Title: Global Warming and Infectious Diseases<br/>Author: Jon Mark Hirshon<br/><a href='http://umem.org/profiles/faculty/96/'>[Click to email author]</a><hr/><p>
        <strong>July 2016 was the hottest month ever recorded.</strong> As the temperature of the planet continues to rise, changes in infectious disease patterns of transmission are likely to occur. Many formerly exotic diseases, such as Zika, West Nile, malaria and cholera are spreading to new areas. Some of these are now found in the United States. Below is a table (from M. L. Wilson) that exemplifies how environmental changes can impact infectious diseases.</p>
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        <strong>Bottom Line: Remain vigilant for unusual infectious diseases, especially among travelers.  However recognize that many diseases have the potential to spread to the U.S., especially considering ongoing environmental changes. </strong></p>
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" /></p>
<fieldset><legend>References</legend>

                <p>
        <a href="http://www.who.int/globalchange/environment/en/chapter6.pdf">www.who.int/globalchange/environment/en/chapter6.pdf</a></p>
<p>
        <a href="http://www.chgeharvard.org/topic/climate-change-and-infectious-disease">http://www.chgeharvard.org/topic/climate-change-and-infectious-disease</a></p>
<p>
        <a href="http://www.who.int/globalchange/climate/summary/en/index5.html">http://www.who.int/globalchange/climate/summary/en/index5.html</a></p>
<p>
        Wilson, M.L., Ecology and infectious disease, in Ecosystem Change and Public Health: A Global Perspective, J.L. Aron and J.A. Patz, Editors. 2001, Johns Hopkins University Press: Baltimore. p. 283-324.</p>
</fieldset>