Abstract

BackgroundDrylands, which are among the biosphere’s most naturally limiting and environmentally variable ecosystems, constitute three-quarters of the African continent. As a result, environmental sustainability and human development along with vector-borne disease (VBD) control historically have been especially challenging in Africa, particularly in the sub-Saharan and Sahelian drylands. Here, the VBD burden, food insecurity, environmental degradation, and social vulnerability are particularly severe. Changing climate can exacerbate the legion of environmental health threats in Africa, the social dimensions of which are now part of the international development agenda. Accordingly, the need to better understand the dynamics and complex coupling of populations and environments as exemplified by drylands is increasingly recognized as critical to the design of more sustainable interventions.Main bodyThis scoping review examines the challenge of vector-borne disease control in drylands with a focus on Africa, and the dramatic, ongoing environmental and social changes taking place. Dryland societies persisted and even flourished in the past despite changing climates, extreme and unpredictable weather, and marginal conditions for agriculture. Yet intrusive forces largely out of the control of traditional dryland societies, along with the negative impacts of globalization, have contributed to the erosion of dryland’s cultural and natural resources. This has led to the loss of resilience underlying the adaptive capacity formerly widely exhibited among dryland societies. A growing body of evidence from studies of environmental and natural resource management demonstrates how, in light of dryland system’s inherent complexity, these factors and top-down interventions can impede sustainable development and vector-borne disease control. Strengthening adaptive capacity through community-based, participatory methods that build on local knowledge and are tailored to local ecological conditions, hold the best promise of reversing current trends.ConclusionsA significant opportunity exists to simultaneously address the increasing threat of vector-borne diseases and climate change through methods aimed at strengthening adaptive capacity. The integrative framework and methods based on social-ecological systems and resilience theory offers a novel set of tools that allow multiple threats and sources of vulnerability to be addressed in combination. Integration of recent advances in vector borne disease ecology and wider deployment of these tools could help reverse the negative social and environmental trends currently seen in African drylands.

Highlights

  • Global climate change is predicted to contribute to increasing climate extremes and drought severity in African drylands [8]

  • The fundamentals are described in several major works [20, 21, 38] on the basis of which an expansive body of literature has developed outside of the health sciences. This review examines this body of research and practice as it applies to drylands and how it may provide the basis for an integrative framework for strategies that combine vector-borne diseases and climate adaptation

  • Others described the applicability of systems-based conception of resilience (SESR) framing and how zoonotic and VDB transmission dynamics, the current era of emerging and re-emerging infectious diseases, is largely driven by land use change affecting host-parasite dynamics at the landscape level [30, 31, 89]. In addition to these studies pointing to vector-borne disease (VBD) emergence as proximally a consequence of landscape level dynamics several others have drawn on principles developed in landscape ecology

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Summary

Conclusions

This review found an absence of published literature describing the application of SESR to VBD control, or VBD control combined with climate change adaptation in drylands. He specializes in infectious diseases ecology and evolution, vector-borne diseases adaptive management and the linkages between biodiversity and health He is currently focusing on operationalizing protocols applying Social-Ecological Systems approaches to VBD control and health development in Myanmar, Cambodia, Thailand and Lao PDR, including developping indicators assessing outcomes and processes in relation to community engagement, adaptive capacity building and resilience. He has academic experiences and postgraduate degrees from the University of Montpellier, France, the ETH Zurich, Switzerland and a PhD in infectious disease ecology and evolution from Laurentian University, Canada. Abbreviations M&E: Monitoring and evaluation; SESR: Social-ecological systems and/or resilience theory; VBD: Vector-borne disease

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