005) Chinese [38]

Ailao mountain of Yuxi city in Yunnan Province 1993-2002

Annual man temperature and rainfall

Anopheles minimus density

-Correlation analysis

-Significant relationship between malaria incidence and abundance of Anopheles minimus. However, no significant correlations between abundance of Anopheles minimus and climatic variables.

-No disease data

-Annual data used

Wen et al. (2005) Chinese [39]

Hainan Province Feb 1995- Jan 1996

NDVI

Monthly incidence of malaria

-Spearman correlation

-Malaria prevalence was highly associated with NDVI value which could be used for malaria surveillance in Hainan province.

-A short study period

-GIS

-No other climatic indicators used

Huang et al. (2004) Chinese [40]

Luodian county 1951–2000 Libo county 1958–2000 Sandu county 1960–2000 Pintang county 1961–2000 Dushan county1951-2000 Guizhou Province

Monthly mean temperature, rainfall, relative humidity

Monthly incidence of malaria

-Correlation analysis

-Significant relationship between malaria incidence and climatic factors, but the influences of different climatic variables were not consistent among the eight study counties.

-Relative long study periods

-Path analysis

-Direct and indirect effects of climate were analysed by Path analysis

-The influence of climate on malaria was greater in Libo, Sandu, Dushan counties than in Luodian and Pintang counties

Gao et al. (2003) Chinese [41]

Yunnan Province 1994-1999

Monthly mean temperature, maximum temperature, minimum temperature, rainfall, relative humidity, rain day, evaporation and sunshine hours

Monthly incidence of malaria

-Back Propagation Network Model

-The efficiency of malaria forecasting was 84. 85% based on meteorological variables.

-Descriptions of associations between malaria and climate was inadequate

-A five-years short study period

Wen et al. (2003) Chinese [42]

Hainan Province 1995-2000

Monthly average temperature, maximum temperature, minimum temperature, rainfall, relative humidity

Monthly incidence of malaria

-Correlation analysis

-Temperature and rainfall were relative to malaria transmission with various lag times, but relative humidity was not.

-Analysis of high epidemic area and the whole province -Social-economic factors were neglected

-Stepwise regression analysis

-The influence of climatic variables on malaria was more obvious in high epidemic area than that in the whole province

Huang et al. (2002) Chinese [43]

Jiangsu Province 1973-1983

Monthly rainfall, rain days, relative humidity, evaporation and NDVI

Monthly incidence of malaria

-Correlation analysis

-The NDVI positively correlated with precipitation and relative humidity.

-No temperature data included

-GIS

-Only correlation method used

-The NDVI may be a good indicator to predict the distribution and transmission of malaria.

Huang et al. (2001) Chinese [44]

Gaoan city, Jiangxi Province 1962-1999

Annually average rainfall during April to June, annually average temperature during July to August, annual average rainfall and temperature

Case counts

-Circular distribution method

-Malaria cases increased with increase of average temperature from July to August and rainfall from April to June.

-Annual index were used

-Descriptive study

Kan et al. (1999) Chinese [45]

Anhui Province 1969-1999

Annual temperature and rainfall

Annual incidence of malaria

-Descriptive study

-Annual incidences of malaria in 1975, 1977, 1980 in Madian, Lixin County increased with increase of rainfall, while decreased in 1976, 1978, 1981 with decreased rainfall

-Not enough explanation on effects of climate factors on malaria.

-No statistical methods used

Yu et al. (1995) Chinese [46]

Libo County, Guizhou Province 1958-1993

Monthly average temperature, rainfall, relative humidity

Monthly incidence of malaria

-Correlation analysis

-Positive associations between malaria incidence and climatic factors were observed.

-Relative long study periods

-Path analysis

     

-Direct and indirect effects of climate were analysed

     

-Direct effect of relative humidity was greatest on malaria incidence compared with temperature and rainfall.

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