Abstract

The influence of natural environmental factors and social factors on children’s viral diarrhea remains inconclusive. This study aimed to evaluate the short-term effects of temperature, precipitation, air quality, and social attention on children’s viral diarrhea in temperate regions of China by using the distribution lag nonlinear model (DLNM). We found that low temperature affected the increase in children’s viral diarrhea infection for about 1 week, while high temperature and heavy precipitation affected the increase in children’s viral diarrhea infection risk for at least 3 weeks. As the increase of the air pollution index may change the daily life of the public, the infection of children’s viral diarrhea can be restrained within 10 days, but the risk of infection will increase after 2 weeks. The extreme network search may reflect the local outbreak of viral diarrhea, which will significantly improve the infection risk. The above factors can help the departments of epidemic prevention and control create early warnings of high-risk outbreaks in time and assist the public to deal with the outbreak of children’s viral diarrhea.

Highlights

  • Acute gastroenteritis is a common disease of the digestive system, which is characterized by symptoms including vomiting, diarrhea, and fever

  • We found a complex relationship between the attributed risk of viral diarrhea among children and the average temperature

  • Our work showed that the infection rate of viral diarrhea reached its peak in winter, and the increase in the risk of viral diarrhea caused by low temperature was consistent with the previous reports that low temperature has an important effect on the increase in rotavirus diarrhea infection

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Summary

Introduction

Acute gastroenteritis is a common disease of the digestive system, which is characterized by symptoms including vomiting, diarrhea, and fever. Many external factors lead to acute gastroenteritis, including bacteria, viruses, and parasites. Viral diarrhea is a common digestive system disease caused by various human enteroviruses, including rotavirus, norovirus, adenovirus, and astrovirus [1]. The main susceptible population is children under 5 years old [2]. Viruses are considered the main pathogen of severe acute diarrhea among children worldwide, and they are one of the main causes of children’s death in developing countries [3]. As the transmission route of viral diarrhea is directly close to humans’ daily lives, viral diarrhea can spread extensively all over the world and break out all year round

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