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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Correlation between wind speed and dengue fever cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Dengue fever is a vector-borne disease that has grown dramatically in incidence rates around the world in recent years&#46; The agent of dengue fever is a dengue virus&#46; Dengue transmission has heightened significantly in most tropical countries&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">1</span></a> In 2017&#44; the number of dengue cases in Indonesia was 68&#44;407&#46; While South Sulawesi was on the thirteenth province with a high number of dengue cases&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A mosquito as a vector of disease is extremely sensitive to its surroundings specifically climate conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">3</span></a> An epidemic of dengue occurs during the humid&#44; warm&#44; and rainy period&#44; which supports the growth of mosquito and diminish the extrinsic incubation period&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">4</span></a> According to The Health District Office &#40;2004&#41;&#44; The dengue fever vector will survive in temperature 28&#8211;32<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; Besides temperature&#44; humidity also will determine the mosquito life through the determination of the durability of the trachea into respiratory mosquitoes&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">5</span></a> Therefore&#44; the study about climate factors linked to dengue fever was conducted to know the relationship of both variables&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study was located in Makassar because dengue fever was still being a problem with a fluctuating number of cases&#46; This study was quantitative with a descriptive analysis using ecological design study of climate factors and dengue fever&#46; The climate factors variable were temperature&#44; humidity&#44; rainfall&#44; and wind speed as independent variables&#46; While dengue fever cases became dependent variables&#46; This study used secondary data&#46; The monthly cases were obtained from the Health Office of Makassar&#46; Besides&#44; monthly temperature&#44; humidity&#44; rainfall&#44; and wind speed were gained from Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Data analyzed using univariate and bivariate analysis by statistical data application&#46; Data were analyzed by Generalized Estimating Equation &#40;GEE&#41; for multivariate analysis to determine the relationship between dengue cases and climate variables&#46; It was used because this study was in longitudinal research&#46; The longitudinal study was comprised of repeated or continuous measures to follow cases over a long period in years or decades&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">6</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0025" class="elsevierStylePara elsevierViewall">The number of cases in Makassar from 2011 to 2017 showed diverse models&#46; The highest cases in 2011&#8211;2012 were in January and February&#46; The description of dengue fever disease was depicted in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; Meanwhile&#44; the lowest number of cases in every year almost showed the same models&#44; it happened from October until December&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">According to descriptive analysis &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#44; the average number of cases was 13 cases&#46; The lowest was two cases and the highest was 62 cases&#46; Whereas&#44; the average temperature in Makassar in 2011&#8211;2017 was 27&#46;87<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; The lowest temperature was 26&#46;6<span class="elsevierStyleHsp" style=""></span>&#176;C and the highest temperature was 29&#46;4<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; While the average humidity was 80&#46;01&#37; RH with 66&#46;77&#37;RH as the lowest humidity and 89&#46;60 as the highest one&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Besides temperature and humidity&#44; there was rainfall and wind speed that was analyzed&#46; The average rainfall in Makassar from 2011 to 2017 was 13&#46;89<span class="elsevierStyleHsp" style=""></span>mm with 0<span class="elsevierStyleHsp" style=""></span>mm as the lowest rainfall and 43&#46;4<span class="elsevierStyleHsp" style=""></span>mm as the highest one&#46; For the wind speed&#44; the minimum speed was 1&#46;35<span class="elsevierStyleHsp" style=""></span>km&#47;h and the maximum was 3&#46;63<span class="elsevierStyleHsp" style=""></span>km&#47;h with 2&#46;24<span class="elsevierStyleHsp" style=""></span>km&#47;h as the average speed&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The temperature in Makassar 2011&#8211;2017 was fluctuating every month in a year&#46; The highest case was in 27&#46;34<span class="elsevierStyleHsp" style=""></span>&#176;C in July 2013 and the lowest cases happened in three same times that were in October 2012 &#40;29&#46;1<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#44; December 2012 &#40;28<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#44; and December 2016 &#40;27&#46;5<span class="elsevierStyleHsp" style=""></span>&#176;C&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">Humidity was one of the climate factors that was examined in this study&#46; Humidity in Makassar was fluctuating but not in the wide range&#46; The highest case was in 75&#46;94&#37; RH in July 2013&#46; While&#44; the lowest cases were in 74&#37;RH &#40;October 2012&#41;&#44; 82&#46;2&#37;RH &#40;December 2012&#41;&#44; and 85&#46;9&#37;RH &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">Besides temperature and humidity&#44; rainfall was also the cause of the rising number of dengue cases&#46; Rainfall in Makassar from 2011 to 2017 was in the medium category&#46; The highest dengue fever case was in 1<span class="elsevierStyleHsp" style=""></span>mm in July 2013 and the lowest cases were in 3&#46;2<span class="elsevierStyleHsp" style=""></span>mm &#40;October 2011&#41;&#44; 20&#46;2<span class="elsevierStyleHsp" style=""></span>mm &#40;December 2011&#41;&#44; and 23&#46;3<span class="elsevierStyleHsp" style=""></span>mm &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">Wind speed can influence the distribution of dengue vector which was <span class="elsevierStyleItalic">Aedes aegypti</span>&#46; The highest dengue case was in 2&#46;16<span class="elsevierStyleHsp" style=""></span>km&#47;h in July 2013&#46; While the lowest cases were 2&#46;61<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;October 2013&#41;&#44; 2&#46;84<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;December 2013&#41;&#44; and 3&#46;5<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>&#41;&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">The result of the correlation between temperature&#44; rainfall&#44; humidity&#44; and wind speed showed a significant correlation to dengue fever cases as long as 2011&#8211;2017 in Makassar&#46; Generalized estimating equation &#40;GEE&#41; resulted that all climate factors had a significant correlation to dengue fever cases &#40;<span class="elsevierStyleItalic">p</span>-value<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; Although the temperature had <span class="elsevierStyleItalic">p</span>-value &#62;0&#46;05&#44; substantially&#44; the temperature had a significant correlation to dengue fever cases&#46; Besides the value of probability number was higher than the chi-square value with 0&#46;0001 &#40;significant&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">One climate variable had a positive correlation with the cases which were humidity variables&#46; While temperature&#44; rainfall&#44; and wind speed had negative correlations&#46; The dominant factor was the humidity&#46; GEE analysis showed a model of the correlation between climate factors and cases&#46; But the model was only fit if the value of temperature was 26&#46;6&#8211;29&#46;4<span class="elsevierStyleHsp" style=""></span>&#176;C humidity was 66&#46;7667&#37;RH&#8211;89&#46;6&#37;RH&#59; rainfall was 0&#8211;43&#46;4<span class="elsevierStyleHsp" style=""></span>mm&#59; wind speed was 1&#46;35&#8211;3&#46;62069<span class="elsevierStyleHsp" style=""></span>km&#47;h&#46; The information about test result was served in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><p id="par0070" class="elsevierStylePara elsevierViewall">Dengue fever cases<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#46;20698<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&#46;331466<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Humidity<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>0&#46;51912563<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Rainfall<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>3&#46;027779<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Temperature<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>8&#46;493344<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Wind Speed&#46;</p></li></ul></p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0075" class="elsevierStylePara elsevierViewall">Dengue fever is fast-spreading vector-borne diseases&#46; Dengue cases increase distinctly possible throughout rainy time and became WHO alerts&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">7</span></a> It was following the result of this study that mostly&#44; the highest cases every year from 2011 to 2017 happened in January and February&#46; Since January and February was a rainy season&#46; While the lowest cases happened from October&#8211;December since October and November were the dry seasons&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Several studies also had a significant correlation of several climate variables to dengue cases&#46; Col&#243;n-Gonz&#225;lez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">8</span></a> stated that weather which was temperature significantly influenced dengue case incidence in Mexico&#46; As mentioned&#44; the temperature had a remarkable correlation to dengue fever cases&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">9</span></a> The study from Tuladhar et al&#46; &#40;2019&#41; identified that temperature became a potential contributor to the prevalence of dengue in Nepal&#46; The conducive temperature for vector survival was between 23 and 25<span class="elsevierStyleHsp" style=""></span>&#176;C&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">10</span></a> Similar to the study from Lai<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">11</span></a> that also found that temperature was remarkably related to the incidence of dengue&#46; The increase in temperature was followed by the increase of cases transmission rate&#46; The correlation between temperature and dengue cases was negative&#46; Temperature influenced the increasing number of cases when the average temperature decreased&#44; the number of reported cases increased&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">12</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">The humidity had a strong correlation compared to others&#46; It was following the previous study that stated that humidity was determinants in dengue fever incidence and outbreak&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">13&#44;14</span></a> Humidity was also has a stable impact on dengue cases than temperature as the time when it was considered the virological matters&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">15</span></a> Furthermore&#44; relative humidity may be a factor that decisively affects the egg development and adult population number of <span class="elsevierStyleItalic">A&#46; aegypti</span> that may itself be associated with vectorial capacity&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">16</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">The main variable that influences to dengue cases incidence is rainfall&#46; As mentioned in the study of Goto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">17</span></a> the rainfall variable was slightly influenced dengue fever cases in Colombo and Anuradhapura&#46; Similar to Chien and Yu<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">18</span></a> that found rainfall was the most remarkable factor with the cases in South Taiwan&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">The study that was conducted by Santos et al&#46; &#40;2019&#41; showed that the 90 days rainfall showed the most significant correlation with the cases&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a> This study showed that December became the time that the cases decrease&#46; Even though&#44; December is the rainy season&#46; Negative line was also shown in the correlation of both rainfall and cases&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">But&#44; another previous study provided information that the highest cases of dengue were on April&#44; while April is the transition of the rainy to dry season&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">20</span></a> It happened because rainfall could cause the rising of the transmission of <span class="elsevierStyleItalic">A&#46; aegypti</span> by providing or even eliminating the breeding site through flooding the vector&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">21</span></a> The spreading of the vector also happened in the dry season when water storage containers were still available&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">22</span></a> Heavy rainfall produced many outdoor breeding sources for <span class="elsevierStyleItalic">Aedes</span>&#44; but dry caused an increase in water storage containers which can become the breeding habitats&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">23</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Wind speed variable in this research also had a significant correlation to dengue fever cases&#46; It was in line with the research from Nashuha &#40;2018&#41; that wind speed influenced the impact of dengue transmission&#44; especially in high population density in the State of Perak&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">24</span></a> Although this study showed a significant correlation&#44; the wind speed had a negative correlation to dengue fever cases&#46; The study that was conducted by Cheong et al&#46;<a class="elsevierStyleCrossRef" href="#bib1010"><span class="elsevierStyleSup">25</span></a> was also found a negative correlation between wind speed and the cases&#46; Wind speed variable represented a distinct correlation with dengue cases&#44; from the general negative correlation in Barbados as well&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">26</span></a> Strong winds can reduce mosquito density so&#44; the mosquito will be difficult to find a host&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">27</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Beyond the result of this study&#44; it still has a limitation&#46; The limitation of this study included the lack of range cases and climate data&#46; While to get a better result&#44; a study should be held for ten years of the period&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusion</span><p id="par0115" class="elsevierStylePara elsevierViewall">In conclusion&#44; the dengue fever cases in Makassar over the past seven years tend to vary according to the season&#46; All climate variables &#40;humidity&#44; rainfall&#44; temperature and wind speed&#41; in this study had a significant correlation to dengue fever cases in Makassar&#46; While humidity took a dominant correlation to dengue fever cases compared to other climate factors&#46; Some preventive measures to deal with were dengue fever must be introduced to the local communities&#44; so their knowledge about the transmission and elimination of dengue fever can increase&#46; Health officers can also help disseminate knowledge by providing information about vector control&#44; especially in the rainy season&#46; Thus&#44; the transmission of dengue fever through mosquitoes can be reduced&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Ethical considerations</span><p id="par0120" class="elsevierStylePara elsevierViewall">The ethical clearance was recognized by the ethical committee from KEPK FKIK Universitas Islam Negeri Alauddin Makassar which registered in number A&#46;055&#47;KEPK&#47;FKIK&#47;I&#47;2019&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflict of interest</span><p id="par0125" class="elsevierStylePara elsevierViewall">This research had no conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Dengue fever is a global burden because of high cases number&#46; Climate factors became determinant of the mosquito&#39;s growth&#46; This study aimed to analyze the relationship between climate factors &#40;humidity&#44; temperature&#44; wind speed&#44; rainfall&#41; and dengue cases in Makassar during 2011&#8211;2017&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">It was quantitative study located in Makassar&#46; Data were analyzed by General Estimating Equation &#40;GEE&#41;&#46; Gee was used to showing the model of variables&#46; This study used secondary data from Health District Office of Makassar to get Dengue Cases Data and Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar for monthly climate data&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The result showed significant correlation between climate variables that have been researched which were temperature&#44; humidity&#44; rainfall&#44; and wind speed to dengue fever cases&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">As conclusion&#44; the humidity had strongest correlation to dengue fever cases&#46; It also showed positive correlation&#44; while others showed negative correlation&#46;</p></span>"
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Min&#8211;Max&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Dengue fever cases&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">2&#8211;62&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;68&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26&#46;6&#8211;29&#46;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">80&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">6&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">66&#46;77&#8211;89&#46;60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Rainfall&nbsp;\t\t\t\t\t\t\n
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Climate factors and dengue fever occurrence in Makassar during period of 2011–2017
Andi Susilawaty, Ranti Ekasari, Lilis Widiastuty, Dian Rezki Wijaya, Zilfadhilah Arranury, Syahrul Basri
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    "titulo" => "Climate factors and dengue fever occurrence in Makassar during period of 2011&#8211;2017"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Correlation between wind speed and dengue fever cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Dengue fever is a vector-borne disease that has grown dramatically in incidence rates around the world in recent years&#46; The agent of dengue fever is a dengue virus&#46; Dengue transmission has heightened significantly in most tropical countries&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">1</span></a> In 2017&#44; the number of dengue cases in Indonesia was 68&#44;407&#46; While South Sulawesi was on the thirteenth province with a high number of dengue cases&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A mosquito as a vector of disease is extremely sensitive to its surroundings specifically climate conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">3</span></a> An epidemic of dengue occurs during the humid&#44; warm&#44; and rainy period&#44; which supports the growth of mosquito and diminish the extrinsic incubation period&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">4</span></a> According to The Health District Office &#40;2004&#41;&#44; The dengue fever vector will survive in temperature 28&#8211;32<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; Besides temperature&#44; humidity also will determine the mosquito life through the determination of the durability of the trachea into respiratory mosquitoes&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">5</span></a> Therefore&#44; the study about climate factors linked to dengue fever was conducted to know the relationship of both variables&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study was located in Makassar because dengue fever was still being a problem with a fluctuating number of cases&#46; This study was quantitative with a descriptive analysis using ecological design study of climate factors and dengue fever&#46; The climate factors variable were temperature&#44; humidity&#44; rainfall&#44; and wind speed as independent variables&#46; While dengue fever cases became dependent variables&#46; This study used secondary data&#46; The monthly cases were obtained from the Health Office of Makassar&#46; Besides&#44; monthly temperature&#44; humidity&#44; rainfall&#44; and wind speed were gained from Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Data analyzed using univariate and bivariate analysis by statistical data application&#46; Data were analyzed by Generalized Estimating Equation &#40;GEE&#41; for multivariate analysis to determine the relationship between dengue cases and climate variables&#46; It was used because this study was in longitudinal research&#46; The longitudinal study was comprised of repeated or continuous measures to follow cases over a long period in years or decades&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">6</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0025" class="elsevierStylePara elsevierViewall">The number of cases in Makassar from 2011 to 2017 showed diverse models&#46; The highest cases in 2011&#8211;2012 were in January and February&#46; The description of dengue fever disease was depicted in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; Meanwhile&#44; the lowest number of cases in every year almost showed the same models&#44; it happened from October until December&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">According to descriptive analysis &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#44; the average number of cases was 13 cases&#46; The lowest was two cases and the highest was 62 cases&#46; Whereas&#44; the average temperature in Makassar in 2011&#8211;2017 was 27&#46;87<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; The lowest temperature was 26&#46;6<span class="elsevierStyleHsp" style=""></span>&#176;C and the highest temperature was 29&#46;4<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; While the average humidity was 80&#46;01&#37; RH with 66&#46;77&#37;RH as the lowest humidity and 89&#46;60 as the highest one&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Besides temperature and humidity&#44; there was rainfall and wind speed that was analyzed&#46; The average rainfall in Makassar from 2011 to 2017 was 13&#46;89<span class="elsevierStyleHsp" style=""></span>mm with 0<span class="elsevierStyleHsp" style=""></span>mm as the lowest rainfall and 43&#46;4<span class="elsevierStyleHsp" style=""></span>mm as the highest one&#46; For the wind speed&#44; the minimum speed was 1&#46;35<span class="elsevierStyleHsp" style=""></span>km&#47;h and the maximum was 3&#46;63<span class="elsevierStyleHsp" style=""></span>km&#47;h with 2&#46;24<span class="elsevierStyleHsp" style=""></span>km&#47;h as the average speed&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The temperature in Makassar 2011&#8211;2017 was fluctuating every month in a year&#46; The highest case was in 27&#46;34<span class="elsevierStyleHsp" style=""></span>&#176;C in July 2013 and the lowest cases happened in three same times that were in October 2012 &#40;29&#46;1<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#44; December 2012 &#40;28<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#44; and December 2016 &#40;27&#46;5<span class="elsevierStyleHsp" style=""></span>&#176;C&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">Humidity was one of the climate factors that was examined in this study&#46; Humidity in Makassar was fluctuating but not in the wide range&#46; The highest case was in 75&#46;94&#37; RH in July 2013&#46; While&#44; the lowest cases were in 74&#37;RH &#40;October 2012&#41;&#44; 82&#46;2&#37;RH &#40;December 2012&#41;&#44; and 85&#46;9&#37;RH &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">Besides temperature and humidity&#44; rainfall was also the cause of the rising number of dengue cases&#46; Rainfall in Makassar from 2011 to 2017 was in the medium category&#46; The highest dengue fever case was in 1<span class="elsevierStyleHsp" style=""></span>mm in July 2013 and the lowest cases were in 3&#46;2<span class="elsevierStyleHsp" style=""></span>mm &#40;October 2011&#41;&#44; 20&#46;2<span class="elsevierStyleHsp" style=""></span>mm &#40;December 2011&#41;&#44; and 23&#46;3<span class="elsevierStyleHsp" style=""></span>mm &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">Wind speed can influence the distribution of dengue vector which was <span class="elsevierStyleItalic">Aedes aegypti</span>&#46; The highest dengue case was in 2&#46;16<span class="elsevierStyleHsp" style=""></span>km&#47;h in July 2013&#46; While the lowest cases were 2&#46;61<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;October 2013&#41;&#44; 2&#46;84<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;December 2013&#41;&#44; and 3&#46;5<span class="elsevierStyleHsp" style=""></span>km&#47;h &#40;December 2016&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>&#41;&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">The result of the correlation between temperature&#44; rainfall&#44; humidity&#44; and wind speed showed a significant correlation to dengue fever cases as long as 2011&#8211;2017 in Makassar&#46; Generalized estimating equation &#40;GEE&#41; resulted that all climate factors had a significant correlation to dengue fever cases &#40;<span class="elsevierStyleItalic">p</span>-value<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; Although the temperature had <span class="elsevierStyleItalic">p</span>-value &#62;0&#46;05&#44; substantially&#44; the temperature had a significant correlation to dengue fever cases&#46; Besides the value of probability number was higher than the chi-square value with 0&#46;0001 &#40;significant&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">One climate variable had a positive correlation with the cases which were humidity variables&#46; While temperature&#44; rainfall&#44; and wind speed had negative correlations&#46; The dominant factor was the humidity&#46; GEE analysis showed a model of the correlation between climate factors and cases&#46; But the model was only fit if the value of temperature was 26&#46;6&#8211;29&#46;4<span class="elsevierStyleHsp" style=""></span>&#176;C humidity was 66&#46;7667&#37;RH&#8211;89&#46;6&#37;RH&#59; rainfall was 0&#8211;43&#46;4<span class="elsevierStyleHsp" style=""></span>mm&#59; wind speed was 1&#46;35&#8211;3&#46;62069<span class="elsevierStyleHsp" style=""></span>km&#47;h&#46; The information about test result was served in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><p id="par0070" class="elsevierStylePara elsevierViewall">Dengue fever cases<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#46;20698<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&#46;331466<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Humidity<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>0&#46;51912563<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Rainfall<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>3&#46;027779<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Temperature<span class="elsevierStyleHsp" style=""></span>&#8722;<span class="elsevierStyleHsp" style=""></span>8&#46;493344<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>Wind Speed&#46;</p></li></ul></p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0075" class="elsevierStylePara elsevierViewall">Dengue fever is fast-spreading vector-borne diseases&#46; Dengue cases increase distinctly possible throughout rainy time and became WHO alerts&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">7</span></a> It was following the result of this study that mostly&#44; the highest cases every year from 2011 to 2017 happened in January and February&#46; Since January and February was a rainy season&#46; While the lowest cases happened from October&#8211;December since October and November were the dry seasons&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Several studies also had a significant correlation of several climate variables to dengue cases&#46; Col&#243;n-Gonz&#225;lez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">8</span></a> stated that weather which was temperature significantly influenced dengue case incidence in Mexico&#46; As mentioned&#44; the temperature had a remarkable correlation to dengue fever cases&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">9</span></a> The study from Tuladhar et al&#46; &#40;2019&#41; identified that temperature became a potential contributor to the prevalence of dengue in Nepal&#46; The conducive temperature for vector survival was between 23 and 25<span class="elsevierStyleHsp" style=""></span>&#176;C&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">10</span></a> Similar to the study from Lai<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">11</span></a> that also found that temperature was remarkably related to the incidence of dengue&#46; The increase in temperature was followed by the increase of cases transmission rate&#46; The correlation between temperature and dengue cases was negative&#46; Temperature influenced the increasing number of cases when the average temperature decreased&#44; the number of reported cases increased&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">12</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">The humidity had a strong correlation compared to others&#46; It was following the previous study that stated that humidity was determinants in dengue fever incidence and outbreak&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">13&#44;14</span></a> Humidity was also has a stable impact on dengue cases than temperature as the time when it was considered the virological matters&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">15</span></a> Furthermore&#44; relative humidity may be a factor that decisively affects the egg development and adult population number of <span class="elsevierStyleItalic">A&#46; aegypti</span> that may itself be associated with vectorial capacity&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">16</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">The main variable that influences to dengue cases incidence is rainfall&#46; As mentioned in the study of Goto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">17</span></a> the rainfall variable was slightly influenced dengue fever cases in Colombo and Anuradhapura&#46; Similar to Chien and Yu<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">18</span></a> that found rainfall was the most remarkable factor with the cases in South Taiwan&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">The study that was conducted by Santos et al&#46; &#40;2019&#41; showed that the 90 days rainfall showed the most significant correlation with the cases&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a> This study showed that December became the time that the cases decrease&#46; Even though&#44; December is the rainy season&#46; Negative line was also shown in the correlation of both rainfall and cases&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">But&#44; another previous study provided information that the highest cases of dengue were on April&#44; while April is the transition of the rainy to dry season&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">20</span></a> It happened because rainfall could cause the rising of the transmission of <span class="elsevierStyleItalic">A&#46; aegypti</span> by providing or even eliminating the breeding site through flooding the vector&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">21</span></a> The spreading of the vector also happened in the dry season when water storage containers were still available&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">22</span></a> Heavy rainfall produced many outdoor breeding sources for <span class="elsevierStyleItalic">Aedes</span>&#44; but dry caused an increase in water storage containers which can become the breeding habitats&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">23</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Wind speed variable in this research also had a significant correlation to dengue fever cases&#46; It was in line with the research from Nashuha &#40;2018&#41; that wind speed influenced the impact of dengue transmission&#44; especially in high population density in the State of Perak&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">24</span></a> Although this study showed a significant correlation&#44; the wind speed had a negative correlation to dengue fever cases&#46; The study that was conducted by Cheong et al&#46;<a class="elsevierStyleCrossRef" href="#bib1010"><span class="elsevierStyleSup">25</span></a> was also found a negative correlation between wind speed and the cases&#46; Wind speed variable represented a distinct correlation with dengue cases&#44; from the general negative correlation in Barbados as well&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">26</span></a> Strong winds can reduce mosquito density so&#44; the mosquito will be difficult to find a host&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">27</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Beyond the result of this study&#44; it still has a limitation&#46; The limitation of this study included the lack of range cases and climate data&#46; While to get a better result&#44; a study should be held for ten years of the period&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusion</span><p id="par0115" class="elsevierStylePara elsevierViewall">In conclusion&#44; the dengue fever cases in Makassar over the past seven years tend to vary according to the season&#46; All climate variables &#40;humidity&#44; rainfall&#44; temperature and wind speed&#41; in this study had a significant correlation to dengue fever cases in Makassar&#46; While humidity took a dominant correlation to dengue fever cases compared to other climate factors&#46; Some preventive measures to deal with were dengue fever must be introduced to the local communities&#44; so their knowledge about the transmission and elimination of dengue fever can increase&#46; Health officers can also help disseminate knowledge by providing information about vector control&#44; especially in the rainy season&#46; Thus&#44; the transmission of dengue fever through mosquitoes can be reduced&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Ethical considerations</span><p id="par0120" class="elsevierStylePara elsevierViewall">The ethical clearance was recognized by the ethical committee from KEPK FKIK Universitas Islam Negeri Alauddin Makassar which registered in number A&#46;055&#47;KEPK&#47;FKIK&#47;I&#47;2019&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflict of interest</span><p id="par0125" class="elsevierStylePara elsevierViewall">This research had no conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Dengue fever is a global burden because of high cases number&#46; Climate factors became determinant of the mosquito&#39;s growth&#46; This study aimed to analyze the relationship between climate factors &#40;humidity&#44; temperature&#44; wind speed&#44; rainfall&#41; and dengue cases in Makassar during 2011&#8211;2017&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">It was quantitative study located in Makassar&#46; Data were analyzed by General Estimating Equation &#40;GEE&#41;&#46; Gee was used to showing the model of variables&#46; This study used secondary data from Health District Office of Makassar to get Dengue Cases Data and Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar for monthly climate data&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The result showed significant correlation between climate variables that have been researched which were temperature&#44; humidity&#44; rainfall&#44; and wind speed to dengue fever cases&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">As conclusion&#44; the humidity had strongest correlation to dengue fever cases&#46; It also showed positive correlation&#44; while others showed negative correlation&#46;</p></span>"
        "secciones" => array:4 [
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 3rd International Nursing&#44; Health Science Students &#38; Health Care Professionals Conference&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
      ]
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          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Dengue fever cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Health Office of Makassar&#46;</p>"
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      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Correlation between temperature and cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
        ]
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      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Fig&#46; 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Correlation between humidity and cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
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        "identificador" => "fig0020"
        "etiqueta" => "Fig&#46; 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Correlation between rainfall variable and cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
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      4 => array:7 [
        "identificador" => "fig0025"
        "etiqueta" => "Fig&#46; 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Correlation between wind speed and dengue fever cases in Makassar 2011&#8211;2017&#46; <span class="elsevierStyleBold">Source&#58;</span> Meteorological&#44; Climatological&#44; and Geophysical Agency of Makassar and Health Office of Makassar&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Standard error&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Standard deviation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Min&#8211;Max&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dengue fever cases&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#8211;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Temperature&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;6&#8211;29&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Humidity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&#46;77&#8211;89&#46;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Rainfall&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#46;96&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#8211;43&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Wind speed&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;35&#8211;3&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Descriptive distribution of cases and climate factors in Makassar 2011&#8211;2017&#46;</p>"
        ]
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              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coefficient&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Standard error&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>-value&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; confidence interval &#40;CI&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Temperature&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;3&#46;027779&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;076&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;6&#46;37&#8211;0&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Humidity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;331466&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;266&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;81&#8211;1&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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