Objective:To assess the association between temperature and risk of animal injury, and identifying vulnerable populations.Methods:Based on a time-stratified case-crossover design, the number of animal injuries monitored in hospitals of Guangdong Provincial Injury Surveillance System in 2011 and 2015-2016 was included, and the daily meteorological data were derived from the fifth generation of European ReAnalysis-Land, which was produced by the European Centre for Medium-Range Weather Forecasts. Conditional logistic regression combined with a distributed lagged nonlinear model was applied to analyze the association of temperature and animal-specific injuries. We also conducted stratified analysis by region, sex, age, occupation, and location of injury occurrence.Results:There was an almost linear relationship between temperature and the occurrence of animal injury. The excess risk ( ER) of animal injury was 2.65% (95% CI: 2.27%-3.04%) for a 1 ℃ rise in temperature with much higher risk of occurrence ( ER=9.34%, 95% CI: 7.57%-11.13%) for non-mammalian injury than that for mammalian injuries ( ER=2.30%, 95% CI: 1.90%-2.70%). Stratified analysis revealed that the occurrence of animal injury was more susceptible to temperature influences in urban ( ER=2.78%, 95% CI: 2.35%-3.21%), female ( ER=2.71%, 95% CI: 2.16%-3.27%), the elderly aged 60 years and above ( ER=3.05%, 95% CI: 1.65%- 4.47%), farmer ( ER=4.66%, 95% CI: 3.03%-6.32%) and agricultural area ( ER=10.63%, 95% CI: 7.57%-13.79%) than their correspondents. In terms of mammalian injury, dog bites showed the highest risk ( ER=2.71%, 95% CI: 2.12%-3.30%). In terms of non-mammalian,snake injuries were highly influenced by temperature ( ER=16.74%, 95% CI: 11.33%-22.40%). Conclusions:The ambient temperature rises could increase the risk of animal injury with much higher risk for non-mammalian than that for mammalian injuries. Our findings suggest that global warming may increase the risk and disease burden from animal injuries.

Objective:To assess the association between temperature and risk of animal injury, and identifying vulnerable populations.Methods:Based on a time-stratified case-crossover design, the number of animal injuries monitored in hospitals of Guangdong Provincial Injury Surveillance System in 2011 and 2015-2016 was included, and the daily meteorological data were derived from the fifth generation of European ReAnalysis-Land, which was produced by the European Centre for Medium-Range Weather Forecasts. Conditional logistic regression combined with a distributed lagged nonlinear model was applied to analyze the association of temperature and animal-specific injuries. We also conducted stratified analysis by region, sex, age, occupation, and location of injury occurrence.Results:There was an almost linear relationship between temperature and the occurrence of animal injury. The excess risk ( ER) of animal injury was 2.65% (95% CI: 2.27%-3.04%) for a 1 ℃ rise in temperature with much higher risk of occurrence ( ER=9.34%, 95% CI: 7.57%-11.13%) for non-mammalian injury than that for mammalian injuries ( ER=2.30%, 95% CI: 1.90%-2.70%). Stratified analysis revealed that the occurrence of animal injury was more susceptible to temperature influences in urban ( ER=2.78%, 95% CI: 2.35%-3.21%), female ( ER=2.71%, 95% CI: 2.16%-3.27%), the elderly aged 60 years and above ( ER=3.05%, 95% CI: 1.65%- 4.47%), farmer ( ER=4.66%, 95% CI: 3.03%-6.32%) and agricultural area ( ER=10.63%, 95% CI: 7.57%-13.79%) than their correspondents. In terms of mammalian injury, dog bites showed the highest risk ( ER=2.71%, 95% CI: 2.12%-3.30%). In terms of non-mammalian,snake injuries were highly influenced by temperature ( ER=16.74%, 95% CI: 11.33%-22.40%). Conclusions:The ambient temperature rises could increase the risk of animal injury with much higher risk for non-mammalian than that for mammalian injuries. Our findings suggest that global warming may increase the risk and disease burden from animal injuries.

With global climate change, the frequency and intensity of extreme weather events have increased, and the possibility of multiple extreme weather events occurring simultaneously or continuously forming compound extreme events has also significantly increased, bringing catastrophic damage to the ecological environment, socio-economic and human health. This study reviewed the changing trends and health risks of consecutive compound heavy precipitation and heatwave extremes. There is currently no unified definition for these types of events, which could be divided into two subcategories: heavy precipitation-heatwave and heatwave-heavy precipitation. Their historical frequency and intensity have increased, and future estimates are also on the rise. The majority of current studies on single extreme events such as heatwaves or heavy precipitation revealed significant adverse health effects. However, few studies focused on the association between compound events of heavy precipitation and heatwave and human health risk. This paper further summarized the current shortcomings in this field and proposed suggestions for future research directions.

With global climate change, the frequency and intensity of extreme weather events have increased, and the possibility of multiple extreme weather events occurring simultaneously or continuously forming compound extreme events has also significantly increased, bringing catastrophic damage to the ecological environment, socio-economic and human health. This study reviewed the changing trends and health risks of consecutive compound heavy precipitation and heatwave extremes. There is currently no unified definition for these types of events, which could be divided into two subcategories: heavy precipitation-heatwave and heatwave-heavy precipitation. Their historical frequency and intensity have increased, and future estimates are also on the rise. The majority of current studies on single extreme events such as heatwaves or heavy precipitation revealed significant adverse health effects. However, few studies focused on the association between compound events of heavy precipitation and heatwave and human health risk. This paper further summarized the current shortcomings in this field and proposed suggestions for future research directions.

Objective To examine whether sleep problems are related to both emotional and behavioral problems in children aged 3-6 years.Methods A large cross-sectional study was conducted in Anqing,Wuhu,Tongling and Yangzhou from March to June 2015.A total of 8 900 preschool aged children were included.Sleep problems were obtained by using adapted BISQ completed by the parents or the people who took care of children.Emotional and behavioral problems of the children were accessed by using Strengths and Difficulties Questionnaire (SDQ),and multivariate logistic regression model was used for statistical analyses.Results The detected rates of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in preschool aged children were 9.0％,13.9％,18.9％,25.5％,13.6％ and 16.2％ respectively.All the detected rates were higher in boys than in girls except the higher rate of emotional symptoms.The proportions of children with high sleep quality,moderate sleep quality and poor or worse sleep quality were 3.9％,52.9％ and 43.2％ respectively.After controlling the confounding factors of demographic variables,including gender,age,delivery mode,birth weight,birth height and patent' s educational level,multinomial logistic regression analysis showed that the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in children with longer sleep duration was lower than that in children with shorter sleep duration,the ORs were 0.86 (95％CI:0.77-0.95),0.85 (95％CI:0.78-0.93),0.85 (95％CI:0.79-0.92),0.87(95％CI:0.81-0.93),0.83 (95％CI:0.76-0.91) and 0.82 (95％CI:0.76-0.89) respectively.Compared with the children with good sleep quality,the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior were higher in children with poor or worse sleep quality,the ORs were 3.26 (95％CI:2.40-4.42),2.86 (95％CI:2.16-3.78),2.60 (95％ CI:2.00-3.38),1.96 (95％ CI:1.52-2.54),4.02 (95％ CI:3.06-5.27) and 2.56 (95％ CI:1.96-3.35) respectively.Conclusion There was a negative impact of shorter sleep and poor or worse sleep on emotional and behavioral problems of preschool aged children.