Hand, foot, and mouth disease (HFMD) is one of the most common communicable diseases in Vietnam. The present study aims to examine the association between weather factors and HFMD in association with hospitalisation. Daily and weekly weather and HFMD data from 2013 to 2018 in Ho Chi Minh City were deployed. Poisson regression model combined with a distributed lag non-linear model (DLNM) was applied to examine the relationship between weather factors and HFMD. The forecasting model for HFMD was performed by using the Global Climate Model (GCM) and Yasushi Honda model. The result showed that the average daily temperature induces an increase in the risk of HFDM hospitalisation was 26°C- 30.1°C. The average daily humidity also caused increasing the risk of hospitalisation of HFMD was 75% - 85%. However, the average daily humidity <60% reduced the risk of getting HFMD. The study provides quantitative evidence that the incidence of HFMD cases was associated with meteorological variables including average daily temperature and daily humidity in Ho Chi Minh City. This findings implies that there is a need for building a public health policy for eliminating and mitigating climate change impact on community health in a resilient approach.
Global warming is anticipated to induce an increase in the frequency and intensity of hot days and heatwaves, which ultimately have effects on public health. The study aimed to identify the impacts of high temperature and developing climate forecasting projections focused on cardiovascular causes in Ho Chi Minh city (HCMC). The projections were built up based on updated climate scenarios in HCMC. Poisson regression model combined with a distributed lag non-linear model (DLNM) was applied. The forecasting model for cardiovascular causes was performed by using the Global Climate Model (GCM) and Yasushi Honda model. Result showed that the average daily temperature induces an increase in the risk of hospitalisation, in which temperature below 25.7°C reduced number of patients due to cardiovascular disease, meanwhile temperature above 25.7°C has increased hospitalisations. Heat waves over 31°C had the strongest impact on the > 60 years old elderly people after 5 days lag and decreased its impact consecutively to age groups of 41 to 60, 16 to 40, and less than 15 years old. The incremental prediction for the hospitalised cardiovascular disease cases based on the RCP4.5 scenario was 79,713 cases and based on the RCP8.5 scenario was 81,362 cases, respectively.
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