Projecting the risk of mosquito-borne diseases in a warmer and more populated world: a multi-model, multi-scenario intercomparison modelling study
Open accessAbstract
BACKGROUND: Mosquito-borne diseases are expanding their range, and re-emerging in areas where they had subsided for decades. The extent to which climate change influences the transmission suitability and population at risk of mosquito-borne diseases across different altitudes and population densities has not been investigated. The aim of this study was to quantify the extent to which climate change will influence the length of the transmission season and estimate the population at risk of mosquito-borne diseases in the future, given different population densities across an altitudinal gradient. METHODS: Using a multi-model multi-scenario framework, we estimated changes in the length of the transmission season and global population at risk of malaria and dengue for different altitudes and population densities for the period 1951-99. We generated projections from six mosquito-borne disease models, driven by four global circulation models, using four representative concentration pathways, and three shared socioeconomic pathways. FINDINGS: We show that malaria suitability will increase by 1·6 additional months (mean 0·5, SE 0·03) in tropical highlands in the African region, the Eastern Mediterranean region, and the region of the Americas. Dengue suitability will increase in lowlands in the Western Pacific region and the Eastern Mediterranean region by 4·0 additional months (mean 1·7, SE 0·2). Increases in the climatic suitability of both diseases will be greater in rural areas than in urban areas. The epidemic belt for both diseases will expand towards temperate areas. The population at risk of both diseases might increase by up to 4·7 additional billion people by 2070 relative to 1970-99, particularly in lowlands and urban areas. INTERPRETATION: Rising global mean temperature will increase the climatic suitability of both diseases particularly in already endemic areas. The predicted expansion towards higher altitudes and temperate regions suggests that outbreaks can occur in areas where people might be immunologically naive and public health systems unprepared. The population at risk of malaria and dengue will be higher in densely populated urban areas in the WHO African region, South-East Asia region, and the region of the Americas, although we did not account for urban-heat island effects, which can further alter the risk of disease transmission. FUNDING: UK Space Agency, Royal Society, UK National Institute for Health Research, and Swedish Research Council.
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Matching the reductions in malaria prevalence over the next two decades may be challenging and the total population at risk of malaria is projected to increase over the coming 50 years.
“matching the reductions in malaria prevalence over the next two decades may be challenging and the total population at risk of malaria is projected to increase over the coming 50 years [42].”
From Global estimates of pregnancies at risk of Plasmodium falciparum and Plasmodium vivax infection in 2020 and changes in risk patterns since 2000 (2022) · cites this paper as [42]
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- Authors
- Colón-González, F. J., Sewe, M. O., Tompkins, A. M., Sjödin, H., Casallas, A., Rocklöv, J., Caminade, C., & Lowe, R.
- Affiliations
- Umeå University (SE)
- The Abdus Salam International Centre for Theoretical Physics (ICTP) (IT)
- Heidelberg University (DE)
- University of Liverpool (GB)
- London School of Hygiene & Tropical Medicine (GB)
- ORCID
- Venue
- The Lancet Planetary Health
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 5
- Issue
- 7
- Pages
- e404-e414
- ISSN
- 2542-5196 (ISSN-L)
- PMC
- PMC8280459
- OpenAlex
- W3182114573
- Cited by
- 455
- References
- 30
- Citations by year
- 2026: 69 · 2025: 111 · 2024: 115 · 2023: 90 · 2022: 59 · 2021: 11
- FWCI
- 27.47
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-08-01)
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Planetary Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Swedish Research Council
- UK Space Agency
- Liverpool School of Tropical Medicine
- National Institute for Health Research
- Royal Society
- Svenska Forskningsrådet Formas (2017-01742, 2018-05973)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Life Sciences › Immunology and Microbiology › Parasitology › Vector-borne infectious diseases
- Keywords
- mosquito-borne diseases, malaria, dengue, climate change, climate suitability, vulnerable populations, elevation gradient, population density, global climate models, RCP scenarios, Shared Socioeconomic Pathways, multi-model intercomparison, urban heat island
- MeSH terms
- Animals, Cities, Disease Outbreaks, Hot Temperature, Humans, Malaria, Climate Change
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