The negative binomial regression assumes independent random variables conditional on their recorded days, with
The logarithmic link function applies to the conditional expectation, not to the observed count. The displayed maximum-likelihood estimates are
and the dispersion parameter for the fitted family is one. Thus the fitted variance is , practically the Poisson distribution variance at these means.
Increasing the day by one multiplies the conditional expectation by , a decrease of about . Comparing days 365 and 1 gives . The negative slope has Wald statistic approximately , so under the stated model assumptions there is very strong evidence of a decreasing conditional mean:
This is an association with calendar day, not a causal effect established by the regression. The printed negative-binomial residual deviance is on residual degrees of freedom, which is a reason to investigate the adequacy of the assumed count model and dependence structure. In particular, the small reported slope standard error cannot make a misspecified model reliable.

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