The Human Footprint and Climate Change Shape Current and Future Scenarios of Visceral Leishmaniasis Distribution in Doce River Basin in Brazil

Josefa Clara Lafuente Monteiro Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Laboratory of Epidemiology of Infectious Diseases, Department of Clinical Analysis, School of Pharmacy, Federal University of Ouro Preto, Ouro Preto, Brazil;

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Sérvio Pontes Ribeiro Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Laboratory of Ecology of Diseases & Forests, Center for Research in Biological Sciences, Institute of Exact and Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;

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Rafael Vieira Duarte Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Laboratory of Epidemiology of Infectious Diseases, Department of Clinical Analysis, School of Pharmacy, Federal University of Ouro Preto, Ouro Preto, Brazil;

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Andrés Lira-Noriega Consejo Nacional de Humanidades, Ciencias y Tecnologías; Red de Estudios Moleculares Avanzados, Instituto de Ecología, AC, Xalapa, Mexico;

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Octavio R. Rojas-Soto Red de Biología Evolutiva, Instituto de Ecología, AC, Xalapa, Mexico;

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Mariângela Carneiro Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Postgraduate Program in Parasitology, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;

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Alexandre Barbosa Reis Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Laboratory of Immunopathology, Center for Research in Biological Sciences, Institute of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
National Institute of Science and Technology in Tropical Diseases, INCT-DT, Salvador, Brazil

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Wendel Coura-Vital Graduate Program in Biological Sciences, Center for Research in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil;
Laboratory of Epidemiology of Infectious Diseases, Department of Clinical Analysis, School of Pharmacy, Federal University of Ouro Preto, Ouro Preto, Brazil;
National Institute of Science and Technology in Tropical Diseases, INCT-DT, Salvador, Brazil

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The identification of factors that influence the distribution of visceral leishmaniasis (VL) is key for future surveillance and control. This study sought to understand how environmental and climate variables can interfere with VL expansion in the Doce River basin located in Brazil. This ecological study explored the influence of anthropogenic, environmental, and climatic factors on VL expansion. Ecological niche modeling was used to assess the current situation and predict the future spread of the disease. The study used 855 human cases of VL recorded in the Doce River basin from 2001-2018 and analyzed them within the context of climatic and environmental variables. To model the current and future distributions, MaxEnt with the kuenm R package was used. To model the future projections, the global climate model of the National Centre for Meteorological Research (CNRM-CM6-1) was used as well as two Shared Socioeconomic Pathways (SSP370 and SSP585) for 2021–2040 and 2061–2080. Variables that contributed to the VL distribution were the human footprint index (62.6%), isothermality (28.1%), precipitation during the wettest month (6.4%), and temperature during the hottest month (3.8%). Future climate change scenarios showed areas suitable for the disease increasing over time (by about 7% between 2021 and 2041 and about 12% between 2061 and 2080) and the maintenance of the disease in places already considered endemic. Our results demonstrate the importance of anthropic and climatic factors in VL expansion. We hope that these results will contribute to boosting surveillance and vector control programs along the Doce River basin.

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Author Notes

Financial support: The study was supported by the National Council for Scientific and Technological Development (CNPq/BR, grants: 407195/2021-1, 305168/2022-3 and 465229/2014-0) and research assistance from Federal University of Ouro Preto (UFOP).

Disclosures: As a requirement to obtain data on human cases, this study was submitted and approved by the Ethics Committee of the Federal University of Ouro Preto (CAAE: 07279419.0.0000.5150).

Current contact information: Josefa Clara Lafuente Monteiro, Sérvio Pontes Ribeiro, Rafael Vieira Duarte, Mariângela Carneiro, Alexandre Barbosa Reis, and Wendel Coura-Vital, Federal University of Ouro Preto, Ouro Preto, Brazil, E-mails: josefalafuente@hotmail.com, serviopr@gmail.com, rafael.vieira@aluno.ufop.edu.br, mariangelaufmg@gmail.com, alexreis@ufop.edu.br, and wendelcoura@ufop.edu.br. Andrés Lira-Noriega and Octavio R. Rojas-Soto, Instituto de Ecología, AC, Xalapa, Mexico, E-mails: aliranoriega@gmail.com and octavio.rojas@inecol.mx.

Address correspondence to Wendel Coura-Vital, Laboratory of Epidemiology of Infectious Diseases, Department of Clinical Analysis, School of Pharmacy, Federal University of Ouro Preto, Rua 9, Morro do Cruzeiro, Ouro Preto 35402-163, Minas Gerais, Brazil. E-mail: wendelcoura@ufop.edu.br
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