You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

SPATIOTEMPORAL DYNAMICS OF ROTAVIRUS DISEASE IN EUROPE: CAN CLIMATE OR DEMOGRAPHIC VARIABILITY EXPLAIN THE PATTERNS OBSERVED

Atchison, Christina MB BChir*; Iturriza-Gómara, Miren PhD†; Tam, Clarence PhD*; Lopman, Ben PhD*†

Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e3181d06fcd
Brief Reports
Abstract

We found a south to north movement of rotavirus activity across Europe. Lower birth rates, higher winter temperatures, and higher winter rainfall were associated with variations in timing of rotavirus activity between European countries but not with temporal variations within countries. Patterns of rotavirus activity are likely to be driven by a complex interaction of population, virus, and environmental factors.

Author Information

From the *London School of Hygiene and Tropical Medicine, Epidemiology and Population Health, London, United Kingdom; and †Centre for Infections, Health Protection Agency, London, United Kingdom.

Accepted for publication December 15, 2009.

Supported by a PhD studentship grant from the Medical Research Council (to C.J.A.).

The funding body had no role in the design, conduct, analysis or reporting of the study. The views and opinions expressed in this paper do not necessarily reflect those of the funding body.

Address for Correspondence: Christina J. Atchison, Infectious Diseases Epidemiology Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom. E-mail: Christina.Atchison@lshtm.ac.uk.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.pidj.com).

© 2010 Lippincott Williams & Wilkins, Inc.