Grupo de Epidemiología y Evaluación en Salud Pública/Departamento de Salud Pública/Facultad de Medicina, Universidad Nacional de Colombia, Carrera 45 26-86, 111321, Bogotá, D.C., Colombia.
Centro Internacional de Entrenamiento e Investigaciones Médicas, CIDEIM, Calle 18 122-135, 760031, Cali, Colombia.
Malar J. 2024 Nov 18;23(1):347. doi: 10.1186/s12936-024-05140-5.
This systematic review investigates the relationship between malaria incidence, climate variables, and deforestation in Colombia, Latin America, and the Caribbean from 2000 to 2020. Malaria, a significant public health issue in these regions, is influenced by ecological factors including climatic conditions and environmental changes, such as deforestation.
The review employs a comprehensive search strategy across PubMed, Web of Science, Embase, Scopus, Cochrane, and Scielo databases. It applies strict inclusion and exclusion criteria to ensure the relevance and quality of selected studies, focusing on analysing the relationship between climate variables, deforestation, and malaria incidence.
Twenty-four articles were included in this review, fourteen of which assessed the relationship between climatic variables and malaria and ten between deforestation and malaria. The analysis reveals a nuanced understanding of malaria dynamics. A significant finding is the seasonal effect of climatic variables on malaria incidence. The study notes that increased rainfall is positively correlated with malaria incidence. Similarly, warmer temperatures are associated with increased malaria risks, and malaria rates can change by 10% to 80% for every degree of temperature increase, after adjusting for altitude. The impact of deforestation on malaria is complex, with positive and negative correlations observed, depending on the remaining forest cover.
The review highlights the multifaceted nature of malaria transmission, emphasizing the need for integrated approaches that consider both environmental and health perspectives. It underscores the importance of understanding the complex relationships between malaria incidence, climate variables, and deforestation.
本系统评价调查了 2000 年至 2020 年期间,拉丁美洲和加勒比地区哥伦比亚的疟疾发病率、气候变量和森林砍伐之间的关系。疟疾是这些地区的一个重大公共卫生问题,受生态因素的影响,包括气候条件和环境变化,如森林砍伐。
本综述采用了全面的搜索策略,涵盖了 PubMed、Web of Science、Embase、Scopus、Cochrane 和 Scielo 数据库。它应用严格的纳入和排除标准,以确保所选研究的相关性和质量,重点分析气候变量、森林砍伐与疟疾发病率之间的关系。
本综述纳入了 24 篇文章,其中 14 篇评估了气候变量与疟疾之间的关系,10 篇评估了森林砍伐与疟疾之间的关系。分析结果揭示了对疟疾动态的细致理解。一个重要的发现是气候变量对疟疾发病率的季节性影响。研究指出,降雨量增加与疟疾发病率呈正相关。同样,温度升高与疟疾风险增加相关,在调整海拔因素后,疟疾发病率每升高 1 度,可能会变化 10%至 80%。森林砍伐对疟疾的影响是复杂的,取决于剩余的森林覆盖,存在正相关和负相关。
本综述强调了疟疾传播的多面性,强调需要采取综合方法,同时考虑环境和健康视角。它强调了理解疟疾发病率、气候变量和森林砍伐之间复杂关系的重要性。