Control, not climate change, key to malaria

Control, not climate change, key to malaria

A study published today in the journal Nature casts doubt on the widely held notion that warming global temperatures will lead to a future intensification of malaria and an expansion of its global range.

The research, conducted by the Malaria Atlas Project (MAP), a multinational team including Oxford University researchers and funded mainly by the Wellcome Trust, suggests that current interventions could have a far more dramatic – and positive – effect on reducing the spread of malaria than any negative effects caused by climate change.

A steady stream of modelling studies have predicted that malaria will worsen and its range will spread as the world gets warmer. Malaria already kills more than a million people each year, mainly young children and pregnant women, with some 2.4 billion people at risk from its most deadly form.

Last year the Malaria Atlas Project produced a new map of modern-day malaria risk, giving researchers a unique opportunity to examine the effects that climate change may have had on the disease.

The new research compared this modern-day map with a historic reconstruction of malaria at its assumed peak, around 1900, and measured changes in the disease risk since that time.

Although it is widely known that malaria has receded from many areas where it was previously endemic, such as the United States and much of Europe, the researchers were able to measure for the first time the extent of this recession and show that even in tropical areas the intensity of transmission has declined substantially this century.

Malaria remains a huge public health problem and the international community has an unprecedented opportunity to relieve this burden with existing interventions.

‘The recession in malaria since 1900 is of little comfort to the billions of people still at serious risk, but it is important when thinking about the effects of climate on the future of the disease,’ said Dr Pete Gething of Oxford’s Department of Zoology, who led the research. ‘We know that warming can boost malaria transmission but the major declines we've measured have happened during a century of rising temperatures, so clearly a changing climate doesn't tell the whole story.’

The team compared the increases in malaria predicted by global warming scenarios with the actual declines of the 20th century. Importantly, they also gauged the efficacy of different disease control measures when set against the possible adverse effects of rising temperatures and concluded that interventions such as insecticide-treated bed nets or modern antimalarial drugs can potentially outweigh the effects of global warming as much as tenfold.

‘When we looked at studies measuring the possible impact of bed nets or drugs, it was clear that they could massively reduce transmission and counteract the much smaller effects of rising temperatures,’ said Dr Simon Hay, who leads the MAP group in Oxford.

‘Malaria remains a huge public health problem and the international community has an unprecedented opportunity to relieve this burden with existing interventions. Any failure in meeting this challenge will be very difficult to attribute to climate change.’

A report of the research, entitled, ‘Climate change and the global malaria recession’, is published in this week’s Nature.


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