scholarly journals The use of syndromic surveillance to monitor the incidence of arthropod bites requiring healthcare in England, 2000–2013: a retrospective ecological study

2016 ◽  
Vol 144 (11) ◽  
pp. 2251-2259 ◽  
Author(s):  
S. NEWITT ◽  
A. J. ELLIOT ◽  
R. MORBEY ◽  
H. DURNALL ◽  
M. E. PIETZSCH ◽  
...  

SUMMARYClimate change experts predict the number of nuisance-biting arthropods in England will increase but there is currently no known surveillance system in place to monitor or assess the public health impact of arthropod bites. This retrospective ecological study utilized arthropod bites requiring healthcare from five national real-time syndromic surveillance systems monitoring general practitioner (GP) consultations (in-hours and out-of-hours), emergency department (ED) attendances and telephone calls to remote advice services to determine baseline incidence in England between 2000 and 2013 and to assess the association between arthropod bites and temperature. During summer months (weeks 20–40) we estimated that arthropod bites contribute a weekly median of ~4000 GP consultations, 750 calls to remote advice services, 700 ED and 1300 GP out-of-hours attendances. In all systems, incidence was highest during summer months compared to the rest of the year. Arthropod bites were positively associated with temperature with incidence rate ratios (IRRs) that ranged between systems from 1·03 [95% confidence interval (CI) 1·01–1·06] to 1·14 (95% CI 1·11–1·16). Using syndromic surveillance systems we have established and described baseline incidence of arthropod bites and this can now be monitored routinely in real time to assess the impact of extreme weather events and climate change.

2019 ◽  
Vol 147 ◽  
Author(s):  
Gillian E. Smith ◽  
Alex J. Elliot ◽  
Iain Lake ◽  
Obaghe Edeghere ◽  
Roger Morbey ◽  
...  

AbstractSyndromic surveillance is a form of surveillance that generates information for public health action by collecting, analysing and interpreting routine health-related data on symptoms and clinical signs reported by patients and clinicians rather than being based on microbiologically or clinically confirmed cases. In England, a suite of national real-time syndromic surveillance systems (SSS) have been developed over the last 20 years, utilising data from a variety of health care settings (a telehealth triage system, general practice and emergency departments). The real-time systems in England have been used for early detection (e.g. seasonal influenza), for situational awareness (e.g. describing the size and demographics of the impact of a heatwave) and for reassurance of lack of impact on population health of mass gatherings (e.g. the London 2012 Olympic and Paralympic Games).We highlight the lessons learnt from running SSS, for nearly two decades, and propose questions and issues still to be addressed. We feel that syndromic surveillance is an example of the use of ‘big data’, but contend that the focus for sustainable and useful systems should be on the added value of such systems and the importance of people working together to maximise the value for the public health of syndromic surveillance services.


Agronomy ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 619
Author(s):  
Sadeeka Layomi Jayasinghe ◽  
Lalit Kumar

Even though climate change is having an increasing impact on tea plants, systematic reviews on the impact of climate change on the tea system are scarce. This review was undertaken to assess and synthesize the knowledge around the impacts of current and future climate on yield, quality, and climate suitability for tea; the historical roots and the most influential papers on the aforementioned topics; and the key adaptation and mitigation strategies that are practiced in tea fields. Our findings show that a large number of studies have focused on the impact of climate change on tea quality, followed by tea yield, while a smaller number of studies have concentrated on climate suitability. Three pronounced reference peaks found in Reference Publication Year Spectroscopy (RYPS) represent the most significant papers associated with the yield, quality, and climate suitability for tea. Tea yield increases with elevated CO2 levels, but this increment could be substantially affected by an increasing temperature. Other climatic factors are uneven rainfall, extreme weather events, and climate-driven abiotic stressors. An altered climate presents both advantages and disadvantages for tea quality due to the uncertainty of the concentrations of biochemicals in tea leaves. Climate change creates losses, gains, and shifts of climate suitability for tea habitats. Further studies are required in order to fill the knowledge gaps identified through the present review, such as an investigation of the interaction between the tea plant and multiple environmental factors that mimic real-world conditions and then studies on its impact on the tea system, as well as the design of ensemble modeling approaches to predict climate suitability for tea. Finally, we outline multifaceted and evidence-based adaptive and mitigation strategies that can be implemented in tea fields to alleviate the undesirable impacts of climate change.


2021 ◽  
Author(s):  
Anne-Marie Begin

<p>To estimate the impact of climate change on our society we need to use climate projections based on numerical models. These models make it possible to assess the effects on climate of the increase in greenhouse gases (GHG) as well as natural variability. We know that the global average temperature will increase and that the occurrence, intensity and spatio-temporal distribution of extreme precipitations will change. These extreme weather events cause droughts, floods and other natural disasters that have significant consequences on our life and environment. Precipitation is a key variable in adapting to climate change.</p><p> </p><p>This study focuses on the ClimEx large ensemble, a set of 50 independent simulations created to study the effect of climate change and natural variability on the water network in Quebec. This dataset consists of simulations produced using the Canadian Regional Climate Model version 5 (CRCM5) at 12 km of resolution driven by simulations from the second generation Canadian Earth System Model (CanESM2) global model at 310 km of resolution.</p><p> </p><p>The aim of the project is to evaluate the performance of the ClimEx ensemble in simulating the daily cycle and representing extreme values.  To get there, 30 years of hourly time series for precipitation and 3 hourly for temperature are analyzed. The simulations are compared with the values from the simulation of CRCM5 driven by ERA-Interim reanalysis, the ERA5 reanalysis and Environment and Climate Change Canada (ECCC) stations. An evaluation of the sensitivity of different statistics to the number of members is also performed.</p><p> </p><p>The daily cycle of precipitation from ClimEx shows mainly non-significant correlations with the other datasets and its amplitude is less than the observation datas from ECCC stations. For temperature, the correlation is strong and the amplitude of the cycle is similar to observations. ClimEx provides a fairly good representation of the 95, 97, 99<sup>th</sup> quantiles for precipitation. For temperature it represents a good distribution of quantiles but with a warm bias in southern Quebec. For precipitation hourly maximum, ClimEx shows values 10 times higher than ERA5.  For temperature, minimum and maximum values may exceed the ERA5 limit by up to 20°C. For precipitation, the minimum number of members for the estimation of the 95 and 99<sup>th</sup><sup></sup>quantiles and the mean cycle is between 15 and 50 for an estimation error of less than 5%. For the 95, 99<sup>th</sup> quantiles of temperature, the minimum number of members is between 1 and 17 and for the mean cycle 1 to 2 members are necessary to obtain an estimation error of less than 0.5°C.</p>


Author(s):  
Pietro Croce ◽  
Paolo Formichi ◽  
Filippo Landi ◽  
Francesca Marsili

<p>As consequence of global warming extreme weather events might become more frequent and severe across the globe. The evaluation of the impact of climate change on extremes is then a crucial issue for the resilience of infrastructures and buildings and is a key challenge for adaptation planning. In this paper, a suitable procedure for the estimation of future trends of climatic actions is presented starting from the output of regional climate models and taking into account the uncertainty in the model itself. In particular, the influence of climate change on ground snow loads is discussed in detail and the typical uncertainty range is determined applying an innovative algorithm for weather generation. Considering different greenhouse gasses emission scenarios, some results are presented for the Italian Mediterranean region proving the ability of the method to define factors of change for climate extremes also allowing a sound estimate of the uncertainty range associated with different models.</p>


2021 ◽  
Vol 7 (4) ◽  
pp. 19-27
Author(s):  
Saifuddin Soz ◽  
Dhananjay Mankar

Climate change is already bringing tremendous influence on people’s lives, particularly the underprivileged. It’s already visible in a variety of ways. In recent decades, Asia and the Pacific have seen consistent warming trends as well as more frequent and powerful extreme weather events such as droughts, cyclones, floods, and hailstorms. This study was done in Ajmer District of Rajasthan, to find out the climate variation in the last 10 years. The study describes the effects due to climate change on the livelihoods of the people, so a descriptive research design was used for the study to find out the impact of climate change on rural livelihood in central Rajasthan. The study is based on a large representative of sample, quantitative data was collected to gain an idea of the impact on the livelihoods due to climate change at the household level. It shows the negative impact of climate change on rural livelihood which forced the people to change their livelihood directly or indirectly. It was found that climate change had an impact on people’s lives and people do understand the variation in climate change in terms of changes in the weather, unseasonal rain, and drought.


2021 ◽  
Author(s):  
Laura Massano ◽  
Giorgia Fosser ◽  
Marco Gaetani

&lt;p&gt;In Italy the wine industry is an economic asset representing the 8% of the annual turnover of the Food &amp; Beverage sector, according to Unicredit Industry Book 2019. Viticulture is strongly influenced by weather and climate, and winegrowers in Europe have already experienced the impact of climate change in terms of more frequent drought periods, warmer and longer growing seasons and an increased frequency of weather extremes. These changes impact on both yield production and wine quality.&lt;/p&gt;&lt;p&gt;Our study aims to understand the impact of climate change on wine production, to estimate the risks associated with climate factors and to suggest appropriate adaptation measurement. The weather variables that most influence grape growth are: temperature, precipitation and evapotranspiration. Starting for these variables we calculate a range of bioclimatic indices, selected following the International Organisation of Vine and Wine Guidelines (OIV), and correlate these with wine productivity data. According to the values of different indices it is possible to determine the more suitable areas for wine production, where we expect higher productivity, although the climate is not the only factor influencing yield.&lt;/p&gt;&lt;p&gt;Using the convection-permitting models (CPMs &amp;#8211; 2.2 horizontal resolution) we investigate how the bioclimatic indices changed in the last 20 years, and the impact of this change on grapes productivity. We look at possible climate trends and at the variation in the frequency distribution of extreme weather events. The CPMs are likely the best available option for this kind of impact studies since they allow a better representation of surface and orography field, explicitly resolve deep convection and show an improved representation of extremes events. In our study, we compare CPMs with regional climate models (RCMs &amp;#8211; 12 km horizontal resolution) to evaluate the possible added value of high resolution models for impact studies. To compare models' output to observation the same analysis it carried out using E-OBS dataset.&lt;/p&gt;&lt;p&gt;Through our impact study, we aim to provide a tool that winegrower and stakeholders involved in the wine business can use to make their activities more sustainable and more resilient to climate change.&lt;/p&gt;


2011 ◽  
Vol 2 (3) ◽  
pp. 26-35 ◽  
Author(s):  
Anastasios Danos ◽  
Konstantina Boulouta

This article analyses the profound and rapid climate changes that have taken place worldwide in the past two decades and their effects on modern enterprise. Reducing greenhouse gas emissions and developing strategies to adapt to and counterbalance future impacts of climate change sustainably are among the most pressing needs of the world today. Global temperatures are predicted to continue rising, bringing changes in weather patterns, rising sea levels, and increased frequency and intensity of extreme weather events. Such climatic events can have a major impact on households, businesses, critical infrastructure and vulnerable sections of society, as well as having a major economic impact. Therefore, society must prepare to cope with living in a changing climate. The effects of a changing climate have considerable impacts on modern enterprises. In some parts of the world, these impacts are increasingly becoming evident.


Author(s):  
Mohd Danish Khan ◽  
Hong Ha Thi Vu ◽  
Quang Tuan Lai ◽  
Ji Whan Ahn

For decades, researchers have debated whether climate change has an adverse impact on diseases, especially infectious diseases. They have identified a strong relationship between climate variables and vector’s growth, mortality rate, reproduction, and spatiotemporal distribution. Epidemiological data further indicates the emergence and re-emergence of infectious diseases post every single extreme weather event. Based on studies conducted mostly between 1990-2018, three aspects that resemble the impact of climate change impact on diseases are: (a) emergence and re-emergence of vector-borne diseases, (b) impact of extreme weather events, and (c) social upliftment with education and adaptation. This review mainly examines and discusses the impact of climate change based on scientific evidences in published literature. Humans are highly vulnerable to diseases and other post-catastrophic effects of extreme events, as evidenced in literature. It is high time that human beings understand the adverse impacts of climate change and take proper and sustainable control measures. There is also the important requirement for allocation of effective technologies, maintenance of healthy lifestyles, and public education.


2017 ◽  
Vol 32 (6) ◽  
pp. 667-672 ◽  
Author(s):  
Dan Todkill ◽  
Paul Loveridge ◽  
Alex J. Elliot ◽  
Roger A. Morbey ◽  
Obaghe Edeghere ◽  
...  

AbstractIntroductionThe Public Health England (PHE; United Kingdom) Real-Time Syndromic Surveillance Team (ReSST) currently operates four national syndromic surveillance systems, including an emergency department system. A system based on ambulance data might provide an additional measure of the “severe” end of the clinical disease spectrum. This report describes the findings and lessons learned from the development and preliminary assessment of a pilot syndromic surveillance system using ambulance data from the West Midlands (WM) region in England.Hypothesis/ProblemIs an Ambulance Data Syndromic Surveillance System (ADSSS) feasible and of utility in enhancing the existing suite of PHE syndromic surveillance systems?MethodsAn ADSSS was designed, implemented, and a pilot conducted from September 1, 2015 through March 1, 2016. Surveillance cases were defined as calls to the West Midlands Ambulance Service (WMAS) regarding patients who were assigned any of 11 specified chief presenting complaints (CPCs) during the pilot period. The WMAS collected anonymized data on cases and transferred the dataset daily to ReSST, which contained anonymized information on patients’ demographics, partial postcode of patients’ location, and CPC. The 11 CPCs covered a broad range of syndromes. The dataset was analyzed descriptively each week to determine trends and key epidemiological characteristics of patients, and an automated statistical algorithm was employed daily to detect higher than expected number of calls. A preliminary assessment was undertaken to assess the feasibility, utility (including quality of key indicators), and timeliness of the system for syndromic surveillance purposes. Lessons learned and challenges were identified and recorded during the design and implementation of the system.ResultsThe pilot ADSSS collected 207,331 records of individual ambulance calls (daily mean=1,133; range=923-1,350). The ADSSS was found to be timely in detecting seasonal changes in patterns of respiratory infections and increases in case numbers during seasonal events.ConclusionsFurther validation is necessary; however, the findings from the assessment of the pilot ADSSS suggest that selected, but not all, ambulance indicators appear to have some utility for syndromic surveillance purposes in England. There are certain challenges that need to be addressed when designing and implementing similar systems.TodkillD, LoveridgeP, ElliotAJ, MorbeyRA, EdeghereO, Rayment-BishopT, Rayment-BishopC, ThornesJE, SmithG. Utility of ambulance data for real-time syndromic surveillance: a pilot in the West Midlands region, United Kingdom. Prehosp Disaster Med. 2017;32(6):667–672.


Sign in / Sign up

Export Citation Format

Share Document