2,230
Views
6
CrossRef citations to date
0
Altmetric
Review

Global and local environmental changes as drivers of Buruli ulcer emergence

Environmental changes and infectious disease

, , , , , , , , & show all
Pages 1-11 | Received 18 Oct 2016, Accepted 09 Jan 2017, Published online: 15 Jan 2019
 

Abstract

Many emerging infectious diseases are caused by generalist pathogens that infect and transmit via multiple host species with multiple dissemination routes, thus confounding the understanding of pathogen transmission pathways from wildlife reservoirs to humans. The emergence of these pathogens in human populations has frequently been associated with global changes, such as socio-economic, climate or biodiversity modifications, by allowing generalist pathogens to invade and persist in new ecological niches, infect new host species, and thus change the nature of transmission pathways. Using the case of Buruli ulcer disease, we review how land-use changes, climatic patterns and biodiversity alterations contribute to disease emergence in many parts of the world. Here we clearly show that Mycobacterium ulcerans is an environmental pathogen characterized by multi-host transmission dynamics and that its infectious pathways to humans rely on the local effects of global environmental changes. We show that the interplay between habitat changes (for example, deforestation and agricultural land-use changes) and climatic patterns (for example, rainfall events), applied in a local context, can lead to abiotic environmental changes and functional changes in local biodiversity that favor the pathogen’s prevalence in the environment and may explain disease emergence.

Emerging Microbes & Infections (2017) 6, e22; doi:10.1038/emi.2017.7; published online 26 April 2017

Acknowledgments

This work was supported by an ‘Investissement d’Avenir’ grant managed by the Agence Nationale de la Recherche (Centre d’Étude de la Biodiversité Amazonienne, reference ANR-10-LABX-25-01) through its integrative research program BIOHOPSYS (Biodiversity and dynamic interactions in multiple host-parasite systems) on Biodiversity and Infectious Diseases. MC was funded by a post-doctoral fellowship from the Institut de Recherche pour le Développement (IRD) and CJV was supported by a PhD studentship from The Norwegian State Educational Loan Fund. JFG, BR and REG received support from both IRD, CNRS (Centre National de la Recherche Scientifique) and LabEx CEBA (Centre d’Étude de la Biodiversité Amazonienne).

Supplementary Information for this article can be found on the Emerging Microbes & Infections website (http://www.nature.com/emi)