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However, infection sources and drivers for outbreaks of airborne viral EIDs remain unknown. Here, we aim to explore the driving mechanisms of outbreaks based on the one health perspective. Outbreak information for 20 types of airborne viral EIDs was collected from the Global Infectious Disease and Epidemiology Network database and a systematic literature review. Four statistically significant and high\u2010risk spatiotemporal clusters for airborne viral EID outbreaks were identified globally using multivariate scan statistic tests. There were 112 outbreaks with clear infection sources, and zoonotic spillover was the most common source (95.54%, 107\/112). Since 1970, the majority of outbreaks occurred in healthcare facilities (24.82%), followed by schools (17.93%) and animal\u2010related settings (15.93%). Significant associations were detected between the number of earthquakes, storms, duration of floods, and airborne viral EIDs' outbreaks using a case\u2010crossover study design and multivariable conditional logistic regression. These findings implied that zoonotic spillover and extreme weather events are driving global outbreaks of airborne viral EIDs, and targeted prevention and control measures should be made to reduce the airborne viral EIDs burden.<\/jats:p>","DOI":"10.1002\/jmv.29737","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T07:40:44Z","timestamp":1718350844000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Zoonotic spillover and extreme weather events drive the global outbreaks of airborne viral emerging infectious diseases"],"prefix":"10.1002","volume":"96","author":[{"given":"Zekun","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojun","family":"Pei","sequence":"additional","affiliation":[{"name":"Department of Global Health, School of Public Health Peking University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoliang","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Global Health, School of Public Health Peking University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Global Health, School of Public Health Peking University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongwei","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Global Health, School of Public Health Peking University Beijing China"},{"name":"Center for Intelligent Public Health, Institute for Artificial Intelligence Peking University Beijing China"},{"name":"Center for Drug Abuse Control and Prevention, National Institute of Health Data Science Peking University Beijing China"},{"name":"Peking University Clinical Research Institute Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nature06536"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-023-01850-3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43705-022-00191-8"},{"key":"e_1_2_9_5_1","unstructured":"Leaders spotlight the critical intersection between health and climate ahead of COP\u201028 first\u2010ever Health Day. 2023. 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