{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T02:56:07Z","timestamp":1790218567777,"version":"4.1.0"},"reference-count":30,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"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>The Gaza Strip is one of the world\u2019s most fragile states and faces substantial public health and development challenges. Climate change is intensifying existing environmental problems, including increased water stress. We provide the first published assessment of climate impacts on diarrhoeal disease in Gaza and project future health burdens under climate change scenarios. Over 1 million acute diarrhoea cases presenting to health facilities during 2009\u20132020 were linked to weekly temperature and rainfall data and associations assessed using time-series regression analysis employing distributed lag non-linear models (DLNMs). Models were applied to climate projections to estimate future burdens of diarrhoeal disease under 2 \u00b0C and 1.5 \u00b0C global warming scenarios. There was a significantly raised risk of diarrhoeal disease associated with both mean weekly temperature above 19 \u00b0C and total weekly rainfall below 6 mm in children 0\u20133 years. A heat effect was also present in subjects aged &gt; 3 years. Annual diarrhoea cases attributable to heat and low rainfall was 2209.0 and 4070.3, respectively, in 0\u20133-year-olds. In both age-groups, heat-related cases could rise by over 10% under a 2 \u00b0C global warming level compared to baseline, but would be limited to below 2% under a 1.5 \u00b0C scenario. Mean rises of 0.9% and 2.7% in diarrhoea cases associated with reduced rainfall are projected for the 1.5 \u00b0C and 2 \u00b0C scenarios, respectively, in 0\u20133-year-olds. Climate change impacts will add to the considerable development challenges already faced by the people of Gaza. Substantial health gains could be achieved if global warming is limited to 1.5 \u00b0C.<\/jats:p>","DOI":"10.3390\/ijerph19084898","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T22:04:02Z","timestamp":1650319442000},"page":"4898","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Climate Change and Diarrhoeal Disease Burdens in the Gaza Strip, Palestine: Health Impacts of 1.5 \u00b0C and 2 \u00b0C Global Warming Scenarios"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3086-362X","authenticated-orcid":false,"given":"Shakoor","family":"Hajat","sequence":"first","affiliation":[{"name":"Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gampe","sequence":"additional","affiliation":[{"name":"Department of Geography, Ludwig Maximilian University, 80333 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Sarsour","sequence":"additional","affiliation":[{"name":"United Nations University\u2014Institute on Comparative Regional Integration Studies (UNU-CRIS), 8000 Bruges, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer","family":"Abuzerr","sequence":"additional","affiliation":[{"name":"Environmental Health Unit, Gaza Ministry of Health, Gaza P860, Palestine"},{"name":"Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC H3N 1X9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Lange, M.A. (2019). 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