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Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region.

ABSTRACT: Asia and its Hindu Kush Himalayan (HKH) region is particularly vulnerable to environmental change, especially climate and land use changes further influenced by rapid population growth, high level of poverty and unsustainable development. Asia has been a hotspot of dengue fever and chikungunya mainly due to its dense human population, unplanned urbanization and poverty. In an urban cycle, dengue virus (DENV) and chikungunya virus (CHIKV) are transmitted by Aedes aegypti and Ae. albopictus mosquitoes which are also competent vectors of Zika virus (ZIKV). Over the last decade, DENV and CHIKV transmissions by Ae. aegypti have extended to the Himalayan countries of Bhutan and Nepal and ZIKV could follow in the footsteps of these viruses in the HKH region. The already established distribution of human-biting Aedes mosquito vectors and a naïve population with lack of immunity against ZIKV places the HKH region at a higher risk of ZIKV. Some of the countries in the HKH region have already reported ZIKV cases. We have documented an increasing threat of ZIKV in Asia and its HKH region because of the high abundance and wide distribution of human-biting mosquito vectors, climate change, poverty, report of indigenous cases in the region, increasing numbers of imported cases and a naïve population with lack of immunity against ZIKV. An outbreak anywhere is potentially a threat everywhere. Therefore, in order to ensure international health security, all efforts to prevent, detect, and respond to ZIKV ought to be intensified now in Asia and its HKH region. To prepare for possible ZIKV outbreaks, Asia and the HKH region can also learn from the success stories and strategies adopted by other regions and countries in preventing ZIKV and associated complications. The future control strategies for DENV, CHIKV and ZIKV should be considered in tandem with the threat to human well-being that is posed by other emerging and re-emerging vector-borne and zoonotic diseases, and by the continuing urgent need to strengthen public primary healthcare systems in the region.

SUBMITTER: Dhimal M

PROVIDER: S-EPMC5952373 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region.

Dhimal Meghnath M Dahal Sushma S Dhimal Mandira Lamichhane ML Mishra Shiva Raj SR Karki Khem B KB Aryal Krishna Kumar KK Haque Ubydul U Kabir Md Iqbal MI Guin Pradeep P Butt Azeem Mehmood AM Harapan Harapan H Liu Qi-Yong QY Chu Cordia C Montag Doreen D Groneberg David Alexander DA Pandey Basu Dev BD Kuch Ulrich U Müller Ruth R

Infectious diseases of poverty 20180515 1

Asia and its Hindu Kush Himalayan (HKH) region is particularly vulnerable to environmental change, especially climate and land use changes further influenced by rapid population growth, high level of poverty and unsustainable development. Asia has been a hotspot of dengue fever and chikungunya mainly due to its dense human population, unplanned urbanization and poverty. In an urban cycle, dengue virus (DENV) and chikungunya virus (CHIKV) are transmitted by Aedes aegypti and Ae. albopictus mosqui ...[more]

PMID: 29759076

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Project description:The mountain systems of the Hindu Kush Himalaya (HKH) are changing rapidly due to climatic change, but an overlooked component is the subnival ecosystem (between the treeline and snow line), characterized by short-stature plants and seasonal snow. Basic information about subnival vegetation distribution and rates of ecosystem change are not known, yet such information is needed to understand relationships between subnival ecology and water/carbon cycles. We show that HKH subnival ecosystems cover five to 15 times the area of permanent glaciers and snow, highlighting their eco-hydrological importance. Using satellite data from the Landsat 5, 7 and 8 missions, we measured change in the spatial extent of subnival vegetation from 1993 to 2018. The Landsat surface reflectance-derived Normalized Difference Vegetation Index product was thresholded at 0.1 to indicate the presence/absence of vegetation. Using this product, the strength and direction of time-series trends in the green pixel fraction were measured within three regions of interest. We controlled for cloud cover, snow cover and evaluated the impact of sensor radiometric differences between Landsat 7 and Landsat 8. Using Google Earth Engine to expedite data processing tasks, we show that there has been a weakly positive increase in the extent of subnival vegetation since 1993. Strongest and most significant trends were found in the height region of 5,000-5,500 m a.s.l. across the HKH extent: R2 = .302, Kendall's τ = 0.424, p < .05, but this varied regionally, with height, and according to the sensors included in the time series. Positive trends at lower elevations occurred on steeper slopes whilst at higher elevations, flatter areas exhibited stronger trends. We validated our findings using online photographs. Subnival ecological changes have likely impacted HKH carbon and water cycles with impacts on millions of people living downstream, but the strength and direction of impacts of vegetation expansion remain unknown.

Project description:BackgroundAs the epidemic of Zika virus expands in the Americas, countries across Africa and the Asia-Pacific region are becoming increasingly susceptible to the importation and possible local spread of the virus. To support public health readiness, we aim to identify regions and times where the potential health, economic, and social effects from Zika virus are greatest, focusing on resource-limited countries in Africa and the Asia-Pacific region.MethodsOur model combined transportation network analysis, ecological modelling of mosquito occurrences, and vector competence for flavivirus transmission, using data from the International Air Transport Association, entomological observations from Zika's primary vector species, and climate conditions using WorldClim. We overlaid monthly flows of airline travellers arriving to Africa and the Asia-Pacific region from areas of the Americas suitable for year-round transmission of Zika virus with monthly maps of climatic suitability for mosquito-borne transmission of Zika virus within Africa and the Asia-Pacific region.FindingsAn estimated 2·6 billion people live in areas of Africa and the Asia-Pacific region where the presence of competent mosquito vectors and suitable climatic conditions could support local transmission of Zika virus. Countries with large volumes of travellers arriving from Zika virus-affected areas of the Americas and large populations at risk of mosquito-borne Zika virus infection include India (67 422 travellers arriving per year; 1·2 billion residents in potential Zika transmission areas), China (238 415 travellers; 242 million residents), Indonesia (13 865 travellers; 197 million residents), Philippines (35 635 travellers; 70 million residents), and Thailand (29 241 travellers; 59 million residents).InterpretationMany countries across Africa and the Asia-Pacific region are vulnerable to Zika virus. Strategic use of available health and human resources is essential to prevent or mitigate the health, economic, and social consequences of Zika virus, especially in resource-limited countries.FundingCanadian Institutes of Health Research and the US Centers for Disease Control and Prevention.

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Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region.

Publications

Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region.

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