<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1659-0201</journal-id>
<journal-title><![CDATA[Población y Salud en Mesoamérica]]></journal-title>
<abbrev-journal-title><![CDATA[PSM]]></abbrev-journal-title>
<issn>1659-0201</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Costa Rica. Centro Centroamericano de Población]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1659-02012017000200006</article-id>
<article-id pub-id-type="doi">10.15517/psm.v15i1.26189</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fenómeno ENOS y el dengue, Regiones Pacífico Central y Huetar Atlántico, Costa Rica, 1990 a 2011]]></article-title>
<article-title xml:lang="en"><![CDATA[ENSO and Dengue, in the Pacifico Central and Huetar Atlántico Regions, Costa Rica, 1990 to 2011]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Solano]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chamizo García]]></surname>
<given-names><![CDATA[Horacio Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fallas Sojo]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  Escuela de Tecnologías en Salud]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>CR</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  Escuela de Tecnologías en Salud]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>CR</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Costa Rica  Escuela de Física]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>CR</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>1</numero>
<fpage>6</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1659-02012017000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1659-02012017000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1659-02012017000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ResumenEn los últimos años, se ha evidenciado en Costa Rica un aumento importante en la cantidad de casos de dengue, por lo que se necesitan estudios donde se identifiquen las condiciones que promueven la propagación de la enfermedad, el ciclo de vida del vector, así como fenómenos atmosféricos entre los que sobresale el fenómeno El Niño-Oscilación del Sur (ENOS).Objetivo: Analizar el efecto del Fenómeno ENOS en la propagación del virus del Dengue, en las Regiones Pacífico Central y Huetar Atlántico de Costa Rica en el periodo comprendido de 1990 a 2011.Métodos: se utilizó un estudio ecológico exploratorio, el cual tomó fuentes de información primaria, generadas por el Ministerio de Salud (MINSA), el Instituto Meteorológico Nacional (IMN) y el Instituto Nacional de Estadística y Censos (INEC).Resultados: en los periodos durante los cuales se presentó en el país la fase cálida, las incidencias acumuladas promedio mensuales aumentaron en el Pacífico y disminuyeron en el Caribe, mientras que durante los periodos en que se mantuvo la fase fría, la incidencia acumulada promedio mensual aumentó en el Caribe y disminuyó en el Pacífico.Conclusiones: el fenómeno del ENOS afecta el aumento y disminución de los casos de dengue en los litorales de manera inversa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[AbstractOver the last years in Costa Rica, there has been a worrying increase in the number of people infected by Dengue. This situation reveals the necessity of searching for the causes that promote the mosquito&#8217;s proliferation; especially concerning the relationship with environmental type that affects life cycle of the vector, such as atmospheric phenomena: El Niño/Southern Oscillation (ENSO).Objective: The investigation objective was to analyze the effect that ENOS has in the propagation of the Dengue virus in Pacífico Central and Huetar Atlántico in Costa Rica between 1990 and 2011.Methods: It was used an experimental, ecological study and different sources like Ministerio de Salud (MINSA), the Instituto Meteorológico Nacional (IMN) and the Instituto Nacional de Estadística y Censos (INEC) as primarily information bases.Results: The monthly impact accumulated of Dengue grew up during the Warm Phase at the Pacífico, and it decreased at The Caribe, while during the Cold Phase the monthly impact accumulated expanded at The Caribe and detracted at the Pacífico.Conclusions: Among the numerous findings, it turns out that the ENSO phenomenon alters the percentage of the people infected at the littorals in an inverse way.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dengue]]></kwd>
<kwd lng="es"><![CDATA[clima]]></kwd>
<kwd lng="es"><![CDATA[El Niño Oscilación del Sur]]></kwd>
<kwd lng="es"><![CDATA[ENOS]]></kwd>
<kwd lng="en"><![CDATA[dengue]]></kwd>
<kwd lng="en"><![CDATA[weather]]></kwd>
<kwd lng="en"><![CDATA[El Niño Southern Oscillation]]></kwd>
<kwd lng="en"><![CDATA[ENSO]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Developing global climate anomalies suggest potential disease risk for 2006-2007]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anyamba]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Chretien]]></surname>
<given-names><![CDATA[J. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Small]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[C. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Linthicum]]></surname>
<given-names><![CDATA[K. J.]]></given-names>
</name>
</person-group>
<source><![CDATA[International Journal Health Geographics]]></source>
<year>2006</year>
<volume>5</volume>
<numero>60</numero>
<issue>60</issue>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brenes]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Barquero]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Dengue y su relacion con un desastre natural por inundación: crónica de una epidemia]]></source>
<year>1996</year>
<publisher-loc><![CDATA[San José ]]></publisher-loc>
<publisher-name><![CDATA[CIET]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Assesing the roles of temperature, precipitation, and enso in dengue re-emergence on the Texas-Mexico border region]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brunkard]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Cifuentes]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Rothenberg]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Pública de México]]></source>
<year>2008</year>
<volume>50</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>227-34</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factores climáticos y casos de dengue en Montería, Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cassab]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
<name>
<surname><![CDATA[Mattar]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista de Salud Pública]]></source>
<year>2010</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>115-28</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comportamiento estacional y temporal de Aedes aegypti (Diptera: Culicidae) en Sancti Spíritus, 1999-2007]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz Pineda]]></surname>
<given-names><![CDATA[C. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Sebrango Rodríguez]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Cristo Hernánez]]></surname>
<given-names><![CDATA[M. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Pina]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Marquetti Fernández]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Valdés]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Cubana de Medicina Tropical]]></source>
<year>2010</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-10</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Análise temporal da relação entre dengue e variáveis meteorológicas na cidade do Rio de Janeiro, Brasil, no período de 2001 a 2009]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Funges Gomes]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo Nobre]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Goncalves Cruz]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<source><![CDATA[Cad. Saúde Pública]]></source>
<year>2012</year>
<volume>28</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>2189-97</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<collab>Instituto Nacional de Estadística y Censos</collab>
<source><![CDATA[Base de datos de población 1990-2011]]></source>
<year></year>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Autor]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<collab>Instituto Meteorologico Nacional</collab>
<source><![CDATA[Efectos del Clima, su variabilidad y cambio climatico sobre la salud humana en Costa Rica]]></source>
<year>2008</year>
<publisher-loc><![CDATA[San José ]]></publisher-loc>
<publisher-name><![CDATA[Autor]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<collab>Instituto Meterorologico Nacional</collab>
<source><![CDATA[ENOS]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<collab>Instituto Meteorológico Nacional</collab>
<source><![CDATA[Base de datos sobre humedad, temperatura precipitaciones 1990-2011]]></source>
<year></year>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Autor]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cambio Climático y dengue en Cuba]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lemus Lago]]></surname>
<given-names><![CDATA[E. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Carratge Delgado]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Cubana de Medicina General Integral]]></source>
<year>2009</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Modelagem geoestatística dos casos de dengue e da variação termopluviométrica em João Pessoa, Brasil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medeiros Silva]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Marques da Silva]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira da Almeida]]></surname>
<given-names><![CDATA[C. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Da Silva Chavez]]></surname>
<given-names><![CDATA[J. J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Soc. &amp; Nat.]]></source>
<year>2015</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>157-69</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factores asociados con la incidencia de dengue en Costa Rica]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mena]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Troyo]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Bonilla]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Calderon]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Panamericana Salud Publica]]></source>
<year>2011</year>
<volume>29</volume>
<numero>42</numero>
<issue>42</issue>
<page-range>234-42</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Influencia del clima y de la cobertura vegetal en la ocurrencia del Dengue (2001-2010)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meza-Ballesta]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Gónima]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista de Salud Pública]]></source>
<year>2014</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>293-306</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<collab>Ministerio de Salud</collab>
<source><![CDATA[Base de datos incidencia del dengue 1990-2011]]></source>
<year></year>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Autor]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La variabilidad y el cambio climático en cuba: potenciales impactos en la salud humana]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortiz Bultó]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Perez Rodriguez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Rivero Valencia]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Perez Carrera]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Cangas]]></surname>
<given-names><![CDATA[J. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Lecha Estela]]></surname>
<given-names><![CDATA[J. B.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Cubana de Salud Pública]]></source>
<year>2008</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
</person-group>
<source><![CDATA[XIII Curso de experto universitario en epidemiología y nuevas tecnologías aplicadas]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[UNED]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Providas]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Cambio climatico y el desafio de la salud en Bolivia]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Bolivia ]]></publisher-loc>
<publisher-name><![CDATA[PNUD]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Asociacion entre las variaciones climaticas y los casos de Dengue en un hospital de Caracas, Venezuela, 1998-2004]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rifakis I.]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves C.]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Omaña R.]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Manso M.]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Espidel G.]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Intingaro R.]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández M.]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Morales]]></surname>
<given-names><![CDATA[A J]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Peruana de Medicina Experimental y Salud Publica]]></source>
<year>2005</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>183-90</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Influencia de las variables climáticas en la casuistica de dengue y la abundancia de Aedes aegypti (Diptera: Culicidae) en Maracay, Venezuela]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubio-Palis]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Perez-Ybarra]]></surname>
<given-names><![CDATA[L. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Infante-Ruiz]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Comach]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Urdaneta Marquez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Bol Mal Salud Amb.]]></source>
<year>2011</year>
<volume>51</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>145-57</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Associação entre incidência de dengue, pluviosidade e densidade larvária de Aedes aegypti, no Estado de Goiás]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sequera de Souza]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia da Silva]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia da Silva]]></surname>
<given-names><![CDATA[H. H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista da Sociedade Brasileira de Medicina Tropical]]></source>
<year>2010</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>152-5</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Estudios ecológicos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valvidia G]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicina de Chile]]></source>
<year>1999</year>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Estudio de la estacionalidad del dengue en la costa pacífica de Costa Rica (1990-2004)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Suarez Pérez]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Badilla Vargas]]></surname>
<given-names><![CDATA[X.]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Medica Costarricense]]></source>
<year>2006</year>
<volume>49</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>38-41</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="book">
<collab>World Health Organization and World Meteorological Organization</collab>
<source><![CDATA[Atlas of Health and Climate]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
