EDITORIAL
STUDIES ON WILDLIFE WITH A SPECIAL REFERENCE TO PREVENTING
EMERGING INFECTIOUS DISEASES (EIDs) IN THE 21st CENTURY
ESTUDIOS EN FAUNA SILVESTRE PARA PREVENIR ENFERMEDADES
INFECCIOSAS EMERGENTES EN EL SIGLO XXI
1
Alfonso Marzal
1Departamento de Anatomía, Biología Celular y Zoología, Universidad de Extremadura, Avda. de Elvas s/n, E-06006
Badajoz, Spain.
Correspondence to AM: Tel: (+34) 924289412
E-mail: amarzal@unex.es
Neotropical Helminthology, 2015, 9(2), jul-dec: 199-202.
ABSTRACT
Keywords: deforestation - invasive species - malaria - parasites- emerging infectious diseases.
Emerging Infectious Diseases (EIDs) represent a serious threat for the health of humans, wildlife
and livestock. These diseases are caused by pathogens that have evolved multi-resistance against
medications, or have increased their host and / or geographical range. As a result, millions of
people have died in the last decades because emerging and re-emerging diseases such as malaria,
tuberculosis and Ebola haemorrhagic fever. Socio-economic factors (e.g. urbanization,
demographic factors) and environmental drivers, e.g., deforestation, invasive species and
anthropogenic land use change, have facilitated the spread of EIDs. Many studies have focused
on these diseases in the last half-century. Our understanding of epidemiology of EIDs and how to
control their spread remains limited. Because wildlife is an essential component in the
epidemiology of many EIDs, the study of pathogens in wildlife will be essential to identify
underlying causes and to successfully develop policies and strategies to mitigate these threats.
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ISSN Versión impresa 2218-6425 ISSN Versión Electrónica 1995-1043
RESUMEN
Palabras clave: deforestación, especies invasoras, malaria, parasites.
Las Enfermedades Infecciosas Emergentes (EIDs) son una grave amenaza para la salud de
humanos, animales domésticos y fauna silvestre. Estas enfermedades son causadas por
patógenos que han desarrollado multi-resistencia frente a medicamentos, o han incrementado su
rango geográfico o de hospederos. Como resultado, millones de personas han muerto en las
últimas décadas debido a enfermedades emergentes y re-emergentes como la malaria, la
tuberculosis o las fiebres hemorrágicas del Ébola. Factores socio-económicos (e.g. urbanización,
crecimiento demográfico) y ambientales (deforestación, especies invasoras y cambios en el uso
del suelo producidos por el hombre) han facilitado la dispersión de las EIDs. A pesar de que
muchos estudios se han centrado en estas enfermedades en el último medio siglo, nuestro
conocimiento sobre la epidemiología de las EIDs y cómo controlar su dispersión es aún limitado.
Debido a que la fauna silvestre es un componente esencial en la epidemiología de muchas EIDs,
el estudio de patógenos en animales silvestres será esencial para identificar las causas y
desarrollar políticas y estrategias para mitigar estas amenazas.
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The 20th century has seen an advance in
human health without precedent in history.
Coupled with other improvements in food
intake and sanitation, the development of
vaccines and antibiotics contributed to the
steady enhancement in demography and
economic growth in many parts of the world
(WHO, 1999). Therefore, it became possible to
imagine a world without the burden of
pathogens and infectious diseases to humans.
However, this optimist was premature, and
drove to an erroneous policy by reducing
investment in infectious diseases research
(Berkelman et al., 1994). As a result, since
1940s millions of people have died because
more than 300 events of emerging and re-
emerging infectious diseases (EIDs) (Jones et
al., 2008). These EIDs are caused by
pathogens that have evolved resistance (multi-
drug resistance tuberculosis and chloroquine-
resistant malaria), pathogens from animals that
now infect humans (HIV-1), or pathogens that
have been probably presented in humans for
centuries but which have recently increased in
incidence and geographic range (for example,
Lyme disease). Ironically, the economic and
health successes of the last century also
contributed to the increase of these pathogenic
diseases, as “hidden costs” of this wellness.
For example, economic and demographic
growth led to urbanization, where millions of
people live in crowded conditions, thereby
facilitating the spread of infections (Neiderud,
2015). Moreover, with the aim to meet the
demands of the growing population, the
indiscriminate deforestation for logging and
farming in tropical rainforests have provoked
changes in the ecology and epidemiology of
vector-borne diseases (e.g. malaria,
leishmania and Chagas Disease), thus putting
vulnerable populations at risk for infection
(Sehgal, 2010). Furthermore, the current speed
and reach of travel of transport in our
globalized world promoted the fast spread of
Severe Acute Respiratory Syndrome (SARS)
from a single case, infecting over 8.000 people
in 26 countries across 5 continents in two
weeks (Peiris et al., 2004). Thus, it is clear that
EIDs represent a formidable threat to global
health.
There is one point in the EIDs that should be
highlighted, because sometimes is neglected:
the essential information provided by studies
on wildlife. Why are they so important? On one
side, more than 60% of these diseases in
humans are caused by pathogens spread from
animals. For example, pandemic strains of
influenza can emerge from avian and swine
reservoirs. Furthermore, 71.8% of these
zoonotic diseases events are provoked by
pathogens with a wildlife origin (Jones et al.,
2008). For instance, many experts believe that
HIV, the virus causing AIDS, evolved from a
virus carried by a nonhuman primate in West
Africa. Because wildlife is an essential
component in the epidemiology of many EIDs,
the study of pathogens in wildlife will be
essential to successfully develop policies and
strategies to mitigate these threats. On the
other side, another point highlighting wildlife
studies on EIDs relies on their trustworthy
conclusions on the ecological drivers of the
epidemiology. In this sense, confounding
factors may cause an incorrect analysis of
results and erroneous conclusions in the study
of EIDs. In humans, socio-cultural and
economic drivers (e.g. population density,
economic growth), as well as ecological and
environmental conditions (wildlife species
richness, rainfall) may be major determinants
of surge and spread of diseases. The formers
are restricted to human populations, but the
latter are shared with other animal species in
the human-wildlife ecosystem interface.
Therefore, the investigations of pathogen
diseases in wildlife allow us to eliminate
socioeconomics and cultural confounding
variables from the study, and hence to achieve
firm conclusions. Consequently, I call for an
increasing number of studies on parasitology
in wildlife as an important tool for
identification of potentially zoonotic
pathogens and hence reducing the likelihood
Marzal
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Neotropical Helminthology. Vol. 9, Nº2, jul-dec 2015 Emerging Infectious Diseases and Wildlife
of future zoonotic disease emergence.
Because their rapid increase, infections with
vector-borne pathogens have become one of
the main EIDs in the last decades. Mosquitoes,
bugs, ticks and many other arthropods are
responsible for transmission of viruses
(dengue, Chikungunya, West Nile virus),
protozoans (malaria, Chagas) and bacteria
(Lyme disease) infecting billions of people
every year. Anthropogenic global changes
(deforestation and land use change) have been
proposed to cause the expansion of mosquito
vector and the reemergence of malaria and
dengue in South America (Daszak et al., 2000).
But this issue requires further studies
removing potential confounding variables. As
has been mentioned before, the factors
favouring malaria outbreaks go beyond the
basic biological elements and include
ecological as well as socio-economic factors
(Wilson, 2001). But these confounding effects
are irrelevant in the context of parasites that
infect wild animals. Studies on malaria
parasites of birds have contributed
significantly to the knowledge on biology and
ecology of malaria parasites of other
vertebrates, including human malaria (Marzal,
2012). Nowadays, research on avian malaria
will be essential to fence these new health and
environmental challenges.
Additionally, the introduction of domestic
animals and wildlife alien species can also
provoke emerging diseases with tremendous
costs in terms of loss of biodiversity, mortality
and economic expenses. We have many
examples in which a foreign species can act as
a “Trojan horse” because they can bring exotic
parasites and pathogens inside them, and thus
allowing its dissemination in the new areas.
For example, Europeans introduced smallpox
and measles to the Americas with fatal
consequences for indigenous people. Also, a
highly pathogenic morbillivirus disease (The
African rinderpest panzootic) destroyed
populations of many species of both domestic
and wildlife ungulate species in seven years,
and contributed to the famine and death of
many livestock-depending African tribes
(Spinage, 2003). In addition, avian malaria
Plasmodium relictum Grassi & Feletti, 1891 is
a widely pathogenic species, being responsible
for mass mortality, population declines and
even extinctions of many bird species
worldwide after its introduction outside its
native range (Valkiūnas, 2005). Recently this
invasive malaria has been found infecting
birds from Peru (Marzal et al., 2015),
representing a potential threat to over one-third
of all bird species in the world. Therefore,
introduced species may bring new diseases
affecting biodiversity, ecosystem function and
global health.
Finally, I would like to emphasize one very
important issue. Most of surveillances and
infectious diseases researches have been done
in Europe, North America and Australia, which
is in sharp contrast with the predicted areas of
higher risk of zoonotic EIDs from wildlife in
tropical Africa, Latin America and Asia (Jones
et al., 2008). These dissimilarities seem not to
be very practical in the challenge of new EIDs,
with the majority of scientific resources
invested on areas where the next emerging
pathogen or the new disease outbreak is highly
unlikely to occur. I hence encourage for an
urgent need for surveillance and monitoring
studies on wildlife parasites as a potential
threat for EIDs in these high-risk places. I also
recommend promoting the creation of
international networks on the study of
emerging diseases as a valuable strategy for
st
preventing EIDs on the 21 century. Scientists
and experts from emerging disease hotspot
areas should play a key role in these networks.
It would enhance the collaboration,
communication and education among its
members, and provide a fast assistance during
outbreak investigations.
In conclusion, we all (humans, wildlife and
domestic animals) live in the same world,
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Neotropical Helminthology. Vol. 9, Nº2, jul-dec 2015
sharing many pathogens and diseases.
Deforestation, the introduction of pathogens
through invasive species and anthropogenic
land use change have increased the pathogen
transmission at the human-livestock–wildlife
interface, which have facilitated the spread of
new and re-emerging infectious diseases.
Despite significant attention given to these
diseases in the last half-century, our
understanding of EIDs epidemiology and how
to manage them remains limited. Studies on
parasites on wildlife would provide valuable
information to identify underlying causes and
to control their spread. In the fight against
these infections, the creation of international
networks with a multidisciplinary perspective
involving scientists, educators, policy makers
and practitioners would be desirable.
The author thanks Editorial Board from
Neotropical Helminthology for the invitation
to write this review. This study was funded by
research projects of the Spanish Ministry of
Economy and Competitiveness (CGL2012-
36665) and Junta de Extremadura (GRU:
15117).
Jones, KE, Patel, NG, Levy, MA, Storeygard, A,
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Marzal, A, Garcia-Longoria, L, Callirgos JM &
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ACKNOWLEDGMENTS
Marzal
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Received December 15, 2015.
Accepted Accepted 22, 2015.