The incidence of extreme precipitation has increased with the exacerbation of worldwide climate disruption. We hypothesize an association between precipitation and the distribution patterns that would affect the endemic burden of 8 infectious diseases in Taiwan, including water- and vector-borne infectious diseases. A database integrating daily precipitation and temperature, along with the infectious disease case registry for all 352 townships in the main island of Taiwan was analysed for the period from 1994 to 2008. Four precipitation levels, 350 mm, were categorized to represent quantitative differences, and their associations with each specific disease was investigated using the Generalized Additive Mixed Model and afterwards mapped on to the Geographical Information System. Daily precipitation levels were significantly correlated with all 8 mandatory-notified infectious diseases in Taiwan. For water-borne infections, extreme torrential precipitation (>350 mm/day) was found to result in the highest relative risk for bacillary dysentery and enterovirus infections when compared to ordinary rain (<130 mm/day). Yet, for vector-borne diseases, the relative risk of dengue fever and Japanese encephalitis increased with greater precipitation only up to 350 mm. Differential lag effects following precipitation were statistically associated with increased risk for contracting individual infectious diseases. This study’s findings can help health resource sector management better allocate medical resources and be better prepared to deal with infectious disease outbreaks following future extreme precipitation events.

To evaluate the impacts of the urban heat island (UHI) effect on precipitation over a complex geographic environment in northern Taiwan, the next-generation mesoscale model, the Weather Research and Forecasting (WRF) model, coupled with the Noah land surface model and urban canopy model (UCM), was used to study this issue. Based on a better land use classification derived from Moderate Resolution Imaging Spectroradiometer (MODIS) satellite data (the MODIS case), it has significantly improved simulation results for the accumulation rainfall pattern as compared with the original U.S. Geological Survey (USGS) 25-category land use classification (the USGS case). The precipitation system was found to develop later but stronger in the urban (MODIS) case than in the nonurban (USGS) case. In comparison with the observation by radar, simulation results predicted reasonably well; not only was the rainfall system enhanced downwind of the city over the mountainous area, but it also occurred at the upwind plain area in the MODIS case. The simulation results suggested that the correct land use classification is crucial for urban heat island modeling study. The UHI effect plays an important role in perturbing thermal and dynamic processes; it affects the location of thunderstorms and precipitation over the complex geographic environment in northern Taiwan.