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Climate change and infectious diseases in New Zealand:a brief review and tentative research agenda

机译:新西兰的气候变化和传染病:简要回顾和暂定研究议程

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Aims: To review the literature on infectious diseases and meteorological and climate change risk factors in the New Zealand context and to describe a tentative research agenda for future work. Methods: We performed literature searches in May 2010 using Medline and Google Scholar. We also searched five health-related government agencies in New Zealand for documentation on climate change and health. Results: The effect of climate variability and change on vector-borne disease has been considered in more detail than any other infectious disease topic (n=20+ journal articles and reports relating to New Zealand). Generally, concern has arisen around the risk of new mosquito incursions and increased risks of dengue and Ross River fevers in the long term. For enteric diseases, the picture from five New Zealand publications is somewhat mixed, although the data indicate that salmonellosis notifications increase with higher monthly temperatures. One interpretation of the New Zealand data is that communities without reticulated water supplies could be more vulnerable to the effects of climate change-mediated increases in protozoan diseases. This information informed a tentative research agenda to address research gaps. Priorities include the need for further work on a more integrated surveillance framework, vector-borne diseases, enteric diseases, skin infections, and then work on topics for which we found no published New Zealand work (such as influenza and lep-tospirosis). Finally, we found that health-related government agencies in New Zealand have relatively little 'climate change and health' information on their websites. Conclusions: Although some informative work has been done to date, much scope remains for additional research and planning to facilitate prevention, mitigation, and adaptation responses in the New Zealand setting around climate change and infectious disease risks. The tentative research agenda produced could benefit from a wider critique, and government agencies in New Zealand could contribute to informed discussions by better documenting the current state of knowledge on their websites.
机译:目的:回顾新西兰背景下有关传染病,气象和气候变化风险因素的文献,并描述未来工作的暂定研究议程。方法:我们于2010年5月使用Medline和Google Scholar搜索了文献。我们还搜索了新西兰的五个与健康相关的政府机构,以获取有关气候变化和健康的文档。结果:气候可变性和变化对媒介传播疾病的影响比任何其他传染病主题(n = 20余篇有关新西兰的期刊文章和报道)都得到了更详细的考虑。通常,从长远来看,人们担心新的蚊子入侵和登革热和罗斯河热的风险增加。对于肠道疾病,来自五个新西兰出版物的图片有些不同,尽管数据表明沙门氏菌病的通报随着每月气温的升高而增加。对新西兰数据的一种解释是,没有网状供水的社区可能更容易受到气候变化介导的原生动物疾病增加的影响。这些信息为解决研究空白提供了暂定的研究议程。优先事项包括需要在更综合的监视框架,媒介传播的疾病,肠道疾病,皮肤感染等方面开展进一步工作,然后处理我们未发现新西兰已发表工作的主题(例如流感和钩端螺旋体病)。最后,我们发现新西兰的与健康相关的政府机构在其网站上拥有相对较少的“气候变化与健康”信息。结论:尽管迄今为止已经完成了一些有益的工作,但是在新西兰,围绕气候变化和传染病风险的预防,缓解和适应对策的研究和计划仍有很大的余地。产生的暂定研究议程可从广泛的批评中受益,新西兰政府机构可通过更好地在其网站上记录当前的知识状态来为知情讨论做出贡献。

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