The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis

Abstract Objectives Tuberculosis (TB) presents a substantial danger to populations experiencing crises like earthquakes. This study aims to explore the effect of the Kermanshah earthquake on the trend of TB. Methods This cross-sectional study examined tuberculosis data from 2009 to 2020, using month...

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Main Authors: Ehsan Mardani-Talaee, Yahya Salimi, Fatemeh Heydarpour, Mitra Darbandi, Gholamreza Abdoli
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Infectious Diseases
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Online Access:https://doi.org/10.1186/s12879-024-09832-w
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author Ehsan Mardani-Talaee
Yahya Salimi
Fatemeh Heydarpour
Mitra Darbandi
Gholamreza Abdoli
author_facet Ehsan Mardani-Talaee
Yahya Salimi
Fatemeh Heydarpour
Mitra Darbandi
Gholamreza Abdoli
author_sort Ehsan Mardani-Talaee
collection DOAJ
description Abstract Objectives Tuberculosis (TB) presents a substantial danger to populations experiencing crises like earthquakes. This study aims to explore the effect of the Kermanshah earthquake on the trend of TB. Methods This cross-sectional study examined tuberculosis data from 2009 to 2020, using monthly diagnoses. Data was collected from the TB research office and registration system. The study employed interrupted time series (ITS) analysis to assess both the immediate and long-term impacts of the earthquake on TB cases. Results In Sarpol-e Zahab, TB cases initially surged after the earthquake, indicating an immediate effect, but then significantly declined compared to pre-earthquake levels, reflecting an effect over time (β0 = 1.39, β1=-0.004, β2 = 0.11 and β3=-0.01, P = 0.001 and Post-intervention linear trend= -0.015, P < 0.001). In Ghasr-e Shirin, the average number of TB cases prior to the earthquake was estimated at 0.58 cases, with a significant monthly decrease of 0.005 cases leading up to the earthquake (P = 0.001). There was no significant immediate change in TB cases during the first month after the earthquake (β2 = 0.008, P = 0.680). Post-earthquake, TB cases dramatically increased (β3 = 0.008, P = 0.001). The monthly trend of TB cases rose significantly by 0.002 (P = 0.001), indicating an effect over time. In Salas-e Babajani, there was no immediate change in TB cases, but there was a significant long-term decline compared to the period before the earthquake (P = 0.001). Conclusions Earthquake is one of the natural crises that provide the conditions for the increase of TB. Local health policymakers must make plans in these areas to contain TB after the earthquake.
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spelling doaj-art-f68989c14cab4a9ab4d11419a45ffb002024-11-10T12:10:21ZengBMCBMC Infectious Diseases1471-23342024-11-012411610.1186/s12879-024-09832-wThe effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysisEhsan Mardani-Talaee0Yahya Salimi1Fatemeh Heydarpour2Mitra Darbandi3Gholamreza Abdoli4Student Research Committee, Kermanshah University of Medical SciencesSchool of Public Health, Kermanshah University of Medical SciencesSchool of Public Health, Kermanshah University of Medical SciencesStudent Research Committee, Kermanshah University of Medical SciencesSchool of Public Health, Kermanshah University of Medical SciencesAbstract Objectives Tuberculosis (TB) presents a substantial danger to populations experiencing crises like earthquakes. This study aims to explore the effect of the Kermanshah earthquake on the trend of TB. Methods This cross-sectional study examined tuberculosis data from 2009 to 2020, using monthly diagnoses. Data was collected from the TB research office and registration system. The study employed interrupted time series (ITS) analysis to assess both the immediate and long-term impacts of the earthquake on TB cases. Results In Sarpol-e Zahab, TB cases initially surged after the earthquake, indicating an immediate effect, but then significantly declined compared to pre-earthquake levels, reflecting an effect over time (β0 = 1.39, β1=-0.004, β2 = 0.11 and β3=-0.01, P = 0.001 and Post-intervention linear trend= -0.015, P < 0.001). In Ghasr-e Shirin, the average number of TB cases prior to the earthquake was estimated at 0.58 cases, with a significant monthly decrease of 0.005 cases leading up to the earthquake (P = 0.001). There was no significant immediate change in TB cases during the first month after the earthquake (β2 = 0.008, P = 0.680). Post-earthquake, TB cases dramatically increased (β3 = 0.008, P = 0.001). The monthly trend of TB cases rose significantly by 0.002 (P = 0.001), indicating an effect over time. In Salas-e Babajani, there was no immediate change in TB cases, but there was a significant long-term decline compared to the period before the earthquake (P = 0.001). Conclusions Earthquake is one of the natural crises that provide the conditions for the increase of TB. Local health policymakers must make plans in these areas to contain TB after the earthquake.https://doi.org/10.1186/s12879-024-09832-wEarthquakeTuberculosisInterrupted time series
spellingShingle Ehsan Mardani-Talaee
Yahya Salimi
Fatemeh Heydarpour
Mitra Darbandi
Gholamreza Abdoli
The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
BMC Infectious Diseases
Earthquake
Tuberculosis
Interrupted time series
title The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
title_full The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
title_fullStr The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
title_full_unstemmed The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
title_short The effect of the great Kermanshah earthquake on the tuberculosis infection trend: interrupted time series analysis
title_sort effect of the great kermanshah earthquake on the tuberculosis infection trend interrupted time series analysis
topic Earthquake
Tuberculosis
Interrupted time series
url https://doi.org/10.1186/s12879-024-09832-w
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