{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T00:29:36Z","timestamp":1793579376817,"version":"4.5.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"16","license":[{"start":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T00:00:00Z","timestamp":1472515200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>\n                    Legionnaires' disease (LD) is caused by the inhalation of aerosols containing\n                    <jats:italic>Legionella<\/jats:italic>\n                    , a Gram-negative bacteria. Previous national- or regional-level studies have suggested an impact of climate on LD incidence. The objective of this study was to investigate the effect of temperature, rainfall, and atmospheric pressure on short-term variations in LD notification rate. EU\/EEA Member States report their LD surveillance data to the European Centre for Disease Prevention and Control. Community-acquired LD cases reported by Denmark, Germany, Italy, and The Netherlands with onset date in 2007\u20132012 were aggregated by onset week and region of residence. Weather variables were extracted from the European Climate Assessment &amp; Dataset project. We fitted Poisson regression models to estimate the association between meteorological variables and the weekly number of community-acquired LD cases. Temperature, rainfall and atmospheric pressure were all associated with LD risk with higher risk associated with simultaneous increase in temperature and rainfall. Temperatures &gt;20 \u00b0C were not associated with a higher risk for LD. LD cases occurring during wintertime may be associated with sources less influenced by meteorological conditions.\n                  <\/jats:p>","DOI":"10.1017\/s0950268816001874","type":"journal-article","created":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T06:34:10Z","timestamp":1472538850000},"page":"3483-3493","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":41,"title":["Short-term effects of atmospheric pressure, temperature, and rainfall on notification rate of community-acquired Legionnaires' disease in four European countries"],"prefix":"10.1017","volume":"144","author":[{"given":"J.","family":"BEAUT\u00c9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"SANDIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. A.","family":"ULDUM","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. C.","family":"ROTA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"BRANDSEMA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"GIESECKE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"SPAR\u00c9N","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,8,30]]},"reference":[{"key":"S0950268816001874_ref25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0061036"},{"key":"S0950268816001874_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijheh.2010.03.004"},{"key":"S0950268816001874_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S095026880800099X"},{"key":"S0950268816001874_ref5","doi-asserted-by":"crossref","first-page":"20417","DOI":"10.2807\/ese.18.10.20417-en","article-title":"Legionnaires\u2019 disease in Europe, 2009\u20132010","volume":"18","author":"Beaut\u00e9","year":"2013","journal-title":"Eurosurveillance"},{"key":"S0950268816001874_ref21","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511755453"},{"key":"S0950268816001874_ref7","doi-asserted-by":"publisher","DOI":"10.1086\/498248"},{"key":"S0950268816001874_ref3","doi-asserted-by":"publisher","DOI":"10.1086\/599825"},{"key":"S0950268816001874_ref26","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.03394-14"},{"key":"S0950268816001874_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S095026881200101X"},{"key":"S0950268816001874_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2014.07.116"},{"key":"S0950268816001874_ref11","first-page":"150","article-title":"The effect of drying, heat, and pH on the survival of Legionella pneumophila","volume":"17","author":"Katz","year":"1987","journal-title":"Annals of Clinical and Laboratory Science"},{"key":"S0950268816001874_ref28","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268806007667"},{"key":"S0950268816001874_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/0471725153"},{"key":"S0950268816001874_ref23","volume-title":"In All Likelihood: Statistical Modelling and Inference Using Likelihood","author":"Pawitan","year":"2013"},{"key":"S0950268816001874_ref1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.15.3.506-526.2002"},{"key":"S0950268816001874_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1994.00420210049006"},{"key":"S0950268816001874_ref12","volume-title":"Legionella and the Prevention of Legionellosis","author":"Bartram","year":"2007"},{"key":"S0950268816001874_ref18","unstructured":"Official Journal of the European Union. Commission Implementing Decision 2012\/506\/EU of 8 August 2012 amending Decision 2002\/253\/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119\/98\/EC of the European Parliament and of the Council (http:\/\/eur-lex.europa.eu\/LexUriServ\/LexUriServ.do?uri=OJ:L:2012:262:0001:0057:EN:PDF). Accessed 6 December 2011."},{"key":"S0950268816001874_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70713-3"},{"key":"S0950268816001874_ref22","volume-title":"Regression Modeling Strategies: With Applications to Linear Models, Logistic Regression, and Survival Analysis","author":"Harrell","year":"2013"},{"key":"S0950268816001874_ref20","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt092"},{"key":"S0950268816001874_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268813003476"},{"key":"S0950268816001874_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S095026880800157X"},{"key":"S0950268816001874_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002428"},{"key":"S0950268816001874_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268806007552"},{"key":"S0950268816001874_ref19","unstructured":"Regulation (EC) No 1059\/2003 establishing the common classification of territorial units for statistics (NUTS) (http:\/\/eurlex.europa.eu\/LexUriServ\/LexUriServ.do?uri=CONSLEG:2003R1059:20110207:EN:PDF). Accessed 17 October 2014."},{"key":"S0950268816001874_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268813003294"},{"key":"S0950268816001874_ref17","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.14.142299"}],"updated-by":[{"DOI":"10.1017\/s0950268817002278","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2017,10,16]],"date-time":"2017-10-16T00:00:00Z","timestamp":1508112000000}}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268816001874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T15:46:49Z","timestamp":1555602409000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268816001874\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,30]]},"references-count":28,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["S0950268816001874"],"URL":"https:\/\/doi.org\/10.1017\/s0950268816001874","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,30]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2016\u00a0This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}