El Niño and health

R. Sari Kovats, Menno J. Bouma, Shakoor Hajat, Eve Worrall, Andy Haines

Research output: Contribution to journalReview articlepeer-review

384 Citations (Scopus)

Abstract

El Niño Southern Oscillation (ENSO) is a climate event that originates in the Pacific Ocean but has wide-ranging consequences for weather around the world, and is especially associated with droughts and floods. The irregular occurrence of El Niño and La Niña events has implications for public health. On a global scale, the human effect of natural disasters increases during El Niño. The effect of ENSO on cholera risk in Bangladesh, and malaria epidemics in parts of South Asia and South America has been well established. The strongest evidence for an association between ENSO and disease is provided by time-series analysis with data series that include more than one event. Evidence for ENSO's effect on other mosquito-borne and rodent-borne diseases is weaker than that for malaria and cholera. Health planners are used to dealing with spatial risk concepts but have little experience with temporal risk management. ENSO and seasonal climate forecasts might offer the opportunity to target scarce resources for epidemic control and disaster preparedness.
Original languageEnglish
Pages (from-to)1481-1489
Number of pages9
JournalThe Lancet
Volume362
Issue number9394
DOIs
Publication statusPublished - 1 Nov 2003
Externally publishedYes

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