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Int J Clin Exp Med 2016;9(3):6642-6648 www.ijcem.com /ISSN:1940-5901/IJCEM0019109

Original Article Applied research progress of the ecological niche in vector-borne disease

Xiangjuan Li, Wenwang Wu, Jin Fang, Fengfen Zhang, Yangguang Qin

Guangxi International Travel Health Care Center, Nanning 530021, Guangxi, China Received November 3, 2015; Accepted February 10, 2016; Epub March 15, 2016; Published March 30, 2016

Abstract: In recent years, zoonotic infectious diseases, such as Middle East Respiratory Syndrome (MERS), , highly pathogenic avian influenza, bovine spongiform encephalopathy (BSE), Severe Acute Respiratory Syndromes (SARS), West Nile et al. become an increasing threat to human beings through a variety of routes. It has been currently reported that at least more than 200 kinds of animal infectious diseases and parasitic diseases can be transmitted to humans, which are known as zoonotic infectious diseases. Ecological niche study was conducted to determine the effect of different environmental risk factors on the transmission of vector borne infectious diseases.The literature search was made of articles published up until July 2015 in PubMed. Inclusion criteria contained ecological studies for vector-borne and zoonotic diseases that used ecological niche models. Abstracts and full texts were read and evaluated by two independent readers.We investigate the evidence of 37 studies from a total of 187 selected in PubMed. Initially, 187 abstracts were found in the PubMed, among which 154 full-text articles were retrieved. After screening abstracts and titles, 83 citations were rejected because they were not for vector-borne and zoonotic diseases. 71 abstracts fulfilled the predefined criteria and were included as full texts. Finally, 37 of these fulfilled the inclusion criteria, while the other 34 were excluded because they did not use the ecological niche model. Results derived from ecological studies provide a better understanding of the inner relationship among the pathogen, host, external environment and the influence of different environmental factors on the transmission of infectious diseases. More studies of high quality are needed to investigate ecological factors for vector-borne and zoonotic diseases.

Keywords: Ecological niche, vector-borne, zoonotic disease

Introduction human activities by means of the ecological niche. This review has been developed to gain Recently, MERS, Ebola, high pathogenic avian the research progress of the ecological niche in influenza, BSE, SARS, and other vector-borne diseases. zoonotic infectious diseases frequently attack humans via various transmission routes. So far Materials and methods it has been known that at least 200 animals infectious diseases and parasitic diseases can We searched PubMed using combination terms, including ecological niche and infectious dis- be transmitted to humans. Spreading and prev- ease, with the last update in July 2015. Inclusion alence of these diseases are subject to the criteria contained ecological studies for vector- influence of environmental factors. Especially, borne and zoonotic diseases using ecological in the context of the global warming, the alter- niche model. The studies without full text were nation of the disease vectors, the host range excluded while studies without primary data, and habitat, resulted in the change of preva- commentaries, or letters to the editor were also lence and trends of some infectious diseases, ruled out. There was no limitation of the publi- and drove pathogens spreading to new areas. cation date for the search. We included paper Therefore, we sought to explore the relation- only written in English. ship between the occurrence and development of the diseases and the local natural environ- Abstracts and full texts were evaluated by two ment, along with the changes of diseases and independent readers based on the criteria Ecological niche in vector-borne disease

ecology, weather factor, so- cial environment, to illustrate the relation between patho- gen/host and external envi- ronment, as well as to study the time and space distri- bution patterns of distinct infectious diseases and the impact of diverse environ- mental factors on the trans- mission of infectious dis- eases. The spread of patho- gens and the possibility of epidemic could be predicted on the basis of transmission rules.

The studies of these 37 papers were located in Africa [16], American [11], and other regions, including South East Asia, Western Europe, etc. [10]. The vector borne diseas- es in the research included highly pathogenic avian influ- enza, leishmaniasis, brucello- Figure 1. Flow diagram of study selection process. sis, , , leptospirosis body disease, described above. Consensus was obtained by , hemorrhagic fever with renal syn- discussion in case of opposing decisions. drome, Buruli ulcer, West Nile fever, Lyme dis- ease, , cone worm disease, Rift Valley For each included study, the readers filled in a fever, Nipah disease, Toxoplasma and Trich- data collection sheet, with the information inella spiralis infection diseases. There are 15 about diseases, study place, objectives, meth- articles focusing the study of the host’s adap- ods, and results to assess the level of quality of tive environment, which are mainly related to the studies, including risk factors and areas the density of the biotic population, land cover, potential for spreading diseases. etc.. While another 17 papers mainly studied Results ecological changes caused by meteorological factors, which are mainly related to the temper- Initially, 187 abstracts were found in the ature and precipitation. 5 papers emphasized PubMed. 154 full-text articles were retrieved. the investigation on social environment factors, After screening abstracts and titles, 83 cita- while 2 articles were written on both the adap- tions were rejected because they were not tion of host to the environment and social fac- for vector-borne and zoonotic diseases. 71 tors (Table 1). abstracts fulfilled the predefined criteria and were collected as full texts. Finally, 37 of The adaption of host to environmental ecology these fulfilled the inclusion criteria, while the other 34 were excluded because they were Vegetation zones vary widely on the earth, not involved with the ecological niche model which are associated with relevant climate (Figure 1). zones. There are also specific biotic popula- Study characteristics tions that adapt to the vegetation zones. If the population gets denser, the number of patho- These 37 articles employed the ecological gen will increase; or the natural enemies are niche model to investigate the environmental artificially reduced, the possibility of infectious

6643 Int J Clin Exp Med 2016;9(3):6642-6648 Ecological niche in vector-borne disease

Table 1. Characteristics of included studies Research focus Environmental impact factors Vectors involved Diseases involved Host adaptation to environmental ecology Normalized differential veg- Domestic animal High pathogenic avian influ- etation index (NDVI) enza H5N1, H7N9 Bat Land cover Sand fly Sand fly fever, leishmaniasis Tsetse fly Trypanosomiasis disease Terrain Flying fox Nipah virus disease Fruit bat Buruli ulcer Altitude Hemiptera insect Brucellosis Egypt Culex and Ticks Lyme disease Climate ecology Temperature Sand fly Leishmaniasis Domestic animal A/H1N1 influenza Bank vole Hemorrhagic fever with renal syndrome Ticks Lyme disease Precipitation Angiostrongylus canto- Diseases of Angiostrongylus nensis cantonensis White-footed mice Leptospirosis Wind speed Sand fly Leishmania infantum Blood sucking insects Lymphatic filariasis Monkey African monkeypox Social ecology Larger population density Fruit bat Nipah virus disease and mobility Malari, West Nile fever The expansion of agricultural Tsetse fly Trypanosomiasis disease and animal husbandry zones The rise of irrigated farmland Toxoplasma and Toxoplasma and and rural population trichinosis Housing materials and the Chagas’ disease way of drinking water diseases outbreak will be reinforced. Therefore, Michelle et al. established the ecological niche vector-borne diseases correlate with the eco- of two genuses of sand flies in Afghanistan, logical environment that biotic populations Armenia, Egypt, and other 24 Middle East inhabit. For instance, the plague niche might be countries, and they found the land cover was driven by the ecological requirements of fleas the most pronounced factor that affected [1]. Pappataci fever and leishmaniasis, and directly determined the distribution and density of the Studies via the ecological niche on characteris- sand flies [5]. The tsetse flies, whose living tics of ecological environment in different areas environment was in relation to the temperature where highly pathogenic avian influenza (HPAI) and precipitation, exhibited a higher population H5N1 and H7N9 occurred demonstrated that density in Brazil, Zambia and Zambezi River less cases of H5N1 in Nigeria were reported basin, indicating a high risk of trypanosomiasis under the circumstances of low normalized dif- in those areas [6, 7]. ferential vegetation index (NDVI) and small sea- sonal change, while cases presented an acute In , the flying foxes carrying Nipah virus increase as NDVI rose with dramatic seasonal mainly locate in central plains region, such as change [2, 3]. NDVI also unraveled the Mideast Buddhist temples or areas close to water and of China as high-risk zone for HPAI H7N9. This vegetation, and pig farms in Bangkok became index has a considerable effect on the distribu- the high-risk zones [8]. Evidence also revealed tion of two types of bats (Tadarida brasiliensis as the favorable area for Nipah and Lasiurus cinereus) in the United States, virus spreading, on the grounds that flying foxes which carry [4]. prefer the habitats near the areas with low

6644 Int J Clin Exp Med 2016;9(3):6642-6648 Ecological niche in vector-borne disease annual precipitation and high population den- flu epidemic in Vellore area showed negative sity [9]. correlation with factors of temperature, humi- dity. The distribution of Mycobacterium ulcerans in Cameroon showed an obvious seasonal varia- The local temperature exhibited more rele- tion and had an intense relationship with land vance with leptospirosis in Mexico than precipi- cover and ecological environment of terrain. tation did. 55.7% areas in Mexico possess the The prevalence of the disease also related to right environmental conditions for the patho- the abundance of Hemiptera [10, 11]. The eco- gen and are primed higher risk of infection. The logical environment in Middle East of Inner spread of monkeypox in Africa is related to Mongolia and Northeast China may facilitate mean precipitation and low altitudes and high- the occurrence of brucellosis epidemic in risk areas are mainly in the central and western humans [12]. regions, especially in the south of the Sahara, Sahel. The activities of bank voles in Western The central and northwest of Tanzania, West European are significantly influenced by the Lake Victoria, Lake Victoria, northern Malawi, local climate, including temperature, precipita- Kenya rift area exert as potential suitable habi- tion, etc.. Inhabitants in agricultural area, rang- tats for West Africa Egypt Culex and Aedes, ing over pastures, forests and semi deep for- which have the possibility of the potential out- est, face severer dangers of hemorrhagic fever break of Rift Valley fever [13]. Higher popula- with renal syndrome by being infected with tion density of ticks concentrated in Vancouver Puumala virus that bank voles carry. The long- coastal, Colombia’s southwest coast and val- term rainfall indicates the possibility of prompt leys below 51 degrees north latitude, along outbreak of Buruli ulcer in French Guiana. with high risk of Lyme disease infection [14]. Secondly, due to climate change, the habitats Meteorological ecology of the vectors will also be changed. It has been anticipated that, from the year 2040 to 2060, The changes of temperature, air humidity, air- the potential habitat of Ixodes ricinus in Europe flow, air pressure and solar radiation determine may expand 3.8%. The habitats will be extend- the lifetime and spreading of pathogenic micro- ed to high altitude and latitude areas (e.g. organisms relying on air transmission and Scandinavia, the Baltic Sea, Belarus, etc.), thereby affect the occurrence of the diseases. while in other areas (such as the Alps, Pyrenees, In addition, climatic and geographical factors mainland Italy, Poland northwest) the scope will directly impact the growth of vector insects. relatively reduce [25]. The potential proper hab- The occurrence of the diseases has obvious itats of Angiostrongylus cantonensis, originat- seasonal, the trends of which are consistent ed from southeastern Asia, locate in tropical with the period of insect activities. and subtropical regions. However, as the cli- First, temperature and precipitation play an mate changes, the habitats are deviating from essential role in the incidence of many vector- the equator at a speed of 68-152 km/10 years. borne infectious diseases, such as cutaneous Highly suitable habitat (> 50%) may shrink leishmaniasis [15, 16], malaria [17], H1N1 flu 13.11-16.11% till around 2070 [26]. Lyme dis- [18], leptospirosis [19], hemorrhagic fever with ease in Quebec Canada correlates with the renal syndrome [20], monkeypox [21, 22], large amount of white-footed mice, which Buruli ulcer [23], West Nile fever [24]. incline to live in mild and short winter. With the global climate change, the range will further The active periods of sand flies in Iran Qom expand northward [27]. Climate change also Province sand flies are May and August, which increase the risk of infection of leishmaniasis in mostly depend on the monthly mean tempera- the United States, with the high-risk area ture. Therefore, high potential risk of leishmani- extending to the north [28]. Study on infantile asis transmission may exist in lowlands of this leishmaniasis in Columbia predicted that the province. The bridge area of the basin in is parasite species and abundance were subject associated with high risk of malaria, owing to to the impact of climate; thereby incidence of precipitation and temperature. Factors of pre- human cases would reduce [29]. The transmis- cipitation, wind speed that are related to H1N1 sion of lymphatic filariasis in Africa is expected

6645 Int J Clin Exp Med 2016;9(3):6642-6648 Ecological niche in vector-borne disease to extend from west to east in the future (2050), Conclusions and spread from West Africa to the Middle East and the island of Madagascar [30]. Early studies concerning ecology mainly fo- cused on animal and plant, which were wide- Social ecology ly used in the spatial distribution patterns of species, the influence of global change on As the population increases, agricultural and species distribution or diversity, and early warn- pastoral areas have been expanded, and ing for exotic species invasion. Further under- directly encroached the traditional habitat of standing of the diseases gradually facilitates the pathogen. Due to the contact, animals and the application of ecological niche models in plants become the new hosts of the pathogen, infectious diseases research. Imperative mea- which then infect humans. Earlier studies sures were taken to destroy the fertility of showed that over the past 20 years, a sharp microbial pathogens, insect vectors and para- reduction of Southeast Asian forests on sites, based on the results of the distribution of account of deforestation and drought gave rise medical vectors and the spread of the diseas- to a change of the habitat of fruit bats, from the es. Nonetheless, as an emerging field, the forest to the orchard. As the natural host, and application of ecological niche models in infec- fruit bats carry the Nipah virus to pigs, and then tious diseases remains to be further investigat- humans and domestic animals are infected ed with substantial problems to be solved. [31]. Firstly, in the GIS geographical distribution The expansion of areas for agriculture and ani- map, the importance of fine mapping should mal husbandry reduce the size of the environ- not to be ignored, and especially in developing ment suitable for tsetse fly, in a long period of countries, the accuracy of the ecological niche time, however, trypanosomiasis remains a pub- may arise the question due to the inaccurate lic health threat in Zambia area [6]. As the map and geographical information. Second, the activity of Trypanosoma cruzi parasite has storage of archive data on primary disease, the been increasing in urban areas, especially collection and accumulation of raw data will along the Pacific coast, there is a great diversi- affect the accuracy of the results. Eventually, ty of species concentrated in the Neotropic, so in the study of the disease ecology, it remains that 88% of the areas of Mexico are facing up to be determined whether the option of poten- with the possibility of Chagas disease infection tial medical vectors distribution conforms to [32]. The housing materials and the way of the existing ecological niche model and difficul- drinking water in Bolivia have close relation to ties still exist in the choice of disease ecology- the Chagas disease, and the local embryo walls related variables, though the accuracy of eco- as well as drinking directly from rivers or wells logical niche model has been proved in a multi- boost the risk of Chagas disease infection [33]. tude of experiments.

As one of the domestic animals, pig is the main However, with the improvement of ecological host of and Toxoplasma gon- niche theory and the modeling method of dis- dii. At present the Midwest and Southern US ease ecology, the discovery and explanation of are intensive areas for Toxoplasma and the occurrence and development of infectious Trichinella spiralis infection, therefore close diseases become more reasonable, which offers support for the predict of the spread of monitoring for two parasites in these regions pathogens and the possibility of epidemic. should be conducted [34]. The increase of the occurrence of West Nile fever in North American Disclosure of conflict of interest plains follows the rise of irrigated farmland and rural population [35]. Population density and None. population mobility pose a severe risk of malar- ia in Africa [17, 36]. The distribution of malaria Address correspondence to: Xiangjuan Li, Guang- in Cameroon is influenced by the human activi- xi International Travel Health Care Center, No. 24, ties, indicating that both human and vector Zhu Xi Avenue, Qingxiu District, Nanning 530021, share the same adapt ecological conditions Guangxi, China. Tel: 0771-5587480; Fax: 0771- [37]. 5316927; E-mail: [email protected]

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