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Neotropical Helminthology. Vol. 9, Nº2, jul-dec 2015
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