Tabo Zadoki, Kalinda Chester, Breuer Lutz, Albrecht Christian
Department of Animal Ecology and Systematics, Justus Liebig University Giessen, Heinrich-Buff-Ring 26 (iFZ), 35392 Giessen, Germany.
Department of Landscape Ecology and Resource Management, Justus Liebig University Giessen, Heinrich-Buff-Ring 26 (iFZ), 35392 Giessen, Germany.
Infect Dis Model. 2023 Dec 22;9(1):158-176. doi: 10.1016/j.idm.2023.12.003. eCollection 2024 Mar.
Schistosomiasis, a neglected tropical disease caused by parasitic worms, poses a major public health challenge in economically disadvantaged regions, especially in Sub-Saharan Africa. Climate factors, such as temperature and rainfall patterns, play a crucial role in the transmission dynamics of the disease. This study presents a deterministic model that aims to evaluate the temporal and seasonal transmission dynamics of schistosomiasis by examining the influence of temperature and rainfall over time. Equilibrium states are examined to ascertain their existence and stability employing the center manifold theory, while the basic reproduction number is calculated using the next-generation technique. To validate the model's applicability, demographic and climatological data from Uganda, Kenya, and Tanzania, which are endemic East African countries situated in the tropical region, are utilized as a case study region. The findings of this study provide evidence that the transmission of schistosomiasis in human populations is significantly influenced by seasonal and monthly variations, with incidence rates varying across countries depending on the frequency of temperature and rainfall. Consequently, the region is marked by both schistosomiasis emergencies and re-emergences. Specifically, it is observed that monthly mean temperatures within the range of 22-27 °C create favorable conditions for the development of schistosomiasis and have a positive impact on the reproduction numbers. On the other hand, monthly maximum temperatures ranging from 27 to 33 °C have an adverse effect on transmission. Furthermore, through sensitivity analysis, it is projected that by the year 2050, factors such as the recruitment rate of snails, the presence of parasite egg-containing stools, and the rate of miracidia shedding per parasite egg will contribute significantly to the occurrence and control of schistosomiasis infections. This study highlights the significant influence of seasonal and monthly variations, driven by temperature and rainfall patterns, on the transmission dynamics of schistosomiasis. These findings underscore the importance of considering climate factors in the control and prevention strategies of schistosomiasis. Additionally, the projected impact of various factors on schistosomiasis infections by 2050 emphasizes the need for proactive measures to mitigate the disease's impact on vulnerable populations. Overall, this research provides valuable insights to anticipate future challenges and devise adaptive measures to address schistosomiasis transmission patterns.
血吸虫病是一种由寄生虫引起的被忽视的热带病,在经济落后地区,尤其是撒哈拉以南非洲地区,构成了重大的公共卫生挑战。气候因素,如温度和降雨模式,在该疾病的传播动态中起着关键作用。本研究提出了一个确定性模型,旨在通过研究温度和降雨随时间的影响来评估血吸虫病的时间和季节传播动态。利用中心流形理论研究平衡态以确定其存在性和稳定性,同时使用下一代技术计算基本再生数。为验证该模型的适用性,以位于热带地区的东非流行国家乌干达、肯尼亚和坦桑尼亚的人口统计和气候数据作为案例研究区域。本研究结果表明,人群中血吸虫病的传播受季节和月度变化的显著影响,发病率因国家而异,取决于温度和降雨的频率。因此,该地区既有血吸虫病紧急情况,也有疫情再次出现。具体而言,观察到22至27摄氏度范围内的月平均温度为血吸虫病的发展创造了有利条件,并对再生数有积极影响。另一方面,27至33摄氏度的月最高温度对传播有不利影响。此外,通过敏感性分析预测,到2050年,诸如蜗牛的招募率、含有寄生虫卵粪便的存在以及每个寄生虫卵的毛蚴脱落率等因素将对血吸虫病感染的发生和控制产生重大影响。本研究强调了由温度和降雨模式驱动的季节和月度变化对血吸虫病传播动态的重大影响。这些发现强调了在血吸虫病控制和预防策略中考虑气候因素的重要性。此外,预计到2050年各种因素对血吸虫病感染的影响强调了采取积极措施减轻该疾病对弱势群体影响的必要性。总体而言,本研究提供了宝贵的见解,以预测未来的挑战并制定适应性措施来应对血吸虫病的传播模式。