{"id":22327,"date":"2020-10-05T22:15:36","date_gmt":"2020-10-05T22:15:36","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=22327"},"modified":"2020-10-06T12:38:19","modified_gmt":"2020-10-06T12:38:19","slug":"more-dengue-fever-and-less-malaria-mosquito-control-strategies-may-need-to-shift-as-africa-heats-up","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/more-dengue-fever-and-less-malaria-mosquito-control-strategies-may-need-to-shift-as-africa-heats-up\/","title":{"rendered":"More dengue fever and less malaria \u2013 mosquito control strategies may need to shift as Africa heats up"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/jason-rasgon-524681\">Jason Rasgon<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/pennsylvania-state-university-1258\">Pennsylvania State University<\/a><\/em><\/p>\n<p>As it becomes too warm for comfort, the <a href=\"https:\/\/www.cdc.gov\/malaria\/about\/biology\/index.html\"><em>Anopheles<\/em> mosquitoes<\/a> that transmit malaria may lose the battle against climate change in Africa. But a new foe is on the horizon.<\/p>\n<p>When temperatures are too hot for malaria parasites and the <em>Anopheles<\/em> mosquitoes that transmit them, conditions may be just right for a different mosquito called <a href=\"https:\/\/www.who.int\/denguecontrol\/mosquito\/en\/\"><em>Aedes aegypti<\/em><\/a> to thrive. This new mosquito brings the threat of many viruses that it carries.<\/p>\n<p><a href=\"https:\/\/rasgonlab.com\">I have been working<\/a> on vector-borne diseases, including malaria and multiple arthropod-borne viral diseases, for over 20 years. A new paper by <a href=\"https:\/\/www.thelancet.com\/journals\/lanplh\/article\/PIIS2542-5196(20)30178-9\/fulltext\">Erin Mordecai and colleagues<\/a> published in Lancet Planetary Health presents an intriguing look into the future where hot temperatures caused by global warming make much of Africa inhospitable for malaria but other mosquito-borne diseases become widespread.<\/p>\n<h2>Too hot for one mosquito; just right for another<\/h2>\n<p>The new study suggests that climate change may lead to reductions in malaria in sub-Saharan Africa. <a href=\"https:\/\/www.niaid.nih.gov\/diseases-conditions\/malaria\">Malaria<\/a> is one of the major killers in Africa, with more than <a href=\"https:\/\/www.who.int\/health-topics\/malaria#tab=tab_1\">200 million cases and 400,000 deaths<\/a> every year. The parasites, and the <em>Anopheles<\/em> mosquitoes that transmit them, are widespread across sub-Saharan Africa. However, malaria is not the only vector-borne disease to be concerned about in Africa. Arthropod-borne viruses \u2013 or arboviruses \u2013 are also widespread on the continent.<\/p>\n<p><em>Anopheles<\/em> mosquitoes themselves are known to transmit a few viruses \u2013 including <a href=\"https:\/\/journals.plos.org\/plosntds\/article?id=10.1371\/journal.pntd.0006895\">Mayaro virus<\/a> and <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/20477724.2017.1355431\">O&#8217;nyong nyong virus<\/a>. But the most important viral vector is the mosquito <em>Aedes aegypti<\/em>, which transmits many different viruses including dengue virus, the most <a href=\"https:\/\/www.nature.com\/articles\/nature12060\">widespread<\/a> mosquito-borne virus on the planet.<\/p>\n<p><em>Aedes aegypti<\/em> and dengue virus (and other viruses) are widespread across Africa. But they are <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0001706X19317851\">underreported and underrecognized<\/a> as public health threats because most surveillance is focused on malaria. Furthermore, some <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0001706X14000631\">viral symptoms of dengue can mimic malaria infection<\/a>.<\/p>\n<p><em>Aedes<\/em> mosquitoes and arboviruses do better in hotter environments compared to <em>Anopheles<\/em> mosquitoes and malaria parasites. And as environmental conditions become warmer over the next 60 years, malaria may wane but viral pathogens such as dengue fever, with its associated rash, fever, body aches and potentially more severe life-threatening hemorrhagic and shock symptoms, will likely rise, the new study concludes.<\/p>\n<figure class=\"align-center zoomable\"><a href=\"https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img src=\"https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=353&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=353&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=353&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=443&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=443&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/357010\/original\/file-20200908-18-4v9he9.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=443&amp;fit=crop&amp;dpr=3 2262w\" alt=\"Map of Africa showing climate predictions over the next 60 years.\" \/><\/a><figcaption><span class=\"caption\">Possible scenarios of temperature-driven changes in disease risk across sub-Saharan Africa under a business-as-usual climate scenario. Red circles denote disease risk hot spots. Color scale indicates the intensity of human exposure risk, based on temperature.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">Mordecai, et al. \/ Lancet Planetary Health<\/span>, <a class=\"license\" href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA<\/a><\/span><\/figcaption><\/figure>\n<h2>New diseases on the rise<\/h2>\n<p>Vector control efforts that work for night-biting, indoor-feeding <em>Anopheles<\/em> mosquitoes \u2013 such as insecticide-treated bednets and insecticides \u2013 do not work for outdoor-feeding, day-biting <em>Aedes<\/em> mosquitoes. And, unlike malaria, there are no drugs or therapeutic treatments for dengue or other viral pathogens.<\/p>\n<p>If public health strategies are not adapted to the new climate reality, outbreaks of dengue and other viruses are expected to replace the disappearing malaria epidemics we see today, according to this new research paper.<\/p>\n<p><a href=\"https:\/\/www.thelancet.com\/journals\/lanplh\/article\/PIIS2542-5196(20)30178-9\/fulltext\">Mordecai and colleagues<\/a> used data from multiple sources to develop and validate models of malaria and dengue transmission potential. They showed that while malaria transmission does best at approximately 25 degrees Celsius, dengue transmission was more efficient at a much warmer 29\u00b0C.<\/p>\n<p>[<em>Deep knowledge, daily.<\/em> <a href=\"https:\/\/theconversation.com\/us\/newsletters\/the-daily-3?utm_source=TCUS&amp;utm_medium=inline-link&amp;utm_campaign=newsletter-text&amp;utm_content=deepknowledge\">Sign up for The Conversation\u2019s newsletter<\/a>.]<\/p>\n<p>As climate change makes much of Africa hotter in the coming century, the authors predict that by 2080 malaria cases will be significantly reduced as <em>Anopheles<\/em> retreat to cooler areas. Dengue, on the other hand, will be widespread as climate and urbanization create more widespread habitat for <em>Aedes<\/em> mosquitoes.<\/p>\n<p>As <em>Aedes aegypti<\/em> is already present in sub-Saharan Africa and viral pathogens such as dengue virus are present, Mordecai and colleagues make the compelling argument that public health efforts should consider monitoring and controlling arboviruses as an emerging problem as malaria recedes.<\/p>\n<p>Indeed, their results suggest that widespread arbovirus transmission may already be occurring, but not fully recognized, right under our noses.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/145650\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/jason-rasgon-524681\">Jason Rasgon<\/a>, Professor of Entomology and Disease Epidemiology, <em><a href=\"https:\/\/theconversation.com\/institutions\/pennsylvania-state-university-1258\">Pennsylvania State University<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/more-dengue-fever-and-less-malaria-mosquito-control-strategies-may-need-to-shift-as-africa-heats-up-145650\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jason Rasgon, Pennsylvania State University As it becomes too warm for comfort, the Anopheles mosquitoes that transmit malaria may lose the battle against climate change in Africa. But a new foe is on the horizon. When temperatures are too hot for malaria parasites and the Anopheles mosquitoes that transmit them, conditions may be just right [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":22328,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3410],"tags":[605,600,8779,2387,137,2386,133,8778,4396,4073],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22327"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=22327"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22327\/revisions"}],"predecessor-version":[{"id":22335,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/22327\/revisions\/22335"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/22328"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=22327"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=22327"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=22327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}