title: Climate change and infectious diseases in New Zealand: a brief review and tentative research agenda.
abstract: OBJECTIVE
  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 leptospirosis). 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.
authors: Department of Public Health, University of Otago, Wellington, New Zealand. nick.wilson@otago.ac.nz
authors: Nick
authors: N
authors: Wilson
authors: David
authors: D
authors: Slaney
authors: Michael G
authors: MG
authors: Baker
authors: Simon
authors: S
authors: Hales
authors: Emma
authors: E
authors: Britton
mesh_terms: D035843:Biomedical Research; D057231:Climate Change; D003141:Communicable Diseases / Q000453:epidemiology*; D005544:Forecasting; D006291:Health Policy; D006292:Health Priorities; D006801:Humans; D009520:New Zealand / Q000453:epidemiology