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RUMS Review Vol. VIII Issue I - January 2023

UCL Medical School Student Magazine January 2023

UCL Medical School Student Magazine January 2023

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“Climate change will

principally increase

the incidence of

zoonotic epidemics"

Zoonotic viruses are viral

pathogens that jump from animal

hosts to the human population.

They often result in recurrent

outbreaks that leave morbidity

and mortality in their wake. One

such virus is the Zaire ebolavirus.

The widely publicised Zaire

ebolavirus outbreak of 2014

began in remote villages in

Central Africa and went on to

infect 11 countries in Africa,

Europe and North America and kill

over 11 thousand people. We now

know that the virus entered the

human population via a single

crossover event with a fruit bat.

Knowing that the innocuity of one

fruit bat crossover event could

deteriorate into an epidemic

illustrates the havoc these

pervasive pathogens could

potentially wreak if given the

opportunity. Regrettably, climate

change appears to be that exact

opportunity. Climate change will

principally increase the incidence

of zoonotic epidemics by altering

weather patterns and the

behaviours of zoonotic animal

reservoirs.

Provided that shifts in animal

behaviour keep pace with

changes in the climate, the

majority of mammals will be

exposed to previously unfamilar

species, representing a doubling

of potential species contact.

This phenomenon, most

prominent in tropical Africa and

Southeast Asia, will increase the

probability of zoonotic spillover

across populations. Through

climate data, this has already

been observed.

As a nation with a high northward

latitude, climate changes have

been more pronounced and thus

more easily discerned in Sweden.

In 2021, the Swedish University

of Agricultural Sciences

investigated the seroprevalence

of endemic Puumala

Orthohantavirus (PUUV) and the

population density of their animal

reservoir - bank voles - between

1980-89 and 2000-2003. While

the population density of bank

voles was the same in both

periods, the seroprevalence of

PUUV was significantly higher

during the 2000-2003 period.

The main independent variables

were the significantly higher

November temperatures in 2000,

and the wetter, earlier winters

engendered by climate change. It

is worth noting that the increase

in seroprevalence of PUUV likely

translated to an increased risk of

human infection.

This perfectly illustrates the

tangible mechanism in which

climate change modifies our

ecosystems and also combats the

misconception that zoonoses are

exclusive to the southern

hemisphere.

Whilst climate change will

increase the frequency of

endemic zoonotic outbreaks,

novel, zoonotic epidemics could

become more prevalent due to a

dangerous reservoir host— bats.

Bats have been disproportionately

responsible for novel viral

sharing events due to their lack

of dispersal constraints. Most

reservoir hosts have constraints -

namely an inability to migrate to

newly-suitable locations - that

prevent them from spreading

zoonoses to new countries and

continents. However, bats

overcome this constraint through

flight, unfettered migration and

their relatively long life spans.

This allows them access to

previously uninhabitable domains

rendered habitable by increasing

temperatures.

This raises concern as bats are

known reservoirs of several

viruses, including the Ebola virus,

Nipah virus, and Lyssavirus

amongst others. Therefore, if

rising temperatures continue to

expand their habitats, we risk

making millions more people

susceptible to novel viral

infections, for which health

infrastructures may be

unprepared.

It is clear that if we continue

down this path of high carbon

emissions and inaction, we

needlessly endanger ourselves to

these often debilitating and fatal

pathogens. Moreover, we risk

diverting billions of pounds worth

of funds and resources from

worthwhile endeavours to

overcome this self-erected

hurdle. Whilst I appreciate that

the conclusions drawn might

appear exaggerated, even

hyperbolic; an increased

frequency, novelty and severity

of viral zoonoses is a future that

we may genuinely have to face in

our lifetimes.

36

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