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                  <mods:namePart>Brock, Aleisha</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2012-07-09T21:30:57Z</mods:dateAccessioned>
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               <mods:identifier type="uri">http://hdl.handle.net/10179/3595</mods:identifier>
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               <mods:abstract>The emergence and spread of infectious disease are a major issue associated with environmental&#xd;
change. Contributing to this is the effect climate variability and change may play&#xd;
in altering disease risk. The aims of this study were to investigate the association between&#xd;
climate and infectious diseases in humans throughout New Zealand from 1997 - 2007, then&#xd;
use the identified associations to project the burden of disease in 2015, 2040 and 2090 with&#xd;
respect to future climate change scenarios.&#xd;
The four infectious diseases selected and investigated were campylobacteriosis, cryptosporidiosis,&#xd;
influenza hospitalisations and meningococcal disease. The association of weather variables&#xd;
and other confounders with the incidence risk (IR) of disease were explored using a&#xd;
quasi-Poisson generalized linear model, indicating that weather variables were significantly&#xd;
associated with disease risk. These results, along with expert opinion on epidemiological&#xd;
plausibility, were used to select confounders for the past association models.&#xd;
Climate variation was associated with the IR of campylobacteriosis and cryptosporidiosis&#xd;
in New Zealand from 1997 - 2007. Campylobacteriosis notifications were found to be positively&#xd;
associated with the weekly absolute humidity. Additionally, campylobacteriosis notification&#xd;
risk factors were increasing beef and dairy density, intermediate and poor drinking water&#xd;
quality, being over 65 years of age and identifying with Pacific Island or Asian ethnicity.&#xd;
Protective factors were being less than 4 years of age and identifying with Maori ethnicity.&#xd;
Cryptosporidiosis notifications were found to be positively associated with the weekly average&#xd;
temperature and negatively associated with the weekly average rainfall. Risk factors for&#xd;
cryptosporidiosis notifications were poor drinking water quality, being less than 4 years of&#xd;
age and living in rural areas. Protective factors were identifying with Maori ethnicity and&#xd;
unknown drinking water quality.&#xd;
Influenza hospitalisations and meningococcal disease notifications were not significantly&#xd;
associated with past climate variation. Identifying with Maori ethnicity was found to be a&#xd;
risk factor for influenza hospitalisations, with no protective factors identified. Risk factors for&#xd;
meningococcal disease notifications were an increasing social deprivation index (SDI) score,&#xd;
being less than 4 years of age and identifying with Maori ethnicity. Identifying with Asian&#xd;
ethnicity was a protective factor for meningococcal disease.&#xd;
The projection calculations of the change in disease incidence from the study period to&#xd;
2015, 2040 and 2090 were carried out under a combination 3 Intergovernmental Panel of&#xd;
Climate Change (IPCC) climate scenarios (A2, B1 and A1B) and 12 downscaled global climate&#xd;
models. The projected change in campylobacteriosis and cryptosporidiosis suggested&#xd;
increases in the rate of notifications, and a small to no decrease in influenza hospitalisation&#xd;
and meningococcal disease notifications.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">The Author</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Infectious diseases epidemiology</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Climate change and health</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Human diseases, New Zealand</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Campylobacteriosis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Cryptosporidiosis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Influenza hospitalisations</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Meningococcal disease</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>The effect of climate variation on infectious diseases in humans in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Masters in Veterinary Studies in Epidemiology at Massey University, Palmerston North, New Zealand</mods:title>
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               <mods:genre>Thesis</mods:genre>
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