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  • 1.
    Palo, R Thomas
    et al.
    Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences, Engineering and Mathematics.
    Ahlm, Clas
    Inst Epidemiologi, Umeå Universitet.
    The role of small mammals for incidence of zoonotic diseases under climate change2009In: The 10th International Congress of Ecology: Ecology in a changing climate, 2009Conference paper (Refereed)
    Abstract [en]

    Animal-borne diseases are likely to be affected by climate change. It is of interest to analyse sensitivity of reservoir species to climate change and how changes in their ecology would affect transmission of zoonoti diseases to man. Elevated temperature in northern hemisphere may have direct effects on reservoir species by greater survival and hence generally higher population densities. Further, warmer climate may make certain key habitats more beneficial for replication and possibly greater transfer of disease. On the other hand, animal responses to climate change may vary among species and changes in their ecology causing increased variability in population size or dependence of timing with certain food resources may adversely affect reservoir species. We analysed the number of human disease cases of tick borne encephalitis (TBE), tularaemia and hantavirus in norhern Sweden in relation to population size of their most common reservoirs, the mountain hare, European hare and the bank vole. We also analysed the effect by a common predator the red fox and we used the NAO index as a proxy for climate variations. The results show that hantavirus infection in man is more dependent on the population density of reservoirs than on the climate variable. In case of tularaemia, we found a more complex ecological situation that may be climate driven.We conclude that the outcome of warmer climate may vary among species but that species adapted to northern winter conditions may be particularly sensitive to climate change.

  • 2.
    Persson, Annelie
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Zetterqvist, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vårdpersonalens följsamhet till de basala rutinerna gällande handhygien.: - en litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Handhygien är en grundläggande princip som förebygger, kontrollerar och reducerar vårdrelaterade infektioner och är ensam den mest effektiva metoden för att bryta en smittspridning. Syfte: att belysa vårdpersonalens följsamhet till de basala rutinerna gällande handhygien. Metod: Författarna gjorde en litteratursökning och granskning av vetenskapliga artiklar inom området. Resultat: Vårdpersonalens följsamhet till handhygienrutinerna visade sig ligga mellan 16,5%-70% och var större efter än före patientvård. Det fanns faktorer som gynnade och minskade följsamheten. Diskussion: Författarna fann stöd i sin teori om att vårdpersonalen skyddar sig i första hand själv och utför därför handhygienen i större grad än efter patientkontakt. Då det visade sig att kunskap leder till ökad följsamhet ansåg författarna att en årlig genomgång av handhygienrutinerna är lika viktigt som att repetera hjärt- och lungräddning.

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