Annika Meinen, Sara Tomczyk, Flora Noelle Wiegand, Muna Abu Sin, Tim Eckmanns, Sebastian Haller
{"title":"Antimicrobial resistance in Germany and Europe - A systematic review on the increasing threat accelerated by climate change.","authors":"Annika Meinen, Sara Tomczyk, Flora Noelle Wiegand, Muna Abu Sin, Tim Eckmanns, Sebastian Haller","doi":"10.25646/11404","DOIUrl":"https://doi.org/10.25646/11404","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial Resistance (AMR) is one of the top ten global public health threats facing humanity, alongside climate change. Here, we aim to summarise the effects of climate change (i.e. raise of temperature, change in humidity or precipitation) on spread of antibiotic resistance and on infections with antibiotic-resistant bacteria in Germany.</p><p><strong>Methods: </strong>We conducted a literature search with articles published between January 2012 and July 2022. Two authors screened titles, abstracts and full texts and extracted the data systematically.</p><p><strong>Results: </strong>From originally 2,389 titles, we identified six studies, which met our inclusion criteria. These studies show that an increase in temperature may lead to higher antibiotic resistance rates and an increased risk of colonisation as well as spread of pathogens. Furthermore, the number of healthcare-associated infections increases with increased temperature. Data indicate that higher antibiotic use is present in areas with warmer mean temperature.</p><p><strong>Conclusions: </strong>European data are scarce, but all studies identified point towards an increasing AMR burden due to climate change. However, further studies are needed to draw attention to the links between climatic factors and AMR and develop targeted preventive measures.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"93-108"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elke Hertig, Iris Hunger, Irena Kaspar-Ott, Andreas Matzarakis, Hildegard Niemann, Lea Schulte-Droesch, Maike Voss
{"title":"Climate change and public health in Germany - An introduction to the German status report on climate change and health 2023.","authors":"Elke Hertig, Iris Hunger, Irena Kaspar-Ott, Andreas Matzarakis, Hildegard Niemann, Lea Schulte-Droesch, Maike Voss","doi":"10.25646/11400","DOIUrl":"10.25646/11400","url":null,"abstract":"<p><p>Global warming of 1.5°C and even 2°C is likely to be exceeded during the 21<sup>st</sup> century. Climate change poses a worldwide threat and has direct and indirect effects on infectious diseases, on non-communicable diseases and on mental health. Not all people are equally able to protect themselves against the impacts of climate change; particularly populations that are vulnerable due to individual factors (children, older persons, those immunocompromised or with pre-existing conditions), social factors (the socially disadvantaged), or living and working conditions (e. g. people who work outdoors) are subject to an increased risk. Concepts such as One Health or Planetary Health provide a framework to frame both climate change itself and adaptation strategies or sets of actions for environmental human and animal health. Knowledge of climate change impacts has grown in recent years, and mitigation and adaptation strategies have been developed.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"6-32"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gerhard Adrian, Martin Dietrich, Birgit Esser, Andreas Hensel, Folkhard Isermeyer, Dirk Messner, Thomas C Mettenleiter, Inge Paulini, Sabine Riewenherm, Lars Schaade, Ralph Tiesler, Lothar H Wieler
{"title":"Together we can counter the effects of climate change.","authors":"Gerhard Adrian, Martin Dietrich, Birgit Esser, Andreas Hensel, Folkhard Isermeyer, Dirk Messner, Thomas C Mettenleiter, Inge Paulini, Sabine Riewenherm, Lars Schaade, Ralph Tiesler, Lothar H Wieler","doi":"10.25646/11399","DOIUrl":"https://doi.org/10.25646/11399","url":null,"abstract":"1 German Meteorological Service 2 Federal Centre for Health Education 3 German Federal Institute of Hydrology 4 German Federal Institute for Risk Assessment 5 Thünen Institute 6 German Environment Agency 7 Friedrich-Loeffler-Institut 8 Federal Office for Radiation Protection 9 Federal Agency for Nature Conservation 10 Robert Koch Institute 11 Federal Office of Civil Protection and Disaster Assistance 12 Formerly Robert Koch Institute","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood and adolescent cancer in Germany - an overview.","authors":"Claudia Spix, Friederike Erdmann, Desiree Grabow, Cécile Ronckers","doi":"10.25646/11438","DOIUrl":"https://doi.org/10.25646/11438","url":null,"abstract":"<p><strong>Background: </strong>Childhood and adolescent cancer constitutes only a very small fraction of the cancer cases in Germany and throughout the world, but it is the most frequent cause of disease-related death in children. The diagnostic spectrum differs markedly from that of adults. More than 90% of all cases of childhood and adolescent cancer in Germany are treated according to centralised protocols or in therapy studies.</p><p><strong>Methods: </strong>The main epidemiological data for this group are collected by the German Childhood Cancer Registry (GCCR) since 1980. Based on this data, three typical diagnoses and their incidence and prognosis are described in exemplary manner: Lymphoid leukaemia (LL), astrocytoma and neuroblastoma.</p><p><strong>Results: </strong>Approximately 2,250 new cancers are diagnosed in children and adolescents under the age of 18 in Germany every year. In this age group, leukaemia and lymphoma account for almost 50% of all new cancer cases, predominately acute forms. Overall, the prognosis is considerably better than in adults.</p><p><strong>Conclusions: </strong>There is relatively little consistent evidence available on external factors as risk factors for childhood cancer, despite decades of research. For LL, the immune system and infections are assumed to play a role, as early training of the immune system appears to be protective. To an increasing degree, research is identifying genetic risk factors for many types of childhood and adolescent cancer. The therapy is sometimes very intensive and leads to a variety of late effects for at least 75% of the survivors, which may occur soon after the primary diagnosis, but also decades later.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 2","pages":"79-94"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory infections in children and adolescents in Germany during the COVID-19 pandemic.","authors":"Udo Buchholz, Ann-Sophie Lehfeld, Kristin Tolksdorf, Wei Cai, Janine Reiche, Barbara Biere, Ralf Dürrwald, Silke Buda","doi":"10.25646/11437","DOIUrl":"https://doi.org/10.25646/11437","url":null,"abstract":"<p><strong>Background: </strong>Before the COVID-19 pandemic, acute respiratory infections (ARIs) in children were mainly characterised by three pathogens: respiratory syncytial viruses (RSV), influenza viruses and rhinoviruses. The impact of the COVID-19 pandemic and the measures taken in Germany (especially until the end of 2021) on the incidence of ARI in children and adolescents aged 0 to 14 years and the pathogens causing them has not yet been comprehensively analysed.</p><p><strong>Methods: </strong>The evaluation is based on data from population-based, virological and hospital-based surveillance instruments up to the end of 2022.</p><p><strong>Results: </strong>After the onset of the COVID-19 pandemic in early 2020, ARI rates remained almost consistently below prepandemic levels until autumn 2021, with only rhinoviruses continuously continuing to cause ARI. Only when the Omicron variant became predominant in 2022, there were measurable COVID-19 rates at population level in children, although COVID-19 hospitalisation rates remained comparatively low. RSV and influenza waves were initially absent and then occurred 'out of season', but were more severe than usual.</p><p><strong>Conclusions: </strong>While the measures taken were effective in inhibiting the number of respiratory infections for almost 1.5 years, moderately frequent but rather mild COVID-19 cases occurred when measures were lifted. When Omicron emerged in 2022 COVID-19 became moderately frequent but led predominantly to mild illnesses. For RSV and influenza, the measures resulted in changes in their annual timing and intensity.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 2","pages":"20-38"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Kühnelt, Anne Starker, Gianni Varnaccia, Anja Schienkiewitz
{"title":"School entrance examinations as a small-scale data source for health monitoring of children using obesity as an example.","authors":"Charlotte Kühnelt, Anne Starker, Gianni Varnaccia, Anja Schienkiewitz","doi":"10.25646/11435","DOIUrl":"https://doi.org/10.25646/11435","url":null,"abstract":"<p><strong>Background: </strong>In the scope of the nationwide obligatory school entrance examinations (SEE), a standardised assessment of the preparedness for school of preschool children takes place in the federal states of Germany. For this purpose, height and weight of the children are determined. These data are available in aggregated form at county level, but are not yet being regularly compiled and processed at national level for use in policy and research.</p><p><strong>Methods: </strong>In a pilot project, the indexing and merging of SEE data from 2015-2019 was tested in collaboration with six federal states. This was done using obesity prevalence at the time of the school entrance examination. In addition, prevalences were linked to small-scale indicators on settlement structure and sociodemographics from public databases, differences in obesity prevalence at county level were identified, and correlations to regional influencing factors were visualised.</p><p><strong>Results: </strong>It was feasible to merge SEE data from the federal states with little effort. The majority of the selected indicators were freely available in public databases. In an interactive, easily comprehensible and user-friendly Tableau dashboard for visualising the SEE data, it can be seen that obesity prevalences differ significantly between counties that are similar in terms of settlement structure or sociodemographics.</p><p><strong>Conclusions: </strong>Providing federal state SEE data and linking them to small-scale indicators enables region-based analyses and cross-state comparisons of similar counties and provides a data basis for continuous monitoring of the prevalence of obesity in early childhood.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 2","pages":"6-19"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The health of children and adolescents - new data is needed!","authors":"Ute Thyen","doi":"10.25646/11434","DOIUrl":"https://doi.org/10.25646/11434","url":null,"abstract":"","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 2","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susann Dupke, Udo Buchholz, Jutta Fastner, Christina Förster, Christina Frank, Astrid Lewin, Volker Rickerts, Hans-Christoph Selinka
{"title":"Impact of climate change on waterborne infections and intoxications.","authors":"Susann Dupke, Udo Buchholz, Jutta Fastner, Christina Förster, Christina Frank, Astrid Lewin, Volker Rickerts, Hans-Christoph Selinka","doi":"10.25646/11402","DOIUrl":"10.25646/11402","url":null,"abstract":"<p><p>Progressive climate change holds the potential for increasing human health risks from waterborne infections and intoxications, e. g. through an increase in pathogen concentrations in water bodies, through the establishment of new pathogens or through possible changes in pathogen properties. This paper presents some examples of potential impacts of climate change in Germany. Non-cholera <i>Vibrio</i> occur naturally in seawater, but can proliferate significantly in shallow water at elevated temperatures. In the case <i>of Legionella</i>, climate change could lead to temporary or longer-term increased incidences of legionellosis due to the combination of warm and wet weather. Higher temperatures in piped cold water or lower temperatures in piped hot water may also create conditions conducive to higher <i>Legionella</i> concentrations. In nutrient-rich water bodies, increased concentrations of toxigenic cyanobacteria may occur as temperatures rise. Heavy rainfall following storms or prolonged periods of heat and drought can lead to increased levels of human pathogenic viruses being washed into water bodies. Rising temperatures also pose a potential threat to human health through pathogens causing mycoses and facultatively pathogenic micro-organisms: increased infection rates with non-tuberculous mycobacteria or fungi have been documented after extreme weather events.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"62-77"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Dietrich, Jens-Andre Hammerl, Annette Johne, Oliver Kappenstein, Christopher Loeffler, Karsten Nöckler, Bettina Rosner, Astrid Spielmeyer, Istvan Szabo, Martin H Richter
{"title":"Impact of climate change on foodborne infections and intoxications.","authors":"Jessica Dietrich, Jens-Andre Hammerl, Annette Johne, Oliver Kappenstein, Christopher Loeffler, Karsten Nöckler, Bettina Rosner, Astrid Spielmeyer, Istvan Szabo, Martin H Richter","doi":"10.25646/11403","DOIUrl":"10.25646/11403","url":null,"abstract":"<p><strong>Background: </strong>Temperature, precipitation, and humidity are important factors that can influence the spread, reproduction, and survival of pathogens. Climate change affects these factors, resulting in higher air and water temperatures, increased precipitation, or water scarcity. Climate change may thus have an increasing impact on many infectious diseases.</p><p><strong>Methods: </strong>The present review considers those foodborne pathogens and toxins in animal and plant foods that are most relevant in Germany, on the basis of a selective literature review: the bacterial pathogens of the genera <i>Salmonella, Campylobacter</i> and <i>Vibrio</i>, parasites of the genera <i>Cryptosporidium</i> and <i>Giardia</i>, and marine biotoxins.</p><p><strong>Results: </strong>As climate change continues to progress, all infections and intoxications discussed here can be expected to increase in Germany.</p><p><strong>Conclusions: </strong>The expected increase in foodborne infections and intoxications presents a growing public health risk in Germany.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"78-92"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Beermann, Gerhard Dobler, Mirko Faber, Christina Frank, Birgit Habedank, Peter Hagedorn, Helge Kampen, Carola Kuhn, Teresa Nygren, Jonas Schmidt-Chanasit, Erik Schmolz, Klaus Stark, Rainer G Ulrich, Sabrina Weiss, Hendrik Wilking
{"title":"Impact of climate change on vector- and rodent-borne infectious diseases.","authors":"Sandra Beermann, Gerhard Dobler, Mirko Faber, Christina Frank, Birgit Habedank, Peter Hagedorn, Helge Kampen, Carola Kuhn, Teresa Nygren, Jonas Schmidt-Chanasit, Erik Schmolz, Klaus Stark, Rainer G Ulrich, Sabrina Weiss, Hendrik Wilking","doi":"10.25646/11401","DOIUrl":"10.25646/11401","url":null,"abstract":"<p><strong>Background: </strong>Endemic and imported vector- and rodent-borne infectious agents can be linked to high morbidity and mortality. Therefore, vector- and rodent-borne human diseases and the effects of climate change are important public health issues.</p><p><strong>Methods: </strong>For this review, the relevant literature was identified and evaluated according to the thematic aspects and supplemented with an analysis of surveillance data for Germany.</p><p><strong>Results: </strong>Factors such as increasing temperatures, changing precipitation patterns, and human behaviour may influence the epidemiology of vector- and rodent-borne infectious diseases in Germany.</p><p><strong>Conclusions: </strong>The effects of climatic changes on the spread of vector- and rodent-borne infectious diseases need to be further studied in detail and considered in the context of climate adaptation measures.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 3","pages":"33-61"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}