Effects of Climate and Climate Change on Vectors and Vector-Borne Diseases: Ticks Are Different

Droughts have been recorded all across Canada and have had significant impacts on individuals and communities With climate change, projections suggest an increasing risk of drought in Canada, particularly in the south and interior However, there has been little research on the impacts of drought on human health and the implications of a changing climate A review of the Canadian, US and international literature relevant to the Canadian context was conducted to better define these impacts and adaptations available to protect health Drought can impact respiratory health, mental health, illnesses related to exposure to toxins, food/water security, rates of injury and infectious diseases (including food-, water- and vector-borne diseases) A range of direct and indirect adaptation (eg, agricultural adaptation) options exist to cope with drought Many have already been employed by public health officials, such as communicable disease monitoring and surveillance and public education and outreach However, gaps exist in our understanding of the impacts of short-term vs prolonged drought on the health of Canadians, projections of drought and its characteristics at the regional level and the effectiveness of current adaptations Further research will be critical to inform adaptation planning to reduce future drought-related risks to health

Climate Change, Drought and Human Health in Canada

In Canada, the emergence of vector-borne diseases may occur via international movement and subsequent establishment of vectors and pathogens, or via northward spread from endemic areas in the USA. Re-emergence of endemic vector-borne diseases may occur due to climate-driven changes to their geographic range and ecology. Lyme disease, West Nile virus (WNV), and other vector-borne diseases were identified as priority emerging non-enteric zoonoses in Canada in a prioritization exercise conducted by public health stakeholders in 2013. We review and present the state of knowledge on the public health importance of these high priority emerging vector-borne diseases in Canada. Lyme disease is emerging in Canada due to range expansion of the tick vector, which also signals concern for the emergence of human granulocytic anaplasmosis, babesiosis, and Powassan virus. WNV has been established in Canada since 2001, with epidemics of varying intensity in following years linked to climatic drivers. Eastern equine encephalitis virus, Jamestown Canyon virus, snowshoe hare virus, and Cache Valley virus are other mosquito-borne viruses endemic to Canada with the potential for human health impact. Increased surveillance for emerging pathogens and vectors and coordinated efforts among sectors and jurisdictions will aid in early detection and timely public health response.

Major emerging vector-borne zoonotic diseases of public health importance in Canada

In North America, the geographic distribution, ecology, and vectorial capacity of a diverse assemblage of mosquito species belonging to the genus Culex determine patterns of West Nile virus transmission and disease risk. East of the Mississippi River, mostly ornithophagic Culex pipiens L. complex mosquitoes drive intense enzootic transmission with relatively small numbers of human cases. Westward, the presence of highly competent Culex tarsalis (Coquillett) under arid climate and hot summers defines the regions with the highest human risk. West Nile virus human risk distribution is not uniform geographically or temporally within all regions. Notable geographic 'hotspots' persist with occasional severe outbreaks. Despite two decades of comprehensive research, several questions remain unresolved, such as the role of non-Culex bridge vectors, which are not involved in the enzootic cycle, but may be involved in virus transmission to humans. The absence of bridge vectors also may help to explain the frequent lack of West Nile virus 'spillover' into human populations despite very intense enzootic amplification in the eastern United States. This article examines vectorial capacity and the eco-epidemiology of West Nile virus mosquito vectors in four geographic regions of North America and presents some of the unresolved questions.

West Nile Virus Mosquito Vectors in North America.

West Nile Virus (WNV) is an arthropod-borne flavivirus whose zoonotic cycle includes both mosquitoes and birds as amplifiers and humans and horses as dead-end hosts. In recent years WNV has been spreading globally and is currently endemic in Africa, The Middle East, India, Australia, central and southern Europe and the Americas. Integrated surveillance schemes and environmental data aim to detect viral circulation and reduce the risk of infection for the human population emphasizing the critical role for One Health principles in public health. Approximately 20% of WNV infected patients develop West Nile Fever while in less than 1%, infection results in West Nile Neurological Disease. Currently, the diagnosis of WNV infection is primarily based on serology, since molecular identification of WNV RNA is unreliable due to the short viremia. The recent emergence of Zika virus epidemic in America and Asia has added another layer of complexity to WNV diagnosis due to significant cross-reactivity between several members of the Flaviviridae family such as Zika, dengue, Usutu and West Nile viruses. Diagnosis is especially challenging in persons living in regions with flavivirus co-circulation as well as in travellers from WNV endemic countries travelling to Zika or dengue infected areas or vise-versa. Here, we review the recent studies implementing WNV surveillance of mosquitoes and birds within the One Health initiative. Furthermore, we discuss the utility of novel molecular methods, alongside traditional molecular and serological methods, in WNV diagnosis and epidemiological research.

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Surveillance and Diagnosis of West Nile Virus in the Face of Flavivirus Cross-Reactivity.

The Canadian prairie provinces of Alberta, Saskatchewan, and Manitoba have generally reported the highest human incidence of West Nile virus (WNV) in Canada. In this study, environmental and biotic factors were used to predict numbers of Culex tarsalis Coquillett, which is the primary mosquito vector of WNV in this region, and prevalence of WNV infection in Cx. tarsalis in the Canadian prairies. The results showed that higher mean temperature and elevated time lagged mean temperature were associated with increased numbers of Cx. tarsalis and higher WNV infection rates. However, increasing precipitation was associated with higher abundance of Cx. tarsalis and lower WNV infection rate. In addition, this study found that increased temperature fluctuation and wetland land cover were associated with decreased infection rate in the Cx. tarsalis population. The resulting monthly models can be used to inform public health interventions by improving the predictions of population abundance of Cx. tarsalis and the transmission intensity of WNV in the Canadian prairies. Furthermore, these models can also be used to examine the potential effects of climate change on the vector population abundance and the distribution of WNV.

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Modeling Monthly Variation of Culex tarsalis (Diptera: Culicidae) Abundance and West Nile Virus Infection Rate in the Canadian Prairies

West Nile virus (WNV) spread across most of North America within a short time period after its incursion into the Western Hemisphere. The Canadian prairies had the highest human incidence of WNV disease in Canada, particularly in 2007. Statistical modeling and geographic information systems can be used to develop a predictive model and facilitate the mobilization of targeted disease management strategies. Using data collected between 2005 and 2008, we constructed models integrating abiotic and biotic factors to predict the WNV infection rate in female Culex tarsalis Coquillett, the primary vector of WNV in the Canadian prairies. During the study period, the highest mean Cx. tarsalis infection rate was during week 34 (late August). The Cx. tarsalis infection rate increased with increasing Cx. tarsalis abundance and mean temperature lagged from 1 to 8 wk, but decreased with increasing mean precipitation lagged from 2 to 6 wk. Furthermore, precipitation was a ‘distorter variable’ that altered the association between Cx. tarsalis abundance and the WNV infection rate. Our model clarified how weather influenced the Cx. tarsalis infection rate in the Canadian prairies, a newly and highly WNV endemic region of North America. An understanding of the role of lagged weather variables was essential for providing sufficient lead time to predict WNV occurrence, and for implementing disease control and prevention strategies. Furthermore, it is a useful tool for assessing the potential effects of future climate change on WNV in areas near its northern distributional limit.

https://bioone.org/journals/Journal-of-Medical-Entomology/volume-49/issue-5/ME11221/Predicting-Weekly-Variation-of-Culex-tarsalis-Diptera--Culicidae-West/10.1603/ME11221.pdf

Chen-Chih Chen

Papers

Modeling Monthly Variation of Culex tarsalis (Diptera: Culicidae) Abundance and West Nile Virus Infection Rate in the Canadian Prairies

Predicting weekly variation of Culex tarsalis (Diptera: Culicidae) West Nile virus infection in a newly endemic region, the Canadian prairies.