Table 2.
Sensitivity analyses of the association of heavy precipitation and shigellosis during a Shigella sonnei outbreak – Oregon, July 2015–June 2016.
| Type of analysis | All cases RR [95% CI] | Homeless persons RR [95% CI] | Housed persons RR [95% CI] |
|---|---|---|---|
| Primary analysisa | 1.18 [1.06–1.33] | 1.36 [1.17–1.59] | 1.04 [0.86–1.25] |
| Exposure window from days −7 to −1 | 1.13 [0.99–1.28] | 1.24 [1.04–1.50] | 1.08 [0.90–1.29] |
| Exposure window from days −3 to −1 | 1.19 [0.93–1.51] | 1.48 [1.05–2.10] | 1.06 [0.74–1.50] |
| Exposure window from days −10 to −4 | 1.16 [1.02–1.31] | 1.29 [1.08–1.54] | 1.07 [0.89–1.28] |
| Exposure window from days −10 to −8 | 1.28 [1.02–1.61] | 1.58 [1.15–2.16] | 1.04 [0.73–1.49] |
| Limited to the rainy seasonb | 1.19 [1.03–1.37] | 1.35 [1.10–1.66] | 0.99 [0.78–1.26] |
| Maximum (instead of minimum) temperature | 1.14 [1.01–1.29] | 1.27 [1.09–1.48] | 0.98 [0.80–1.21] |
| Limited to Multnomah County cases | 1.27 [1.13–1.43] | 1.35 [1.16–1.57] | 1.15 [0.95–1.40] |
| Including a holidays indicator variable | 1.14 [1.01–1.29] | 1.27 [1.09–1.49] | 1.00 [0.82–1.23] |
| Using NOAA data instead of PRISM data | 1.14 [1.03–1.27] | 1.27 [1.11–1.47] | 1.02 [0.87–1.21] |
The primary analysis used an exposure period from days −14 to −8, including cases during the entire outbreak (July 2015–June 2016) and from all Oregon locations, controlled for minimum temperature (average from days −14 to −8) by using PRISM data, and did not include a holidays indicator variable. To account for autocorrelation, all analyses controlled for daily counts at lags in which counts were correlated with counts on a given day (lag 0); these included lags 1 and 7 (days −1 and −7) for the analyses with all persons and homeless persons and lag 7 (day −7) for the analysis with housed persons.
Rainy season in Oregon is November–March.
RR, risk ratio; CI, confidence interval; NOAA, National Oceanic and Atmospheric Administration; PRISM, PRISM Climate Group, Oregon State University.