CLIMATE CHANGE AND FRESHWATER BRAIN EATING AMOEBA. Climate Change across the globe is not only affecting animals and plants but is affecting the distribution of diseases and prevalence of diseases across the world. Potential warming of freshwater bodies due to climate change has expanded the occurrence of water-borne diseases into new regions. Thermophilic organisms like Naegleria fowleri that can survive in temperatures up to 115°F (46°C) have the opportunity to thrive as freshwater bodies' heat up. Figure 9: Naegleria Fowleri survival temperatures In this regard, Naegleria fowleri is found in warm freshwater and soil around the world, and in the United States southern tiers. Due to climate change, recent cases of Naegleria fowleri infections have been reported in a Northern tier state of Minnesota. This case had no history of travel. From 1962 to 2016 only 4 people out of 143 known infected individuals in the United States have survived. CDC rates infection fatality at 97%. Figure 10: United States XXX Statistics as at 2017
CLIMATE CHANGE AND FRESHWATER BRAIN EATING AMOEBA. 13 4.2.1PUBLIC HEALTH IMPLICATIONS 14 4.3 RECOMMENDATIONS 14 5.0 CONSIDERATIONS 16 REFERENCES 17 INTEROPERABILITY WITH FHIR API 17 SURVEILLANCE IN LOW RESOURCE SETTINGS 19 CLIMATE CHANGE AND PUBLIC HEALTH 20 XXXX VIRUS 20 BRAIN EATING AMOEBA 23 LIST OF FIGURES Figure 1: Proposed system model: FHIR API for OpenMRS and Research study database ........................................................................................................................................................................ 3 Figure 2: OpenMRS Atlas 5 Figure 3: OpenMRS FHIR Module 5 Figure 4: OpenMRS current FHIR support status 6 Figure 5: Clinical Patient Administration Kit Components 7 Figure 6: Clinical Patient Administration Kit network architecture 8 Figure 7: OpenMRS Components 8 Figure 8: Flu Surveillance using OpenMRS, CliniPAK, & WAN optimization using riverbed 9 Figure 9: Naegleris Fowleri survival temperatures 13 Figure 10: United States XXX Statistics as at 2017 14 PORTFOLIO DELIVERABLES SUMMARY DOCUMENT
