Overview of the relationship between climate change and infectious diseases
Climate change is altering the geographic range and seasonality of some insects that can carry diseases, for example Aedes aegypti, the mosquito that is the vector for dengue transmission.
Infectious diseases that are sensitive to climate can be grouped into: vector-borne diseases (transmitted via mosquitos, ticks etc.), waterborne diseases (transmitted via viruses or bacteria through water), and food-borne diseases.(spread through pathogens via food)[3]: 1107 Climate change affects the distribution of these diseases due to the expanding geographic range and seasonality of these diseases and their vectors.[4]: 9 Like other ways climate change affects human health, climate change exacerbates existing inequalities and challenges in managing infectious disease.
Mosquito-borne diseases that are sensitive to climate include malaria, lymphatic filariasis, Rift Valley fever, yellow fever, dengue fever, Zika virus, and chikungunya.[5][6][7] Scientists found in 2022 that rising temperatures are increasing the areas where dengue fever, malaria and other mosquito-carried diseases are able to spread.[3]: 1062 Warmer temperatures are also advancing to higher elevations, allowing mosquitoes to survive in places that were previously in hospitable to them.[3]: 1045 This risks malaria returning to areas where it was previously eradicated.[8]
Ticks are changing their geographic range because of rising temperatures, and this puts new populations at risk. Ticks can spread lyme disease and tick-borne encephalitis. It is expected that climate change will increase the incidence of these diseases in the Northern Hemisphere.[3]: 1094 For example, a review of the literature found that "In the USA, a 2°C warming could increase the number of lyme disease cases by over 20% over the coming decades and lead to an earlier onset and longer length of the annual Lyme disease season".[3]: 1094
Waterborne diseases are transmitted through water. The symptoms of waterborne diseases typically include diarrhea, fever and other flu-like symptoms, neurological disorders, and liver damage.[9] Climate changes have a large effect on the distribution of microbial species. These communities are very complex and can be extremely sensitive to external climate stimuli.[10] There is a range of waterborne diseases and parasites that will pose greater health risks in the future. This will vary by region. For example, in Africa, Cryptosporidium spp. and Giardia duodenalis (protozoan parasites) will increase. This is due to increasing temperatures and drought.[3]: 1095
Scientist also expect that disease outbreaks caused by vibrio (in particular the bacterium that causes cholera, called vibrio cholerae) are increasing in occurrence and intensity.[3]: 1107 One reason is that the area of coastline with suitable conditions for vibrio bacteria has increased due to changes in sea surface temperature and sea surface salinity caused by climate change.[4]: 12 These pathogens can cause gastroenteritis, cholera, wound infections, and sepsis. The increasing occurrence of higher temperature days, heavy rainfall events and flooding due to climate change could lead to an increase in cholera risks.[3]: 1045
^ abRomanello M, McGushin A, Di Napoli C, Drummond P, Hughes N, Jamart L, Kennard H, Lampard P, Solano Rodriguez B, Arnell N, Ayeb-Karlsson S, Belesova K, Cai W, Campbell-Lendrum D, Capstick S, Chambers J, Chu L, Ciampi L, Dalin C, Dasandi N, Dasgupta S, Davies M, Dominguez-Salas P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Escobar LE, Georgeson L, Grace D, Graham H, Gunther SH, Hartinger S, He K, Heaviside C, Hess J, Hsu SC, Jankin S, Jimenez MP, Kelman I, et al. (October 2021). "The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future"(PDF). The Lancet. 398 (10311): 1619–1662. doi:10.1016/S0140-6736(21)01787-6. hdl:10278/3746207. PMID34687662. S2CID239046862.
^Walker JT (September 2018). "The influence of climate change on waterborne disease and Legionella: a review". Perspectives in Public Health. 138 (5): 282–286. doi:10.1177/1757913918791198. PMID30156484. S2CID52115812.