Abstract

Vector borne diseases are susceptible to climate change because distributions and densities of many vectors are climate driven. The Amazon region is endemic for cutaneous leishmaniasis and is predicted to be severely impacted by climate change. Recent records suggest that the distributions of Lutzomyia (Nyssomyia) flaviscutellata and the parasite it transmits, Leishmania (Leishmania) amazonensis, are expanding southward, possibly due to climate change, and sometimes associated with new human infection cases. We define the vector’s climatic niche and explore future projections under climate change scenarios. Vector occurrence records were compiled from the literature, museum collections and Brazilian Health Departments. Six bioclimatic variables were used as predictors in six ecological niche model algorithms (BIOCLIM, DOMAIN, MaxEnt, GARP, logistic regression and Random Forest). Projections for 2050 used 17 general circulation models in two greenhouse gas representative concentration pathways: “stabilization” and “high increase”. Ensemble models and consensus maps were produced by overlapping binary predictions. Final model outputs showed good performance and significance. The use of species absence data substantially improved model performance. Currently, L. flaviscutellata is widely distributed in the Amazon region, with records in the Atlantic Forest and savannah regions of Central Brazil. Future projections indicate expansion of the climatically suitable area for the vector in both scenarios, towards higher latitudes and elevations. L. flaviscutellata is likely to find increasingly suitable conditions for its expansion into areas where human population size and density are much larger than they are in its current locations. If environmental conditions change as predicted, the range of the vector is likely to expand to southeastern and central-southern Brazil, eastern Paraguay and further into the Amazonian areas of Bolivia, Peru, Ecuador, Colombia and Venezuela. These areas will only become endemic for L. amazonensis, however, if they have competent reservoir hosts and transmission dynamics matching those in the Amazon region.

Highlights

  • The latest report of the Intergovernmental Panel on Climate Change (IPCC) states that climate change will affect human health through exacerbation of health problems that already exist [1,2]

  • The current report investigates the potential effects of climate change on the spatial distribution of Lutzomyia (Nyssomyia) flaviscutellata (Mangabeira) (Diptera, Psychodidae), a phlebotomine sand fly vector [8] of the parasitic protozoan Leishmania (Leishmania) amazonensis Lainson & Shaw (Kinetoplastida, Trypanosomatidae), a causative agent of zoonotic cutaneous leishmaniasis (ZCL) throughout much of tropical South America [9,10]

  • The World Health Organization estimates the yearly occurrence as about 200,000 to 400,000 human cases of visceral leishmaniasis and 700,000 to 1.2 million human cases of cutaneous leishmaniasis distributed in 98 countries

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Summary

Introduction

The latest report of the Intergovernmental Panel on Climate Change (IPCC) states that climate change will affect human health through exacerbation of health problems that already exist [1,2]. Leishmaniases are climate-sensitive diseases, not least because the distribution and behaviour of their sand fly vectors are strongly affected by rainfall, temperature and humidity [6,7]. The current report investigates the potential effects of climate change on the spatial distribution of Lutzomyia (Nyssomyia) flaviscutellata (Mangabeira) (Diptera, Psychodidae), a phlebotomine sand fly vector [8] of the parasitic protozoan Leishmania (Leishmania) amazonensis Lainson & Shaw (Kinetoplastida, Trypanosomatidae), a causative agent of zoonotic cutaneous leishmaniasis (ZCL) throughout much of tropical South America [9,10]. Human migrations have resulted in major deforestation and unplanned settlements in Brazil. This has led to the emergence of new transmission profiles of ZCL, driven mostly by human-made environmental changes [12]

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