The Burden of Dengue in Children by Calculating Spatial Temperature: A Methodological Approach Using Remote Sensing Techniques.

BACKGROUND: Dengue fever is one of the most important arboviral diseases. Surface temperature versus dengue burden in tropical environments can provide valuable information that can be adapted in future measurements to improve health policies. METHODS: A methodological approach using Daymet-V3 provided estimates of daily weather parameters. A Python code developed by us extracted the median temperature from the urban regions of Colima State (207.3 km2) in Mexico. JointPoint regression models computed the mean temperature-adjusted average annual percentage of change (AAPC) in disability-adjusted life years (DALY) rates (per 100,000) due to dengue in Colima State among school-aged (5-14 years old) children. RESULTS: Primary outcomes were average temperature in urban areas and cumulative dengue burden in DALYs in the school-aged population. A model from 1990 to 2017 medium surface temperature with DALY rates was performed. The increase in DALYs rate was 64% (95% CI, 44-87%), and it seemed to depend on the 2000-2009 estimates (AAPC = 185%, 95% CI 18-588). CONCLUSION: From our knowledge, this is the first study to evaluate surface temperature and to model it through an extensive period with health economics calculations in a specific subset of the Latin-American endemic population for dengue epidemics.

Health Impacts from Corn Production Pre-and Post-NAFTA Trade Agreement (1986-2013).

UNLABELLED: Life cycle assessment (LCA) is a powerful methodology for the study of health impacts and public policies. We performed this study to quantitatively explain the potential health impacts on disability-adjusted life years (DALYs) of corn produced in Mexico and imported from the United States of America (U.S.) from 1984 until 2014. The processes are hybrid and organic corn production. The functional unit was defined as 1 ton of corn production. Results indicate a total value of 178,431, 244,175, and 283,426 DALYs of three decades: 1984-1993, 1994-2003, and 2004-2013, of Mexican production; the U.S. production and transport were also calculated, showing values of 29,815, 65,837, and 107,729 for the same three decades. Additionally, DALYs were obtained for the category of human health and climate change by functional unit: 802.31 (1984-1993), 802.67 (1994-2003), and 803.92 (2004-2013), and for imported corn transported to Mexico from the U.S., 859.12 (1984-2013). DALYs on human toxicity were obtained: 99.05 (1984-1993), 99.05 (1994-2003), and 99.04 (2004-2013), and for the corn imported and transported to Mexico from the U.S., 116.25 (1984-2013). CONCLUSIONS: Environmental and health impacts in terms of DALYs are higher when corn is imported versus the corn produced in Mexico. Environmental health and nominal corn cultivation and transport impacts have increased as a result of the North American Free Trade Agreement (NAFTA). Mexico needs to redefine its public policies to suffer less of an environmental burden from corn to ensure global environmental health and food security.