Abstract

Climate is one of several causes of disease emergence. Although half or more of infectious diseases are affected by climate it appears to be a relatively infrequent cause of human disease emergence. Climate mostly affects diseases caused by pathogens that spend part of their lifecycle outside of the host, exposed to the environment. The most important routes of transmission of climate sensitive diseases are by arthropod (insect and tick) vectors, in water and in food. Given the sensitivity of many diseases to climate, it is very likely that at least some will respond to future climate change. In the case of vector-borne diseases this response will include spread to new areas. Several vector-borne diseases have emerged in Europe in recent years; these include vivax malaria, West Nile fever, dengue fever, Chikungunya fever, leishmaniasis, Lyme disease and tick-borne encephalitis. The vectors of these diseases are mosquitoes, sand flies and ticks. The UK has endemic mosquito species capable of transmitting malaria and probably other pathogens, and ticks that transmit Lyme disease. The UK is also threatened by invasive mosquito species known to be able to transmit West Nile, dengue, chikungunya and Zika, and sand flies that spread leishmaniasis. Warmer temperatures in the future will increase the suitability of the UK’s climate for these invasive species, and increase the risk that they may spread disease. While much attention is on invasive species, it is important to recognize the threat presented by native species too. Proposed actions to reduce the future impact of emerging vector-borne diseases in the UK include insect control activity at points of entry of vehicles and certain goods, wider surveillance for mosquitoes and sand flies, research into the threat posed by native species, increased awareness of the medical profession of the threat posed by specific diseases, regular risk assessments, and increased preparedness for the occurrence of a disease emergency.

Highlights

  • There is widespread scientific agreement that anthropogenic activities are contributing to the warming of the world’s climate at an unprecedented rate, with concomitant changes in precipitation, flooding, winds and the frequency of extreme events

  • While there is consensus that climate affects the transmission of tick-borne Lyme borreliosis, and some agreement that the northward spread of the vector in Sweden is attributable to recent warming, there are no published models projecting its future incidence in Europe under scenarios of climate change

  • Many water-borne and food-borne diseases are climate sensitive but there is a relative paucity of published studies on the impacts of climate change upon them

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Summary

Introduction

There is widespread scientific agreement that anthropogenic activities are contributing to the warming of the world’s climate at an unprecedented rate, with concomitant changes in precipitation, flooding, winds and the frequency of extreme events. There are, strong arguments to expect climate change to impact on human disease outbreaks, especially those transmitted by vectors or in food/water, but in practice there are relatively few examples for which there is documented evidence.

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