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Environmental suitability of vibrio infections in a warming climate: An early warning system

  • Jan C. Semenza
  • , Joaquin Trinanes
  • , Wolfgang Lohr
  • , Bertrand Sudre
  • , Margareta Löfdahl
  • , Jaime Martinez-Urtaza
  • , Gordon L. Nichols
  • , Joacim Rocklöv
  • European Centre for Disease Prevention and Control
  • Universidade de Santiago de Compostela
  • Atlantic Oceanographic and Meteorological Laboratory
  • University of Miami
  • Umeå University
  • Folkhälsomyndigheten
  • Centre for Environment, Fisheries and Aquaculture Science (Cefas)
  • University of Exeter
  • University of East Anglia
  • Public Health England

Research output: Contribution to journalArticlepeer-review

127   Link opens in a new tab Citations (SciVal)

Abstract

BACKGROUND: Some Vibrio spp. are pathogenic and ubiquitous in marine waters with low to moderate salinity and thrive with elevated sea surface temperature (SST). 

OBJECTIVES: Our objective was to monitor and project the suitability of marine conditions for Vibrio infections under climate change scenarios. 

METHODS: The European Centre for Disease Prevention and Control (ECDC) developed a platform (the ECDC Vibrio Map Viewer) to monitor the environmental suitability of coastal waters for Vibrio spp. using remotely sensed SST and salinity. A case-crossover study of Swedish cases was conducted to ascertain the relationship between SST and Vibrio infection through a conditional logistic regression. Climate change projections for Vibrio infections were developed for Representative Concentration Pathway (RCP) 4.5 and RCP 8.5. 

RESULTS: The ECDC Vibrio Map Viewer detected environmentally suitable areas for Vibrio spp. in the Baltic Sea in July 2014 that were accompanied by a spike in cases and one death in Sweden. The estimated exposure–response relationship for Vibrio infections at a threshold of 16° C revealed a relative risk (RR) =1:14 (95% CI: 1.02, 1.27; p =0:024) for a lag of 2 wk; the estimated risk increased successively beyond this SST threshold. Climate change projections for SST under the RCP 4.5 and RCP 8.5 scenarios indicate a marked upward trend during the summer months and an increase in the relative risk of these infections in the coming decades. 

CONCLUSIONS: This platform can serve as an early warning system as the risk of further Vibrio infections increases in the 21st century due to climate change.

Original languageEnglish
Article number107004
JournalEnvironmental Health Perspectives
Volume125
Issue number10
DOIs
Publication statusPublished - 10 Oct 2017

Funding

J.T. was funded by National Oceanic and Atmospheric Administration’s (NOAA) OceanWatch and Atlantic Oceanographic and Meteorological Laboratory (NOAA/AOML). G.N. was partly funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Environmental Change and Health at the London School of Hygiene and Tropical Medicine in partnership with Public Health England, and in collaboration with the University of Exeter, University

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 13 - Climate Action
    SDG 13 Climate Action
  3. SDG 14 - Life Below Water
    SDG 14 Life Below Water

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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