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Disease Specific Information

Water-borne Cryptosporidiosis
Much progress has been made in all aspects of this highly integrated project. Climate downscaling from the Max Planck GCM is complete for the mid-Atlantic region, and we have successfully calibrated a hydrological run-off model for a watershed in Lancaster County. The historical analysis of extreme precipitation and water-borne disease outbreaks in the US since 1940 is almost complete.  A positive temporal and spatial correlation was found between heavy precipitation and disease occurrence, with strongest correlation in the Fall season. In preparation for modeling cryptosporidiosis risk under climate change, livestock operations within the 100 year floodplain of a major creek in Lancaster County were sampled for cryptosporidium oocysts; in field manure more than half of the samples tested positive. We have now obtained drinking water treatment facility data and will finalize the full risk model (from rainfall and run-off, to cryptosporidium oocyst loads at the drinking water facilities). Run-off modeling to determine changes in salinity of the Chesapeake Bay is progressing. Economic analysis for baseline costs of cryptosporidiosis cases has been completed.

More Information: Climate Change may Impact Waterborne Diseases

Cholera
In Peru, 11 patients have been identified as probably the first indicator cases, occurring from late October, 1990 to January, 1991.  In addition to SST satellite data from 1991, we have obtained SST data for 1997 and SeaWifs data for algal blooms in 1998. In the Chesapeake Bay, preliminary analysis shows a strong correlation between warmer water temperature and the presence of Vibrio cholerae.
Hantavirus
Both stages of the Hantavirus/El Niño analysis have been completed and first stage submitted for publication. We were able to accurately predict high risk areas for Hantavirus Pulmonary Syndrome based on satellite generated risk maps of land cover. Predicted risk was also concordant with vegetative growth determined by the normalized difference vegetative index (NDVI), supporting the hypothesis that heavy rainfall from El Niño in 1992 were associated with higher rodent populations that triggered the Hantavirus outbreak in 1993.
Dengue and Dengue Hemorrhagic Fever
The dengue fever transmission model (DENSiM) has been improved to better account for water container temperature and water height, important to larval mosquito development rates (Chen et al. 1998). Full model parameterization has been completed at all study sites (Brownsville, New Orleans, and Puerto Rico), and model runs are being made using incremental temperature changes to assess potential thresholds key to any future climate analysis. Matrices of the downscaled climate runs have recently been completed for input into the DENSiM model.
Lyme Disease
We have classified landcover for the mid-Atlantic region by use of remote satellite sensing. We have tuned the USDA Lyme disease simulation model to better account for humidity and temperature and we will apply our recently developed spatial modeling of tick abundance using generalized linear mixed models for more accurate risk prediction, given a GIS of landcover.

Public Health Links

American Journal of Public Health
Centers for Disease Control (CDC)
Morbidity and Mortality Weekly Report (MMWR)
Medline
National Center for Health Statistics (NCHS)
National Institutes of Health (NIH)
National Library of Medicine (NLM)
PopInform: Database on Family Planning and Related Health Information
PopNet
SEER
USAID Environmental Health Project
World Health Organization

 

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This web was sponsored by grant from the Environmental Protection Agency.  Research on the grant concluded December, 2000.