title: The impact of climate change on infectious disease transmission: perceptions of CDC health professionals in Shanxi Province, China.
abstract: There have been increasing concerns about the challenge of emerging and re-emerging infectious diseases due to climate change, especially in developing countries including China. Health professionals play a significant role in the battle to control and prevent infectious diseases. This study therefore aims to investigate the perceptions and attitudes of health professionals at the Centers for Disease Control and Prevention (CDC) in different levels in China, and to consider adaptation measures to deal with the challenge of climate change. In 2013, a cross-sectional questionnaire survey was undertaken among 314 staff in CDCs in Shanxi Province, China, whose routine work involves disease control and prevention. Data were analyzed using descriptive methods and logistic regression. A majority of the CDC staff were aware of the health risks from climate change, especially its impacts on infectious disease transmission in their jurisdictions, and believed climate change might bring about both temporal and spatial change in transmission patterns. It was thought that adaptation measures should be established including: strengthening/improving currently existing disease surveillance systems and vector monitoring; building CDC capacity in terms of infrastructure and in-house health professional training; development and refinement of relevant legislation, policies and guidelines; better coordination among various government departments; the involvement of the community in infectious disease interventions; and collaborative research with other institutions. This study provides a snapshot of the understanding of CDC staff regarding climate change risks relevant to infectious diseases and adaptation in China. Results may help inform future efforts to develop adaptation measures to minimize infectious disease risks due to climate change.
authors.affiliation: Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
authors.forename: Junni
authors.initials: J
authors.lastname: Wei
authors.affiliation: Discipline of Public Health, School of Population Health, The University of Adelaide, Adelaide, Australia.
authors.forename: Alana
authors.initials: A
authors.lastname: Hansen
authors.affiliation: Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Shanxi Center for Disease Control and Prevention, Taiyuan, Shanxi, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Li
authors.affiliation: State Key Laboratory for Infectious Diseases Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China; Shandong University Climate Change and Health Center, Jinan, Shandong, China.
authors.forename: Qiyong
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
authors.forename: Yehuan
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
authors.forename: Shulian
authors.initials: S
authors.lastname: Xue
authors.affiliation: Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
authors.forename: Shufang
authors.initials: S
authors.lastname: Zhao
authors.affiliation: Discipline of Public Health, School of Population Health, The University of Adelaide, Adelaide, Australia.
authors.forename: Peng
authors.initials: P
authors.lastname: Bi
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D057231:Climate Change; D003141:Communicable Diseases / Q000453:epidemiology / Q000635:transmission*; D062665:Epidemiological Monitoring; D005260:Female; D006077:Government Agencies; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D055815:Young Adult