Abstract

BackgroundMany parasites of medical and veterinary importance are transmitted by cold-blooded intermediate hosts or vectors, the abundance of which will vary with ambient temperatures, potentially altering disease prevalence. In particular, if global climate change will increase mean ambient temperature in a region endemic with a human pathogen then it is possible that the incidence of disease will similarly increase. Here we examine this possibility by using a mathematical model to explore the effects of increasing long-term mean ambient temperature on the prevalence and abundance of the parasite Schistosoma mansoni, the causative agent of schistosomiasis in humans.Principal FindingsThe model showed that the impact of temperature on disease prevalence and abundance is not straightforward; the mean infection burden in humans increases up to 30°C, but then crashes at 35°C, primarily due to increased mortalities of the snail intermediate host. In addition, increased temperatures changed the dynamics of disease from stable, endemic infection to unstable, epidemic cycles at 35°C. However, the prevalence of infection was largely unchanged by increasing temperatures. Temperature increases also affected the response of the model to changes in each parameter, indicating certain control strategies may become less effective with local temperature changes. At lower temperatures, the most effective single control strategy is to target the adult parasites through chemotherapy. However, as temperatures increase, targeting the snail intermediate hosts, for example through molluscicide use, becomes more effective.ConclusionsThese results show that S. mansoni will not respond to increased temperatures in a linear fashion, and the optimal control strategy is likely to change as temperatures change. It is only through a mechanistic approach, incorporating the combined effects of temperature on all stages of the life-cycle, that we can begin to predict the consequences of climate change on the incidence and severity of such diseases.

Highlights

  • Global climatic changes alter the equilibrium of many ecosystems and the distribution of species they support [1,2]

  • We focus on longterm changes in mean ambient temperature, rather than shortterm diurnal or seasonal temperature fluctuations, and we concentrate on the impact of increasing mean ambient temperatures on the snail-schistosome interaction within a region in which schistosomiasis is already endemic, rather than the spread of the disease into new areas

  • This paper addresses three important questions regarding the impact of temperature on schistosomiasis: What effect does temperature have on the prevalence of schistosomiasis in a population? How do long-term temperature increases affect the mean worm burden in the population? What are the implications of long-term temperature increases on the optimal control strategy of schistosomiasis in the field?

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Summary

Introduction

Global climatic changes alter the equilibrium of many ecosystems and the distribution of species they support [1,2]. If global climate change will increase mean ambient temperature in a region endemic with a human pathogen it is possible that the incidence of disease will increase We examine this possibility by using a mathematical model to explore the effects of increasing long-term mean ambient temperature on the prevalence and abundance of the parasite Schistosoma mansoni, the causative agent of schistosomiasis in humans. These results show that S. mansoni will not respond to increased temperatures in a linear fashion, and the optimal control strategy is likely to change as temperatures change It is only through a mechanistic approach, incorporating the combined effects of temperature on all stages of the life-cycle, that we can begin to predict the consequences of climate change on the incidence and severity of such diseases

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