Abstract
Seasonality, a systematic periodic occurrence of events over the course of a year, is a well-known phenomenon in life and health sciences. Understanding seasonal fluctuations in diseases patterns presents us with a major challenge. To develop efficient strategies for disease prevention and control, we need to grasp the main determinants of temporal variations and their interactions. This paper will introduce the notion of seasonality by outlining several of its factors, using as illustrations respiratory and enteric water- or food-borne infections.
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Notes
Hippocrates' citations are taken from: Lloyd, GER, editor. Hippocratic Writings. Trans. Chadwick J and Mann WN. London: Penguin; 1978.
References
Naumova EN, Chen JT, Griffiths JK, Matyas BT, Estes-Smargiassi SA, Morris RD . Use of passive surveillance data to study temporal and spatial variation in the incidence of giardiasis and cryptosporidiosis. Public Health Rep. 2000;115(5):436–447.
Naumova EN, Christodouleas J, Hunter PR, Syed Q . Effect of precipitation on seasonal variability in cryptosporidiosis recorded by the North West England surveillance system in 1990–1999. J Water Health. 2005;3(2):185–196.
McLauchlin J, Amar C, Pedraza-Diaz S, Nichols GL . Molecular epidemiological analysis of Cryptosporidium spp. in the United Kingdom: results of genotyping Cryptosporidium spp. in 1,705 fecal samples from humans and 105 fecal samples from livestock animals. J Clin Microbiol. 2000;38(11):3984–3990.
Anderson RM, May RM . Infectious Diseases of Humans. New York: Oxford University Press; 2004.
Fallis G, Hilditch J . A comparison of seasonal variation in birthweights between rural Zaire and Ontario. Can J Public Health. 1989;80(3):205–208.
Kusumaningrum HD, Riboldi G, Hazeleger WC, Beumer RR . Survival of foodborne pathogens on stainless steel surfaces and cross-contamination to foods. Int J Food Microbiol. 2003;85(3):227–236.
Mead PS, Slutsker L, Dietz V, McCaig LF, Bresee JS, Shapiro C, et al. Food-related illness and death in the United States. Emerg Infect Dis. 1999;5(5):607–625.
Kovats RS, Edwards SJ, Hajat S, Armstrong BG, Ebi KL, Menne B . The effect of temperature on food poisoning: a time-series analysis of salmonellosis in ten European countries. Epidemiol Infect. 2004;132(3):443–453.
Gofti-Laroche L, Gratacap-Cavallier B, Genoulaz O, Joret JC, Hartemann P, Seigneurin JM, et al. A new analytical tool to assess health risks associated with the virological quality of drinking water (EMIRA study). Water Sci Technol. 2001;43(12):39–48.
Pruss A . Review of epidemiological studies on health effects from exposure to recreational water. Int J Epidemiol. 1998;27(1):1–9.
Rose JB, Huffman DE, Riley K, Farrah SR, Lukasik JO, Hamann CL . Reduction of enteric microorganisms at the Upper Occoquan Sewage Authority Water Reclamation Plant. Water Environ Res. 2001;73(6):711–720.
Rose JB, Slifko TR . Giardia, Cryptosporidium, and Cyclospora and their impact on foods: a review. J Food Prot. 1999;62(9):1059–1070.
Barwick RS, Levy DA, Craun GF, Beach MJ, Calderon RL . Surveillance for waterborne-disease outbreaks – United States, 1997–1998. MMWR CDC Surveill Summ. 2000;49(4):1–21.
Clavel A, Alivares JL, Fleta J, Castillo J, Varea M, Ramos FJ, et al. Seasonality of cryptosporidiosis in children. Eur J Clin Microbiol Inf Dis. 1996;15:77–79.
Kapperud G, Skjerve E, Bean NH, Ostroff SM, Lassen J . Risk factors for sporadic Campylobacter infections: results of a case–control study in southeastern Norway. J Clin Microbiol. 1992;30(12):3117–3121.
Neimann J, Engberg J, Molbak K, Wegener HC . A case–control study of risk factors for sporadic Campylobacter infections in Denmark. Epidemiol Infect. 2003;130(3):353–366.
Curriero FC, Patz JA, Rose JB, Lele S . The association between extreme precipitation and waterborne disease outbreaks in the United States, 1948–1994. Am J Pub Health. 2001;91(8):1194–1199.
Fayer R, Trout JM, Lewis EJ, Xiao L, Lal A, Jenkins MC, et al. Temporal variability of Cryptosporidium in the Chesapeake Bay. Parasitol Res. 2002;88(11):998–1003.
Kistemann T, Classen T, Koch C, Dangendorf F, Fischeder R, Gebel J, et al. Microbial load of drinking water reservoir tributaries during extreme rainfall and runoff. Appl Environ Microbiol. 2002;68(5):2188–2197.
MacKenzie WR, Hoxie NJ, Proctor ME, Gradus MS, Blair KA, Peterson DE, et al. A massive outbreak in Milwaukee of Cryptosporidium infection transmitted through the public water supply. N Engl J Med. 1994;331(3):161–167.
Wade TJ, Sandhu SK, Levy D, Lee S, LeChevallier MW, Katz L, et al. Did a severe flood in the Midwest cause an increase in the incidence of gastrointestinal symptoms? Am J Epidemiol. 2004;159(4):398–405.
World Health Organization. Using climate to predict infectious disease outbreaks: a review. World Health Organization: Geneva, Switzerland; 2004, (Publication no. WHO/SDE/OEH/04.01).
Easterling DR, Evans JL, Groisman PY, Karl TR, Kunkel KE, Ambeje P . Observed variability and trends in extreme climate events. Bull Am Meteorol Soc. 2000;81:417–425.
Charron D, Thomas M, Waltner-Toews D, Aramini J, Edge T, Kent R, et al. Vulnerability of waterborne diseases to climate change in Canada: a review. J Toxicol Environ Health A. 2004;67(20–22):1667–1677.
Patz JA, Epstein PR, Burke TA, Balbus JM . Global climate change and emerging infectious diseases. JAMA. 1996;275(3):217–223.
Bentham G, Langford IH . Climate change and the incidence of food poisoning in England and Wales. Int J Biometeorol. 1995;39(2):81–86.
Ebi KL, Schmier JK . A stitch in time: improving public health early warning systems for extreme weather events. Epidemiol Rev. 2005;27:115–121.
da Silva Lopes ACB . Spurious deterministic seasonality and autocorrelation corrections with quarterly data: further Monte Carlo results. Empir Econ. 1999;24(2):341–359.
Acknowledgements
I thank Drs Eileen O'Neil and Beth Rosenberg for their thoughtful suggestions, and the support of funding agencies: the National Institute of Allergy and Infectious Diseases (U19AI062627), and the National Institute of Environmental Health Sciences (R01ES013171).
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As a student of time series in epidemiology, our own Statistical Editor uses recent weather-related disasters to explore the ever problematic issue of seasonality in health.
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Naumova, E. Mystery of Seasonality: Getting the Rhythm of Nature. J Public Health Pol 27, 2–12 (2006). https://doi.org/10.1057/palgrave.jphp.3200061
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DOI: https://doi.org/10.1057/palgrave.jphp.3200061