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increased risk of human infections. In both the RVF and the chikungunya fever examples, climate appears to have interacted with other factors to facilitate the outbreaks (see Table 2-2), consistent with the “Convergence Model” of infectious disease emergence proposed by the Institute of Medicine’s (IOM’s) Committee on Microbial Threats to Health in the Twenty-First Century (Figure 2-9; IOM, 2003). For example, besides flooding of mosquito habitats, animal sacrificing and preparation practices may have contributed to the RVF epidemic in East Africa in 2006. In The hottest product otter reading books postercoastal Kenya in 2004, the availability of vector breeding sites (i.e., unprotected domestic water stores) appears to have facilitated the emergence of chikungunya fever. In developing early warning systems for outbreaks linked to extreme weather, consideration of the nonclimatic facilitating factors may enable more precise identification of populations at risk, with better targeting of risk communication. Following the 1997–1998 outbreak, scientists at the U.S. National Aeronautics and Space Administration Goddard Space Flight Center (NASA-GSFC) and the Department of Defense Global Emerging Infections Surveillance and Response System (DOD-GEIS)

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