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Suggested Citation


Research

Climatic and Environmental Patterns Associated with Hantavirus Pulmonary Syndrome, Four Corners Region, United States

David M. Engelthaler,* David G. Mosley,* James E. Cheek,† Craig E. Levy,* Kenneth K. Komatsu,* Paul Ettestad,‡ Ted Davis,§ Dale T. Tanda,§ Lisa Miller,§ J. Wyatt Frampton,¶ Richard Porter,* and Ralph T. Bryan#
*Arizona Department of Health Services, Phoenix, Arizona, USA; †Indian Health Service, Albuquerque, New Mexico, USA; ‡New Mexico Department of Health, Santa Fe, New Mexico, USA; §Colorado Department of Public Health and Environment, Denver, Colorado; ¶Utah Department of Health, Salt Lake City, Utah, USA; and #Centers for Disease Control and Prevention, Albuquerque, New Mexico, USA 


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Figure 1. Mean difference in monthly precipitation and temperature between month of interest and 6-year mean (1986–1991) at the study sites and number of cases by month, 1993–1995


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Figure 2. Correlation of hantavirus pulmonary syndrome (HPS) cases per month and number of months from end of El Niño period (n = 53 cases).


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Figure 3. Distribution of monthly ambient temperatures for months estimated as the month SNV exposure occurred and the 11 nonexposure months for the same calendar year (n = 35 cases and 24 weather stations).


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Figure 4. Hantavirus pulmonary syndrome cases in the Four Corners region, by probable exposure site location, 1993–1995 (n = 53 cases and 52 exposure sites).


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Figure 5. Hantavirus pulmonary syndrome cases in the Four Corners region by state, 1993–1995 (n = 53 cases and 52 exposure sites).


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Figure 6. Hantavirus pulmonary cases in the Four Corners region, by month of onset, 1993–1995 (n = 53 cases and 52 exposure sites).


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Figure 7. Number of hantavirus pulmonary syndrome cases occurring in specific biomes by season of onset (1993–1995) (n = 53 cases).


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