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 in | The Lancet. Planetary health Vol. 4; no. 9; pp. e416 - e423 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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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. |
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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 – name: 5 Department of Pediatrics, Division of Infectious Disease, School of Medicine, Stanford University, Stanford, CA, United States – name: 3 Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States |
Author_xml | – sequence: 1 givenname: Erin A surname: Mordecai fullname: Mordecai, Erin A email: emordeca@stanford.edu organization: Department of Biology, Stanford University, Stanford, CA, USA. Electronic address: emordeca@stanford.edu – sequence: 2 givenname: Sadie J surname: Ryan fullname: Ryan, Sadie J organization: Department of Geography and Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA; College of Agriculture, Engineering, and Science, University of KwaZulu Natal, KwaZulu Natal, South Africa – sequence: 3 givenname: Jamie M surname: Caldwell fullname: Caldwell, Jamie M organization: Department of Biology, Stanford University, Stanford, CA, USA – sequence: 4 givenname: Melisa M surname: Shah fullname: Shah, Melisa M organization: School of Medicine, Stanford University, Stanford, CA, USA – sequence: 5 givenname: A Desiree surname: LaBeaud fullname: LaBeaud, A Desiree organization: Department of Pediatrics, Stanford University, Stanford, CA, USA |
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Notes | Contributors: EAM and ADL conceived of the study; EAM, JMC, SJR, MMS, and ADL conducted the study; EAM wrote the first draft of the manuscript; all authors revised the manuscript and approved of the final version. |
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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 |
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