{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:22:04Z","timestamp":1778811724015,"version":"3.51.4"},"reference-count":52,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\/MCTES","award":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"],"award-info":[{"award-number":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"]}]},{"name":"FCT\/MCTES","award":["FCG\/258218\/2022"],"award-info":[{"award-number":["FCG\/258218\/2022"]}]},{"name":"FCT\/MCTES","award":["PPGCASA 2023\/2028"],"award-info":[{"award-number":["PPGCASA 2023\/2028"]}]},{"name":"Funda\u00e7\u00e3o Calouste Gulbenkian","award":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"],"award-info":[{"award-number":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"]}]},{"name":"Funda\u00e7\u00e3o Calouste Gulbenkian","award":["FCG\/258218\/2022"],"award-info":[{"award-number":["FCG\/258218\/2022"]}]},{"name":"Funda\u00e7\u00e3o Calouste Gulbenkian","award":["PPGCASA 2023\/2028"],"award-info":[{"award-number":["PPGCASA 2023\/2028"]}]},{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de n\u00edvel Superior (CAPES)","award":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"],"award-info":[{"award-number":["UIDP\/50017\/2020+UIDB\/50017\/2020+LA\/P\/0094\/2020"]}]},{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de n\u00edvel Superior (CAPES)","award":["FCG\/258218\/2022"],"award-info":[{"award-number":["FCG\/258218\/2022"]}]},{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de n\u00edvel Superior (CAPES)","award":["PPGCASA 2023\/2028"],"award-info":[{"award-number":["PPGCASA 2023\/2028"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pollutants"],"abstract":"<jats:p>The impact of climate change has made weather events more extreme, unpredictable and frequent. In the last 4 years, Mozambique has been devastated by 8 major cyclones, resulting in material and human damage and affecting the functioning of basic local services, such as in the water and health sectors. In this study, we explored the environmental components of the climate\u2013water quality\u2013disease relationship that could drive the dynamics of waterborne diseases. Statistical models and geospatial information technologies (GITs) were used to analyse water quality and the relationship with waterborne diseases between 2016 and 2023. Results indicate that water quality is the main element, between precipitation natural disasters and waterborne diseases, on which a relevant public health intervention can act to ameliorate the future negative impacts of climate change and disease incidence. The results of this study also showed that the quality of water affected mainly by heavy rain events varies in different regions and in different seasons.<\/jats:p>","DOI":"10.3390\/pollutants4020014","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T12:06:38Z","timestamp":1714651598000},"page":"212-230","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Natural Disasters\u2019 Impact on Water Quality and Public Health: A Case Study of the Cyclonic Season (2019\u20132023)"],"prefix":"10.3390","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2323-2400","authenticated-orcid":false,"given":"S\u00e9rgio Mateus","family":"Chilaule","sequence":"first","affiliation":[{"name":"Centre for Environmental and Marine Studies (CESAM), Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Water Research Institute, Ministry of Science, Technology and Higher Education, 770 Av. Patrice Lumumba, Maputo 1100, Mozambique"}]},{"given":"Xadreque Vitorino","family":"Macuacua","sequence":"additional","affiliation":[{"name":"Department of Environmental Sciences, School of Agricultural Sciences, Federal University of Amazonas, Av. General Rodrigo Oct\u00e1vio Jord\u00e3o Ramos, 1200-Coroado I, Manaus 69067-005, AM, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2217-192X","authenticated-orcid":false,"given":"Alfredo Pedro","family":"Mabica","sequence":"additional","affiliation":[{"name":"Department of Chemistry, Faculty of Natural Sciences and Mathematics, Pedagogical University of Maputo, Av. de Trabalho Nr.2482, 4040, Campus de Lhanguene, Maputo 1100, Mozambique"}]},{"given":"Nelson Alexandre","family":"Miranda","sequence":"additional","affiliation":[{"name":"Regional Water Administration\u2013Centre (ARA-Centro), Estrada Nacional n\u00ba7, 67, Cidade de Tete 2300, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9113-1166","authenticated-orcid":false,"given":"Henrique dos Santos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Environmental Sciences, School of Agricultural Sciences, Federal University of Amazonas, Av. General Rodrigo Oct\u00e1vio Jord\u00e3o Ramos, 1200-Coroado I, Manaus 69067-005, AM, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8686-7873","authenticated-orcid":false,"given":"Eduardo Samo","family":"Gudo","sequence":"additional","affiliation":[{"name":"National Health Institute (INS), Estrada Nacional N1, Bairro da Vila, Parcela n\u00ba3943, 0205-02, Distrito de Marracuene 1120, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3903-1368","authenticated-orcid":false,"given":"Tatiana","family":"Marrufo","sequence":"additional","affiliation":[{"name":"National Health Institute (INS), Estrada Nacional N1, Bairro da Vila, Parcela n\u00ba3943, 0205-02, Distrito de Marracuene 1120, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1245-7169","authenticated-orcid":false,"given":"Santiago","family":"Garc\u00eda-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, University of Cadiz, 11510 Puerto Real, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7624-1279","authenticated-orcid":false,"given":"Myriam","family":"Lopes","sequence":"additional","affiliation":[{"name":"Centre for Environmental and Marine Studies (CESAM), Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"ref_1","first-page":"885","article-title":"Avalia\u00e7\u00e3o de pol\u00edticas p\u00fablicas relacionadas aos desastres naturais no Brasil, entre 1990\u20132014 Pol\u00edticas p\u00fablicas revisadas relacionadas a desastres naturais no Brasil entre 1990\u20132014","volume":"12","author":"Pinto","year":"2016","journal-title":"Rev. Ambiecia"},{"key":"ref_2","unstructured":"UN Office for Disaster Risk Reduction (UNDRR) (2024, January 15). O Deslocamento por Desastres:como Reduzir o Risco, Abordar os Impactos e Refor\u00e7ar a Resili\u00eancia. Available online: https:\/\/www.undrr.org\/sites\/default\/files\/2023-03\/WiA_report_11_1_23_Portuguese-Web-final.pdf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4018\/jagr.2012040103","article-title":"A Review of Geospatial Information Technology for Natural Disaster Management in Developing Countries","volume":"3","author":"Herold","year":"2012","journal-title":"Int. J. Appl. Geospat. Res."},{"key":"ref_4","unstructured":"GoM, 2018 Governo de Mo\u00e7ambique (GoM) (2024, January 12). Plano Anual de Conting\u00eancia 2019, 2018, Available online: https:\/\/sheltercluster.s3.eu-central-1.amazonaws.com\/public\/docs\/pc_2019_aprovado_pelo_conselho_de_ministros_2018.11.20.pdf."},{"key":"ref_5","unstructured":"Instituto Nacional de Gest\u00e3o e Redu\u00e7\u00e3o do Risco de Desastres (INGD) (2024, January 15). Relat\u00f3rio de Emerg\u00eancia da \u00e9poca Chuvosa e Ciclonica 2022\u20132023, Available online: https:\/\/www.ingd.gov.mz\/."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"100123","DOI":"10.1016\/j.pdisas.2020.100123","article-title":"Water-related disasters and their health impacts: A global review","volume":"8","author":"Lee","year":"2020","journal-title":"Prog. Disaster Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e006778","DOI":"10.1136\/bmjgh-2021-006778","article-title":"Natural disasters, population displacement and health emergencies: Multiple public health threats in Mozambique","volume":"6","author":"Mugabe","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Jung, Y.-J., Kim, H., and Namkoong, S. (2023). Impact of Climate Change on Waterborne Diseases: Directions towards Sustainability. Water, 15.","DOI":"10.3390\/w15071298"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"232","DOI":"10.3389\/fvets.2019.00232","article-title":"Making vector-borne disease surveillance work: New opportunities from the SDG perspectives","volume":"6","author":"Braks","year":"2019","journal-title":"Front. Vet. Sci."},{"key":"ref_10","unstructured":"UNICEF (2024, January 15). Ciclone Idai e Kenneth. Available online: https:\/\/www.unicef.org\/mozambique\/ciclone-idai-e-kenneth."},{"key":"ref_11","unstructured":"Instituto Nacional de Gest\u00e3o e Redu\u00e7\u00e3o do Risco de Desastres (INGD) (2024, January 15). Relat\u00f3rio de Emerg\u00eancia da \u00e9poca Chuvosa e Cicl\u00f3nica 2021\u20132022, 2022, Available online: https:\/\/www.ingd.gov.mz\/."},{"key":"ref_12","unstructured":"Instituto Nacional de Estat\u00edstica (INE) (2024, January 10). Population in 2023, Available online: https:\/\/www.ine.gov.mz\/en\/."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Cambaza, E., Mongo, E., Anapakala, E., Nhambire, R., Singo, J., and Machava, E. (2019). Outbreak of Cholera Due to Cyclone Kenneth in Northern Mozambique, 2019. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16162925"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Miguel, M. (2020). Uamusse, Kamshat Tussupova, Kenneth M Persson. Climate Change Effects on Hydropower in Mozambique. Appl. Sci., 10.","DOI":"10.3390\/app10144842"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/03057071003607410","article-title":"Disturbing \u2018Development\u2019: The Water Supply Conflict in Canhane, Mozambique","volume":"36","author":"Baptista","year":"2010","journal-title":"J. South. Afr. Stud."},{"key":"ref_16","unstructured":"OCHA (2024, January 31). Mozambique: How does Armed Conflict in Cabo Delgado Affect Access to Basic Services like Water, Sanitation and Health?. Available online: https:\/\/reliefweb.int\/report\/mozambique\/mozambique-how-does-armed-conflict-cabo-delgado-affect-access-basic-services-water-sanitation-and-health."},{"key":"ref_17","unstructured":"SWP (Sustenable Water Partneship) (2024, January 31). Water Resources Profile Series. Available online: https:\/\/winrock.org\/wp-content\/uploads\/2021\/08\/Mozambique_Country_Profile-Final.pdf."},{"key":"ref_18","unstructured":"(2024, January 15). Instituto Nacional de Gest\u00e3o e Redu\u00e7\u00e3o do Risco de Desastres (INGD). Relat\u00f3rio de Emerg\u00eancia da \u00e9poca Chuvosa e Cicl\u00f3nica 2019\u20132020, 2020, Available online: https:\/\/www.ingd.gov.mz\/."},{"key":"ref_19","unstructured":"ZAMCOM (Zambezi Watercourse Commission) (2024, January 31). Annual Reports. Available online: https:\/\/zambezicommission.org\/."},{"key":"ref_20","unstructured":"Da Maia, R., Nhambiu, B., Cuna, J., Amid, U., Vilanculos, A., and Machele, J. (2024, January 10). Mozambique Country-Specific Risk and Vulnerability Profile Report. Available online: https:\/\/www.riskreductionafrica.org\/assets\/files\/Mozambique%20Risk%20Profile%20Report_compressed_1pdf.io.pdf."},{"key":"ref_21","unstructured":"Regional Water Administrations (ARA-Centro) (2024, January 15). Estrada Nacional N\u00ba7, Cidade de Tete, Mozambique, 2024, Available online: https:\/\/aracentroip.gov.mz\/."},{"key":"ref_22","unstructured":"CCKP (2024, January 10). Climate Data. Available online: https:\/\/climateknowledgeportal.worldbank.org\/download-data."},{"key":"ref_23","unstructured":"(2023, November 12). PRISMA. Available online: http:\/\/www.prisma-statement.org\/."},{"key":"ref_24","unstructured":"(2023, November 11). United States Geological Survey (USGS), Available online: https:\/\/earthexplorer.usgs.gov\/."},{"key":"ref_25","unstructured":"APHA (2017). Standard Methods for the Examination of Water and Wastewater, American Public Health Association. [23rd ed.]."},{"key":"ref_26","unstructured":"Instituto Nacional de Gest\u00e3o e Redu\u00e7\u00e3o do Risco de Desastres (INGD) (2024, January 15). Database on Cyclone Cccurrence (2019\u20132023) in Mozambique, 2024, Available online: https:\/\/www.ingd.gov.mz\/."},{"key":"ref_27","unstructured":"Instituto Nacional de Sa\u00fade (INS) (2024, January 15). Database on Water-Borne and Vector-Borne Diseases in the Centre Region (2017\u20132023). Mozambique, 2024, Available online: https:\/\/ins.gov.mz\/."},{"key":"ref_28","unstructured":"World Health Organization (WHO) (2017). Guidelines for Drinking-Water Quality, Incorporating The 1st Addendum."},{"key":"ref_29","unstructured":"Hui, L. (2021). Wind Forecasting in Railway Engineering, Elsevier."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"103924","DOI":"10.1016\/j.csite.2023.103924","article-title":"Using Pearson correlation coefficient as a performance indicator in the compensation algorithm of asynchronous temperature-humidity sensor pair","volume":"53","author":"Teng","year":"2024","journal-title":"Case Stud. Therm. Eng."},{"key":"ref_31","first-page":"84","article-title":"Altera\u00e7\u00f5es Clim\u00e1ticas e o Nexo Agua Energia Alimentos: Avalia\u00e7\u00e3o do impacto de desastres naturais na pr\u00e1tica agr\u00edcola e seguran\u00e7a alimentar em Mo\u00e7ambique. Revista Munyo","volume":"2","author":"Chilaule","year":"2023","journal-title":"Sci. J. Math. Nat. Appl. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s12942-022-00315-2","article-title":"Assessing road criticality and loss of healthcare accessibility during floods: The case of Cyclone Idai, Mozambique 2019","volume":"21","author":"Petricola","year":"2022","journal-title":"Int. J. Health Geogr."},{"key":"ref_33","unstructured":"National Hurricane Center and Central Pacific Hurricane Center (NHC) (2024, January 11). Saffir-Simpson Hurricane Wind Scale, Available online: https:\/\/www.nhc.noaa.gov\/aboutsshws.php."},{"key":"ref_34","unstructured":"Instituto Nacional de Gest\u00e3o e Redu\u00e7\u00e3o do Risco de Desastres (INGD) (2024, January 15). Relat\u00f3rio de Emerg\u00eancia da \u00e9poca Chuvosa e Ciclonica 2019\u20132020, 2021, Available online: https:\/\/www.ingd.gov.mz\/."},{"key":"ref_35","unstructured":"Institute for International Law of Peace and Armed Conflict (IFHV) (2024, January 31). World Risk Report. Available online: https:\/\/www.ifhv.de\/publications\/world-risk-report."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"304","DOI":"10.2166\/washdev.2021.170","article-title":"Impact of cyclone amphan on the water, sanitation, hygiene, and health (wash2) facilities of coastal bangladesh","volume":"11","author":"Rafa","year":"2021","journal-title":"J. Water Sanit. Hyg. Dev."},{"key":"ref_37","first-page":"1","article-title":"The Relationship between Tropical Cyclone Activity, Nutrient Loading, and Algal Blooms over the Great Barrier Reef","volume":"2017","author":"Parker","year":"2017","journal-title":"Biogeosci. Discuss."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1111\/j.0361-3666.2004.00266.x","article-title":"Effects of a tropical cyclone on the drinking-water quality of a remote pacific island","volume":"28","author":"Mosley","year":"2004","journal-title":"Disasters"},{"key":"ref_39","unstructured":"Dire\u00e7\u00e3o Nacional de \u00c1guas (DNA) (2024, January 15). Annual Report. 2012. Maputo, Mozambique, Available online: https:\/\/dnaas.gov.mz\/."},{"key":"ref_40","unstructured":"Instituto Nacional de Estat\u00edstica (INE) (2024, January 31). Census 2017, Available online: https:\/\/www.ine.gov.mz\/en\/web\/guest\/censo-2017."},{"key":"ref_41","unstructured":"Meschede, M.S.C. (2018). Implica\u00e7\u00f5es Para a Sa\u00fade de Escolares a Partir Consumo de \u00c1gua e Material Particulado Atmosf\u00e9rico Inalado em Escolas de Santar\u00e9m e Moju\u00ed dos Campos. [Ph.D. Thesis, Universidade Federal do Oeste do Par\u00e1]."},{"key":"ref_42","unstructured":"Zanchetta, G.S.B. (2024, January 15). Avalia\u00e7\u00e3o Do Grau de Polu\u00ed\u00e7\u00e3o Do Dolo, \u00e1guas, Plantas e Res\u00edduos S\u00f3lidos Do Lix\u00e3o Linha Rinc\u00e3o Do Engenho de Lagoa Vermelha, RS, 2007. Available online: http:\/\/tede.upf.br\/jspui\/handle\/tede\/218."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.pce.2008.06.055","article-title":"Design of a water quality monitoring network for the Limpopo River Basin in Mozambique","volume":"33","author":"Chilundo","year":"2008","journal-title":"Phys. Chem. Earth Parts A\/B\/C"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"148978","DOI":"10.1016\/j.scitotenv.2021.148978","article-title":"Characterizing ammonia emissions from water bodies using dynamic floating chambers","volume":"796","author":"Chen","year":"2021","journal-title":"Sci. Total Environ."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.envint.2006.05.002","article-title":"Ecological and toxicological effects of inorganic nitrogen pollution in aquatic ecosystems: A global assessment","volume":"32","author":"Camargo","year":"2006","journal-title":"Environ. Int."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"107837","DOI":"10.1016\/j.envint.2023.107837","article-title":"Factors influencing vulnerability to climate change-related health impacts in cities\u2014A conceptual framework","volume":"173","author":"Jurgilevich","year":"2023","journal-title":"Environ. Intern."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"23384","DOI":"10.1038\/s41598-021-02725-x","article-title":"Interplay between eutrophication and climate warming on bacterial communities in coastal sediments differs depending on water depth and oxygen history","volume":"11","author":"Seidel","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"4905","DOI":"10.1021\/acs.est.5b06186","article-title":"Untangling the Impacts of Climate Change on Waterborne Diseases: A Systematic Review of Relationships between Diarrheal Diseases and Temperature, Rainfall, Flooding, and Drought","volume":"50","author":"Levy","year":"2016","journal-title":"Environ. Sci. Technol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"152069","DOI":"10.1016\/j.scitotenv.2021.152069","article-title":"Sources of nitrate-nitrogen in urban runoff over and during rainfall events with different grades","volume":"808","author":"Zhang","year":"2022","journal-title":"Sci. Total Environ."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Yu, J., Yang, L., Ho, H.C., and Huang, C. (2021). Climate Change Impacts on Diarrheal Disease, From Epidemiological Association Research to Social Vulnerability Exploration, Global Public Health. Oxford Research Encyclopedias.","DOI":"10.1093\/acrefore\/9780190632366.013.268"},{"key":"ref_51","unstructured":"(2023, November 18). Sistema de Informa\u00e7\u00e3o Nacional de \u00c1gua e Saneamento (SINAS)\/Direc\u00e7\u00e3o Nacional de Abastecimento de \u00c1gua e Saneamento. Available online: https:\/\/www.sinasmz.com\/lizmap\/lizmap\/www\/index.php\/view\/."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Manini, E., Baldrighi, E., Ricci, F., Grilli, F., Giovannelli, D., Intoccia, M., Casabianca, S., Capellacci, S., Marinchel, N., and Penna, P. (2022). Assessment of Spatio-Temporal Variability of Faecal Pollution along Coastal Waters during and after Rainfall Events. Water, 14.","DOI":"10.3390\/w14030502"}],"container-title":["Pollutants"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2673-4672\/4\/2\/14\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:36:58Z","timestamp":1760107018000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2673-4672\/4\/2\/14"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,30]]},"references-count":52,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["pollutants4020014"],"URL":"https:\/\/doi.org\/10.3390\/pollutants4020014","relation":{},"ISSN":["2673-4672"],"issn-type":[{"value":"2673-4672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,30]]}}}