Climate Change and Spatiotemporal Distributions of Vector-Borne Diseases in Nepal--A Systematic Synthesis of Literature

Background

Despite its largely mountainous terrain for which this Himalayan country is a popular tourist destination, Nepal is now endemic for five major vector-borne diseases (VBDs), namely malaria, lymphatic filariasis, Japanese encephalitis, visceral leishmaniasis and dengue fever. There is increasing evidence about the impacts of climate change on VBDs especially in tropical highlands and temperate regions. Our aim is to explore whether the observed spatiotemporal distributions of VBDs in Nepal can be related to climate change.

Methodology

A systematic literature search was performed and summarized information on climate change and the spatiotemporal distribution of VBDs in Nepal from the published literature until December2014 following providing items for systematic review and meta-analysis (PRISMA) guidelines.

Principal Findings

We found 12 studies that analysed the trend of climatic data and are relevant for the study of VBDs, 38 studies that dealt with the spatial and temporal distribution of disease vectors and disease transmission. Among 38 studies, only eight studies assessed the association of VBDs with climatic variables. Our review highlights a pronounced warming in the mountains and an expansion of autochthonous cases of VBDs to non-endemic areas including mountain regions (i.e., at least 2,000 m above sea level). Furthermore, significant relationships between climatic variables and VBDs and their vectors are found in short-term studies.

Conclusion

Taking into account the weak health care systems and difficult geographic terrain of Nepal, increasing trade and movements of people, a lack of vector control interventions, observed relationships between climatic variables and VBDs and their vectors and the establishment of relevant disease vectors already at least 2,000 m above sea level, we conclude that climate change can intensify the risk of VBD epidemics in the mountain regions of Nepal if other non-climatic drivers of VBDs remain constant.

Downscaled climate change projections with uncertainty assessment over India using a high resolution multi-model approach

This study presents the possible regional climate change over South Asia with a focus over India as simulated by three very high resolution regional climate models (RCMs). One of the most striking results is a robust increase in monsoon precipitation by the end of the 21st century but regional differences in strength. First the ability of RCMs to simulate the monsoon climate is analyzed. For this purpose all three RCMs are forced with ECMWF reanalysis data for the period 1989-2008 at a horizontal resolution of ~25 km. The results are compared against independent observations. In order to simulate future climate the models are driven by lateral boundary conditions from two global climate models (GCMs: ECHAM5-MPIOM and HadCM3) using the SRES A1B scenario, except for one RCM, which only used data from one GCM. The results are presented for the full transient simulation period 1970-2099 and also for several time slices. The analysis concentrates on precipitation and temperature over land. All models show a clear signal of gradually wide-spread warming throughout the 21st century. The ensemble-mean warming over India is 1.5°C at the end of 2050, whereas it is 3.9°C at the end of century with respect to 1970-1999. The pattern of projected precipitation changes shows considerable spatial variability, with an increase in precipitation over the peninsular of India and coastal areas and, either no change or decrease further inland. From the analysis of a larger ensemble of global climate models using the A1B scenario a wide spread warming (~3.2°C) and an overall increase (~8.5%) in mean monsoon precipitation by the end of the 21st century is very likely. The influence of the driving GCM on the projected precipitation change simulated with each RCM is as strong as the variability among the RCMs driven with one.