マラリア：天候が感染に与える影響を理解する

オリジナルソース

タイトル: Comparing Three Approaches to Modelling the Effects of Temperature and Rainfall on Malaria Incidence in Different Climate Regions

概要: BackgroundMalaria transmission is primarily limited to tropical regions where environmental conditions are conducive for the survival of Plasmodium parasites and Anopheles mosquitoes. Adequate rainfall provides breeding sites, while suitable temperatures facilitate vector mosquito life-cycles and parasite development. Evaluating the efficacy of vector control interventions is crucial to determine their effectiveness in reducing malaria transmission. The aim of this study was to explore how these factors affect transmission dynamics at varying levels of vector control efficacy. MethodsWe developed a vector-host compartmental mathematical model to compare three published approaches to incorporating weather influences on malaria transmission. The first approach examines mosquito biting behaviour and mortality rates in larval and adult stages. The second focuses on temperature effects on mosquito life-cycle characteristics throughout the aquatic and adult stages. The third considers how temperature and rainfall influence adult mosquito behaviour, environmental carrying capacity, and survival during the aquatic stages. Model simulations were conducted at different annual vector control coverage levels, to identify variations in transmission patterns and seasonal variability in daily and annual incidence across three climate regions. ResultsThe first approach indicates sustained seasonal transmission, with lower cases per 1,000 in tropical regions compared to semi-arid and sub-tropical regions, even with enhanced vector control reducing cases. The second approach predicts sharp, brief annual peaks, with zero transmission during winter in tropical and semi-arid regions, while sub-tropical regions experience ongoing transmission. In contrast, the third approach projects multiple irregular peaks, with transmission ceasing in winter across all regions. ConclusionsSimulations indicate that climatic events like heatwaves or flooding, can trigger mosquito population surges and malaria outbreaks, even in areas previously free of malaria, despite strong vector control efforts. However, the results demonstrate that sustained and effective vector control, particularly in regions with moderate temperatures, can substantially reduce malaria incidence. Effective malaria control requires incorporating weather predictions into intervention plans, and enhancing current vector control strategies with supplementary measures like larval source management. Accurate timing and targeting of these interventions, based on transmission season projections, are crucial for maintaining robust control as weather conditions evolve and to prepare for future challenges.