TY - JOUR AU - Engelthaler, David M. AU - Mosley, David G. AU - Cheek, James E. AU - Levy, Craig E. AU - Komatsu, Kenneth K. AU - Ettestad, Paul AU - Davis, Ted AU - Tanda, Dale T. AU - Miller, Lisa AU - Frampton, J. Wyatt AU - Porter, Richard AU - Bryan, Ralph T. T1 - Climatic and Environmental Patterns Associated with Hantavirus Pulmonary Syndrome, Four Corners Region, United States T2 - Emerging Infectious Disease journal PY - 1999 VL - 5 IS - 1 SP - 87 SN - 1080-6059 AB - To investigate climatic, spatial, temporal, and environmental patterns associated with hantavirus pulmonary syndrome (HPS) cases in the Four Corners region, we collected exposure site data for HPS cases that occurred in 1993 to 1995. Cases clustered seasonally and temporally by biome type and geographic location, and exposure sites were most often found in pinyon-juniper woodlands, grasslands, and Great Basin desert scrub lands, at elevations of 1,800 m to 2,500 m. Environmental factors (e.g., the dramatic increase in precipitation associated with the 1992 to 1993 El NiƱo) may indirectly increase the risk for Sin Nombre virus exposure and therefore may be of value in designing disease prevention campaigns. KW - United States DO - 10.3201/eid0501.990110 UR - https://wwwnc.cdc.gov/eid/article/5/1/99-0110_article ER - End of Reference