Relationship of climate, ethnicity and socioeconomic status to Kawasaki disease in San Diego County, 1994 through 1998

David E. Bronstein, Amy N. Dille, Jared Austin, Christine M. Williams, Lawrence A. Palinkas, Jane C. Burns

Research output: Contribution to journalArticle

65 Scopus citations


Background. Kawasaki disease (KD) is the most common cause of acquired heart disease in children in the United States. By monitoring trends in patient numbers and demographics during a 5-year period, we were able to explore the relationship between climate, ethnicity, socioeconomic status and susceptibility to KD. Methods. We conducted active surveillance for all patients hospitalized with KD in San Diego County from 1994 through 1998. Data on seasonal variation in monthly rainfall and temperature were obtained from the US Meteorological Service. Patient sex, age, date of admission and self-reported ethnicity were identified from patient medical records. Socioeconomic status was assessed on the basis of insurance status among patients hospitalized at a single institution. Results. During the 5-year period there were 169 cases of KD in San Diego County. The overall annual incidence of KD in children

Original languageEnglish (US)
Pages (from-to)1087-1091
Number of pages5
JournalPediatric Infectious Disease Journal
Issue number11
StatePublished - 2000
Externally publishedYes



  • Coronary artery disease
  • Epidemiology
  • Pediatric cardiac disease
  • Risk factors
  • Vasculitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)

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