{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:34:11Z","timestamp":1790238851240,"version":"4.1.0"},"reference-count":43,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2017,5,7]],"date-time":"2017-05-07T00:00:00Z","timestamp":1494115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Southeast China is frequently hit by tropical cyclones (TCs) with significant economic and health burdens each year. However, there is a lack of understanding of what infectious diseases could be affected by tropical cyclones. This study aimed to examine the impacts of tropical cyclones on notifiable infectious diseases in southeast China. Disease data between 2005 and 2011 from four coastal provinces in southeast China, including Guangdong, Hainan, Zhejiang, and Fujian province, were collected. Numbers of cases of 14 infectious diseases were compared between risk periods and reference periods for each tropical cyclone. Risk ratios (RRs) were calculated to estimate the risks. TCs were more likely to increase the risk of bacillary dysentery, paratyphoid fever, dengue fever and acute hemorrhagic conjunctivitis (ps &lt; 0.05) than to decrease the risk, more likely to decrease the risk of measles, mumps, varicella and vivax malaria (ps &lt; 0.05) than to increase the risk. In conclusion, TCs have mixed effects on the risk of infectious diseases. TCs are more likely to increase the risk of intestinal and contact transmitted infectious diseases than to decrease the risk, and more likely to decrease the risk of respiratory infectious diseases than to increase the risk. Findings of this study would assist in developing public health strategies and interventions for the reduction of the adverse health impacts from tropical cyclones.<\/jats:p>","DOI":"10.3390\/ijerph14050494","type":"journal-article","created":{"date-parts":[[2017,5,8]],"date-time":"2017-05-08T11:45:16Z","timestamp":1494243916000},"page":"494","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Infectious Diseases and Tropical Cyclones in Southeast China"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9027-2963","authenticated-orcid":false,"given":"Jietao","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Shandong University, 44 West Wenhua Road, Jinan 250012, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weixiao","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Shandong University, 44 West Wenhua Road, Jinan 250012, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baofa","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Shandong University, 44 West Wenhua Road, Jinan 250012, China"},{"name":"Climate Change and Health Center, Shandong University, 44 West Wenhua Road, Jinan 250012, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Shandong University, 44 West Wenhua Road, Jinan 250012, China"},{"name":"Climate Change and Health Center, Shandong University, 44 West Wenhua Road, Jinan 250012, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Climate Change and Health Center, Shandong University, 44 West Wenhua Road, Jinan 250012, China"},{"name":"School of Public Health, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,5,7]]},"reference":[{"key":"ref_1","first-page":"71","article-title":"Disastrous weather trend under global climate change and its influence on offshore wind power","volume":"12","author":"Ge","year":"2010","journal-title":"Eng. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1007\/s11069-010-9508-7","article-title":"Characteristics of tropical cyclones in China and their impacts analysis","volume":"54","author":"Xiao","year":"2010","journal-title":"Nat. Hazard."},{"key":"ref_3","first-page":"31","article-title":"Cholera outbreak linked with lack of safe water supply following a tropical cyclone in Pondicherry, India, 2012","volume":"33","author":"Fredrick","year":"2015","journal-title":"J. Health Popul. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"187","DOI":"10.4269\/ajtmh.2012.11-0518","article-title":"Leptospirosis after typhoon","volume":"86","author":"Lin","year":"2012","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/09603123.2012.733940","article-title":"Impacts of typhoon and heavy rain disasters on mortality and infectious diarrhea hospitalization in South Korea","volume":"23","author":"Kim","year":"2013","journal-title":"Int. J. Envir. Health Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1111\/tmi.12105","article-title":"Temporal trends and regional variability of 2001\u20132002 multiwave DENV-3 epidemic in Havana City: Did Hurricane Michelle contribute to its severity?","volume":"18","author":"Hsieh","year":"2013","journal-title":"Trop. Med. Int. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.3390\/ijerph120201054","article-title":"Impacts of tropical cyclones and accompanying precipitation on infectious diarrhea in cyclone landing areas of Zhejiang Province, China","volume":"12","author":"Deng","year":"2015","journal-title":"Int. J. Envir. Res. Public Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1752-1505-5-9","article-title":"Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis?","volume":"5","author":"Myint","year":"2011","journal-title":"Confl. Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5365\/wpsar.2014.5.1.010","article-title":"A community-based gastroenteritis outbreak after Typhoon Haiyan, Leyte, Philippines, 2013","volume":"6","author":"Ventura","year":"2015","journal-title":"Western Pac. Surveill. Response J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1017\/S1049023X15000163","article-title":"Health impact assessment of cyclone Bejisa in Reunion Island (France) using syndromic surveillance","volume":"30","author":"Vilain","year":"2015","journal-title":"Prehosp. Disaster Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1586\/eri.11.155","article-title":"Infectious diseases following natural disasters: Prevention and control measures","volume":"10","author":"Kouadio","year":"2012","journal-title":"Expert Rev.Anti. Infect. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/913064","article-title":"Health effects of coastal storms and flooding in urban areas: A review and vulnerability assessment","volume":"2013","author":"Lane","year":"2013","journal-title":"J. Envir. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/dmp.2015.60","article-title":"A community-led medical response effort in the wake of Hurricane Sandy","volume":"9","author":"Kraushar","year":"2015","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_14","unstructured":"Xing, X., Ye, J., and Ou, W. (2012). Guangdong Statistical Yearbook, 2012, China Statistics Press. (In Chinese)."},{"key":"ref_15","unstructured":"Yang, H. (2012). Fujian Statistical Yearbook, 2012, China Statistics Press. (In Chinese)."},{"key":"ref_16","unstructured":"Yuan, J., Li, X., and Hong, Y. (2012). Zhejiang Statistical Yearbook, 2012, China Statistics Press. (In Chinese)."},{"key":"ref_17","unstructured":"Fu, G., and Zhang, Z. (2012). Hainan Statistical Yearbook, 2012, China Statistics Press. (In Chinese)."},{"key":"ref_18","unstructured":"(1970, January 01). Communique of Main Data of Sampling Survey of Population Change in Zhejiang in 2011, Available online: http:\/\/www.zj.stats.gov.cn\/tjgb\/rkcydcgb\/201203\/t20120307_122195.html."},{"key":"ref_19","unstructured":"(2011, August 24). Climatic Characteristics, Available online: http:\/\/www.gd-info.gov.cn\/shtml\/guangdong\/gdgl\/gdgk\/dlgk\/2011\/08\/30\/48479.shtml."},{"key":"ref_20","unstructured":"Yu, Z., and Chen, Y. (1996). The general climate situation of Fujian. Fujian Agric., 22. (In Chinese)."},{"key":"ref_21","unstructured":"(1970, January 01). Climate of Zhejiang, Available online: http:\/\/www.zj.gov.cn\/art\/2015\/3\/26\/art_923_1543755.html."},{"key":"ref_22","unstructured":"(2010, March 24). The General Climate Situation of Hainan. Available online: http:\/\/www.weather.com.cn\/hainan\/qxjjj\/03\/341906.shtml."},{"key":"ref_23","first-page":"1121","article-title":"Types and changes of Chinese climate zones from 1961 to 2013 based on K\u00f6ppen climate classification","volume":"38","author":"Zhu","year":"2015","journal-title":"Arid Land Geogr."},{"key":"ref_24","unstructured":"Pidwirny, M. (2017, February 28). Climate Classification and Climatic Regions of the World. Available online: http:\/\/www.physicalgeography.net\/fundamentals\/7v.html."},{"key":"ref_25","unstructured":"Zhan, S. (2012). Epidemiology, People\u2019s Medical Publishing House. [7th ed.]. (In Chinese)."},{"key":"ref_26","unstructured":"(2013, November 04). The Notice of Management that Adjusting Part of the Notifiable Infectious Diseases from National Health and Family Planning Commission of the People\u2019s Republic of China, (In Chinese)."},{"key":"ref_27","unstructured":"China Meteorological Administration (2007\u20132013). Yearbook of Tropical Cyclone, 2005\u20132011, (In Chinese)."},{"key":"ref_28","unstructured":"General Administration of Quality Supervision, Inspection and Quarantine of the People\u2019s Republic of China, Standardization Administration of the People\u2019s Republic of China (2006). Grade of Tropical Cyclone (GB\/T 19201\u20132006), (In Chinese)."},{"key":"ref_29","first-page":"109","article-title":"Analysis of the law of tropical cyclones that influence Huazhou in late 50 years","volume":"30","author":"Chen","year":"2009","journal-title":"J. Meteorol. Res. Appl."},{"key":"ref_30","first-page":"39","article-title":"The spatial distribution of wind and rain of tropical cyclones in Zhejiang Province","volume":"26","author":"Wang","year":"2010","journal-title":"Bull. Sci. Technol."},{"key":"ref_31","first-page":"4","article-title":"Several statistical characteristics of tropical cyclones that influence Zhejiang","volume":"30","author":"Xu","year":"2009","journal-title":"J. Zhejiang Meteorol."},{"key":"ref_32","first-page":"15","article-title":"The wind and rain types of tropical cyclones that influence Zhanjiang","volume":"22","author":"Yang","year":"2003","journal-title":"Mar. Sci. Bull."},{"key":"ref_33","unstructured":"Rothman, K.J., Greenland, S., and Lash, T.L. (2008). Modern Epidemiology, Lippincott Williams & Wilkins. [3rd ed.]."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1289\/ehp.11594","article-title":"The 2006 California heat wave: impacts on hospitalizations and emergency department visits","volume":"117","author":"Kim","year":"2009","journal-title":"Envir. Health Perspect."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3634","DOI":"10.1016\/j.scitotenv.2011.06.042","article-title":"Impact of extreme temperature on hospital admission in Shanghai, China","volume":"409","author":"Ma","year":"2011","journal-title":"Sci. Total Environ."},{"key":"ref_36","first-page":"111","article-title":"The significance test between constituent ratios in the same group","volume":"11","author":"Cheng","year":"1990","journal-title":"Acta Acad. Med. Taishan"},{"key":"ref_37","unstructured":"World Health Organization (0201, December 05). En fact Sheet 330: Diarrhoeal Disease. Available online: http:\/\/www.who.int\/mediacentre\/factsheets\/fs330\/en\/index.html."},{"key":"ref_38","unstructured":"Centers for Disease Control and Prevention (CDC) (2005). Infectious disease and dermatologic conditions in evacuees and rescue workers after Hurricane Katrina-multiple states, August\u2013September, 2005. J. Am. Med. Assoc., 54, 961\u2013964."},{"key":"ref_39","first-page":"395","article-title":"Rapid situation & response assessment of diarrhoea outbreak in a coastal district following tropical cyclone AILA in India","volume":"133","author":"Panda","year":"2011","journal-title":"India. J. Med. Res."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Kang, R., Xun, H., and Zhang, Y. (2015). Impacts of different grades of tropical cyclones on infectious diarrhea in Guangdong, 2005\u20132011. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0131423"},{"key":"ref_41","first-page":"307","article-title":"Relationship between tropical cyclone and incidence of mumps in Zhejiang, China, 2005\u20132010","volume":"32","author":"Kang","year":"2015","journal-title":"J. Envir. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"S146","DOI":"10.1503\/cjs.013514","article-title":"The Canadian Armed Forces medical response to Typhoon Haiyan","volume":"58","author":"Savage","year":"2015","journal-title":"Can.  J. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1093\/epirev\/mxi011","article-title":"Epidemiology of tropical cyclones: the dynamics of disaster, disease, and development","volume":"27","author":"Shultz","year":"2005","journal-title":"Epidemiol. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/5\/494\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:34:59Z","timestamp":1760207699000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/5\/494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,7]]},"references-count":43,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,5]]}},"alternative-id":["ijerph14050494"],"URL":"https:\/\/doi.org\/10.3390\/ijerph14050494","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,7]]}}}