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History of Mosquitoborne Diseases in the United States and Implications for New Pathogens
Abstract:
The introduction and spread of West Nile virus and the recent introduction of chikungunya and Zika viruses into the Americas have raised concern about the potential for various tropical pathogens to become established in North America. A historical analysis of yellow fever and malaria incidences in the United States suggests that it is not merely a temperate climate that keeps these pathogens from becoming established. Instead, socioeconomic changes are the most likely explanation for why these pathogens essentially disappeared from the United States yet remain a problem in tropical areas. In contrast to these anthroponotic pathogens that require humans in their transmission cycle, zoonotic pathogens are only slightly affected by socioeconomic factors, which is why West Nile virus became established in North America. In light of increasing globalization, we need to be concerned about the introduction of pathogens such as Rift Valley fever, Japanese encephalitis, and Venezuelan equine encephalitis viruses.
Insights
Socioeconomic factors, not climate, explain the disappearance of diseases like yellow fever and malaria from the US. Zoonotic viruses like West Nile virus, however, can still establish in North America due to globalization.
Area of Science:
- * Public Health and Tropical Medicine: Investigating the establishment of tropical pathogens in North America.
Background:
- * Recent introductions of chikungunya and Zika viruses into the Americas highlight concerns about tropical disease establishment.
- * Historical analysis of yellow fever and malaria in the US suggests climate is not the primary barrier to pathogen establishment.
Observation:
- * Socioeconomic changes are identified as the most probable reason for the decline of certain pathogens in the US.
- * Anthroponotic pathogens, reliant on humans for transmission, are more affected by socioeconomic factors than zoonotic pathogens.
Findings:
- * Zoonotic pathogens, such as West Nile virus, are less impacted by socioeconomic factors and have successfully established in North America.
- * The establishment of zoonotic pathogens is primarily influenced by factors other than climate or human population dynamics.
Implications:
- * Globalization increases the risk of introducing new tropical pathogens like Rift Valley fever, Japanese encephalitis, and Venezuelan equine encephalitis virus.
- * Public health strategies must consider the impact of globalization on infectious disease emergence in temperate regions.
- * Further research is needed to understand the complex interplay between socioeconomic factors, climate, and pathogen establishment.
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