Climate change could shift disease burden from malaria to arboviruses in Africa

Malaria is a long-standing public health problem in sub-Saharan Africa, whereas arthropod-borne viruses (arboviruses) such as dengue and chikungunya cause an under-recognised burden of disease. Many human and environmental drivers affect the dynamics of vector-borne diseases. In this Personal View,...

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Published inThe Lancet. Planetary health Vol. 4; no. 9; pp. e416 - e423
Main Authors Mordecai, Erin A, Ryan, Sadie J, Caldwell, Jamie M, Shah, Melisa M, LaBeaud, A Desiree
Format Journal Article
LanguageEnglish
Published Netherlands 01.09.2020
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Abstract Malaria is a long-standing public health problem in sub-Saharan Africa, whereas arthropod-borne viruses (arboviruses) such as dengue and chikungunya cause an under-recognised burden of disease. Many human and environmental drivers affect the dynamics of vector-borne diseases. In this Personal View, we argue that the direct effects of warming temperatures are likely to promote greater environmental suitability for dengue and other arbovirus transmission by Aedes aegypti and reduce suitability for malaria transmission by Anopheles gambiae. Environmentally driven changes in disease dynamics will be complex and multifaceted, but given that current public efforts are targeted to malaria control, we highlight Ae aegypti and dengue, chikungunya, and other arboviruses as potential emerging public health threats in sub-Saharan Africa.
AbstractList Malaria is a longstanding public health problem in sub-Saharan Africa, while arthropod-borne viruses (arboviruses) like dengue and chikungunya cause an underrecognized burden of disease. While many human and environmental drivers affect the dynamics of vector-borne diseases, here we argue that the direct effects of warming temperatures are likely to promote greater environmental suitability for dengue and other arboviruses transmitted by Aedes aegypti while reducing the suitability for malaria transmitted by Anopheles gambiae . Environmentally-driven changes in disease dynamics will no doubt be complex and heterogeneous, but given that current public efforts are targeted to malaria control, we encourage the public health community to consider Aedes aeypgti and dengue, chikungunya, and other arboviruses as potential emerging public health threats in sub-Saharan Africa.
Malaria is a long-standing public health problem in sub-Saharan Africa, whereas arthropod-borne viruses (arboviruses) such as dengue and chikungunya cause an under-recognised burden of disease. Many human and environmental drivers affect the dynamics of vector-borne diseases. In this Personal View, we argue that the direct effects of warming temperatures are likely to promote greater environmental suitability for dengue and other arbovirus transmission by Aedes aegypti and reduce suitability for malaria transmission by Anopheles gambiae. Environmentally driven changes in disease dynamics will be complex and multifaceted, but given that current public efforts are targeted to malaria control, we highlight Ae aegypti and dengue, chikungunya, and other arboviruses as potential emerging public health threats in sub-Saharan Africa.
Author Shah, Melisa M
Mordecai, Erin A
LaBeaud, A Desiree
Caldwell, Jamie M
Ryan, Sadie J
AuthorAffiliation 2 Department of Geography, University of Florida, Gainesville, FL, United States; Emerging Pathogens Institute, University of Florida, Gainesville, FL, United States; School of Life Sciences, College of Agriculture, Engineering, and Science, University of KwaZulu Natal, KwaZulu Natal, South Africa
1 Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States
5 Department of Pediatrics, Division of Infectious Disease, School of Medicine, Stanford University, Stanford, CA, United States
4 Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, United States
3 Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States
AuthorAffiliation_xml – name: 2 Department of Geography, University of Florida, Gainesville, FL, United States; Emerging Pathogens Institute, University of Florida, Gainesville, FL, United States; School of Life Sciences, College of Agriculture, Engineering, and Science, University of KwaZulu Natal, KwaZulu Natal, South Africa
– name: 1 Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States
– name: 4 Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, United States
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  givenname: Sadie J
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Snippet Malaria is a long-standing public health problem in sub-Saharan Africa, whereas arthropod-borne viruses (arboviruses) such as dengue and chikungunya cause an...
Malaria is a longstanding public health problem in sub-Saharan Africa, while arthropod-borne viruses (arboviruses) like dengue and chikungunya cause an...
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SubjectTerms Africa - epidemiology
Animals
Arbovirus Infections - epidemiology
Arbovirus Infections - transmission
Arthropod Vectors - physiology
Climate Change
Cost of Illness
Humans
Incidence
Malaria - epidemiology
Malaria - transmission
Mosquito Vectors - physiology
Prevalence
Title Climate change could shift disease burden from malaria to arboviruses in Africa
URI https://www.ncbi.nlm.nih.gov/pubmed/32918887
https://pubmed.ncbi.nlm.nih.gov/PMC7490804
Volume 4
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