Douglas Kirk Osmond, Payne Karl, Sabino-Santos Gilberto, Chami Peter, Lorde Troy
Centre for Biosecurity Studies, The University of the West Indies, Cave Hill Campus, Cave Hill, Bridgetown BB11000, Barbados.
Centre for Environmental Resource Management, The University of the West Indies, Cave Hill Campus, Cave Hill, Bridgetown BB11000, Barbados.
Pathogens. 2024 Sep 3;13(9):756. doi: 10.3390/pathogens13090756.
Climate change is no longer a hypothetical problem in the Caribbean but a new reality to which regional public health systems must adapt. One of its significant impacts is the increased transmission of infectious diseases, such as dengue fever, which is endemic in the region, and the presence of the mosquito vector responsible for transmitting the disease. (1) Methods: To assess the association between climatic factors and human dengue virus infections in the Caribbean, we conducted a systematic review of published studies on MEDLINE and Web of Science databases according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. (2) Results: In total, 153 papers were identified, with 27 studies selected that met the inclusion criteria ranging from the northern and southern Caribbean. Rainfall/precipitation and vapor pressure had a strong positive association with dengue incidence, whereas the evidence for the impact of temperatures was mixed. (3) Conclusions: The interaction between climate and human dengue disease in the Caribbean is complex and influenced by multiple factors, including waste management, infrastructure risks, land use changes, and challenged public health systems. Thus, more detailed research is necessary to understand the complexity of dengue within the wider Caribbean and achieve better dengue disease management.
气候变化在加勒比地区已不再是一个假设性问题，而是区域公共卫生系统必须适应的新现实。其重大影响之一是传染病传播增加，如登革热，该疾病在该地区呈地方性流行，且存在传播该疾病的病媒蚊子。（1）方法：为评估加勒比地区气候因素与人类登革病毒感染之间的关联，我们根据系统评价和Meta分析的首选报告项目（PRISMA）标准，对MEDLINE和科学网数据库中已发表的研究进行了系统评价。（2）结果：共识别出153篇论文，选取了27项符合纳入标准的研究，这些研究涵盖了加勒比地区北部和南部。降雨/降水量和水汽压与登革热发病率呈强正相关，而温度影响的证据则好坏参半。（3）结论：加勒比地区气候与人类登革热疾病之间的相互作用复杂，受到多种因素影响，包括废物管理、基础设施风险、土地利用变化以及面临挑战的公共卫生系统。因此，有必要进行更详细的研究，以了解更广泛的加勒比地区登革热的复杂性，并实现更好的登革热疾病管理。
