Consejo Nacional de Investigaciones Científicas y Técnicas, Santa Fe, Argentina.
Centro de Estudios de Variabilidad y Cambio Climático, Facultad de Ingeniería y Ciencias Hídricas, Universidad Nacional del Litoral, Santa Fe, Argentina.
Environ Health Perspect. 2023 May;131(5):57008. doi: 10.1289/EHP11616. Epub 2023 May 24.
Climate change is an important driver of the increased spread of dengue from tropical and subtropical regions to temperate areas around the world. Climate variables such as temperature and precipitation influence the dengue vector's biology, physiology, abundance, and life cycle. Thus, an analysis is needed of changes in climate change and their possible relationships with dengue incidence and the growing occurrence of epidemics recorded in recent decades.
This study aimed to assess the increasing incidence of dengue driven by climate change at the southern limits of dengue virus transmission in South America.
We analyzed the evolution of climatological, epidemiological, and biological variables by comparing a period of time without the presence of dengue cases (1976-1997) to a more recent period of time in which dengue cases and important outbreaks occurred (1998-2020). In our analysis, we consider climate variables associated with temperature and precipitation, epidemiological variables such as the number of reported dengue cases and incidence of dengue, and biological variables such as the optimal temperature ranges for transmission of dengue vector.
The presence of dengue cases and epidemic outbreaks are observed to be consistent with positive trends in temperature and anomalies from long-term means. Dengue cases do not seem to be associated with precipitation trends and anomalies. The number of days with optimal temperatures for dengue transmission increased from the period without dengue cases to the period with occurrences of dengue cases. The number of months with optimal transmission temperatures also increased between periods but to a lesser extent.
The higher incidence of dengue virus and its expansion to different regions of Argentina seem to be associated with temperature increases in the country during the past two decades. The active surveillance of both the vector and associated arboviruses, together with continued meteorological data collection, will facilitate the assessment and prediction of future epidemics that use trends in the accelerated changes in climate. Such surveillance should go hand in hand with efforts to improve the understanding of the mechanisms driving the geographic expansion of dengue and other arboviruses beyond the current limits. https://doi.org/10.1289/EHP11616.
气候变化是导致登革热从热带和亚热带地区向世界温带地区传播的重要驱动因素。气候变量如温度和降水会影响登革热媒介的生物学、生理学、丰度和生命周期。因此,需要分析气候变化的变化及其与登革热发病率和近几十年来记录的流行疫情增加的可能关系。
本研究旨在评估气候变化驱动的南美洲登革热传播南部极限地区发病率的增加。
我们通过将没有登革热病例的时间段(1976-1997 年)与最近发生登革热病例和重要疫情的时间段(1998-2020 年)进行比较,分析气候、流行病学和生物学变量的演变。在我们的分析中,我们考虑与温度和降水相关的气候变量、报告的登革热病例数量和登革热发病率等流行病学变量以及登革热媒介传播的最佳温度范围等生物学变量。
登革热病例和疫情的出现与温度的正趋势和长期平均值的异常一致。登革热病例似乎与降水趋势和异常无关。传播登革热的最佳温度天数从无登革热病例时期增加到有登革热病例时期。具有最佳传播温度的月份数量也在两个时期之间增加,但幅度较小。
在过去二十年中,阿根廷的气温升高似乎与登革热病毒的高发病率及其向该国不同地区的扩展有关。对媒介和相关虫媒病毒的积极监测,以及对气象数据的持续收集,将有助于评估和预测未来的疫情,这些疫情将利用气候变化加速变化的趋势。这种监测应与提高对驱动登革热和其他虫媒病毒超越当前极限的地理扩展的机制的理解的努力齐头并进。https://doi.org/10.1289/EHP11616.