{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:46:10Z","timestamp":1786999570239,"version":"build-2736575974"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2008,11,19]],"date-time":"2008-11-19T00:00:00Z","timestamp":1227052800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2009,7]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>\n                    This study examined the impact of meteorological conditions on sporadic, community-acquired cases of Legionnaires' disease in England and Wales (2003\u20132006), with reference to the 2006 increase in cases. A case-crossover methodology compared each case with self-controlled data using a conditional logistic regression analysis. Effect modification by quarter and year was explored. In total, 674 cases were entered into the dataset and two meteorological variables were selected for study based on preliminary analyses: relative humidity during a case's incubation period, and temperature during the 10\u201314 weeks preceding onset. For the quarter July\u2013September there was strong evidence to suggest a year, humidity and temperature interaction (Wald \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    =30\u00b759, 3\n                    <jats:sc>d.f<\/jats:sc>\n                    .,\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0\u00b70001). These findings have implications for future case numbers and resource requirements.\n                  <\/jats:p>","DOI":"10.1017\/s095026880800157x","type":"journal-article","created":{"date-parts":[[2008,11,19]],"date-time":"2008-11-19T06:10:02Z","timestamp":1227075002000},"page":"1003-1012","source":"Crossref","is-referenced-by-count":59,"title":["Weather patterns and Legionnaires' disease: a meteorological study"],"prefix":"10.1017","volume":"137","author":[{"given":"K. D.","family":"RICKETTS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"CHARLETT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"GELB","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"LANE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. V.","family":"LEE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. A.","family":"JOSEPH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2008,11,19]]},"reference":[{"key":"S095026880800157X_ref018","unstructured":"18. Humidity Formulas (http:\/\/www.gorhamschaffler.com\/humidity_formulas.htm). Accessed 30 October 2008."},{"key":"S095026880800157X_ref016","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/141.5.689"},{"key":"S095026880800157X_ref008","unstructured":"8. Anon. National increase in cases of legionnaires' disease. CDR Weekly 2006; 16(37)."},{"key":"S095026880800157X_ref017","unstructured":"17. National Climatic Data Centre (http:\/\/www.ncdc.noaa.gov\/oa\/ncdc.html). Accessed 30 October 2008."},{"key":"S095026880800157X_ref012","unstructured":"12. European Working Group for Legionella Infections. European Guidelines for Control and Prevention of Travel Associated Legoinnaires' disease, 2002. PHLS London and (www.ewgli.org). Accessed 30 October 2008."},{"key":"S095026880800157X_ref011","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268806007552"},{"key":"S095026880800157X_ref009","unstructured":"9. Laurance J . Climate change blamed for legionnaires' disease surge. The Independent, 18 October 2006."},{"key":"S095026880800157X_ref022","doi-asserted-by":"publisher","DOI":"10.1038\/2211146a0"},{"key":"S095026880800157X_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(93)90226-F"},{"key":"S095026880800157X_ref004","doi-asserted-by":"publisher","DOI":"10.3201\/eid0908.030337"},{"key":"S095026880800157X_ref019","unstructured":"19. Health Protection Agency (http:\/\/www.hpa.org.uk\/webw\/HPAweb&Page&HPAwebAutoListName\/Page\/1191942128217?p=1191942128217). 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Accessed 30 October 2008."},{"key":"S095026880800157X_ref010","doi-asserted-by":"publisher","DOI":"10.1086\/498248"},{"key":"S095026880800157X_ref002","doi-asserted-by":"publisher","DOI":"10.3109\/00365549409008615"},{"key":"S095026880800157X_ref006","doi-asserted-by":"crossref","first-page":"256","DOI":"10.2807\/esm.10.12.00588-en","article-title":"Legionnaires' disease in Europe 2003\u20132004","volume":"10","author":"Ricketts","year":"2005","journal-title":"Eurosurveillance"},{"key":"S095026880800157X_ref013","doi-asserted-by":"publisher","DOI":"10.1084\/jem.87.2.87"},{"key":"S095026880800157X_ref021","unstructured":"21. Met Office (http:\/\/www.metoffice.gov.uk\/research\/hadleycentre\/obsdata\/HadEWP.html). Accessed 30 October 2008."},{"key":"S095026880800157X_ref020","unstructured":"20. Met Office (http:\/\/www.metoffice.gov.uk\/research\/hadleycentre\/obsdata\/cet.html). 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