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Global climate change may increase the burden of diarrheal diseases, which are already a leading cause of childhood morbidity and mortality (1, 2).
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The impact of heavy rainfall events on waterborne diarrheal diseases is uncertain.
Mixed-effects Poisson regression was used to test the hypothesis that rainfall in the prior 8 weeks, water and sanitation conditions, and social cohesion modified the relationship between heavy rainfall events and diarrhea incidence.
Heavy rainfall events were associated with increased diarrhea incidence following dry periods (incidence rate ratio = 1.39, 95% confidence interval: 1.03, 1.87) and decreased diarrhea incidence following wet periods (incidence rate ratio = 0.74, 95% confidence interval: 0.59, 0.92).