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Peer reviewedOpen accessEchinococcosis

Climate change reshapes the potential transmission risk of human alveolar and cystic echinococcosis in western China: a projection based on MaxEnt models

Infectious Diseases of Poverty·

Xu Wang, Quzhen Gongsang, Shijie Yang, Ying Wang, Sha Liao, Guangzhong Shi, Jia Liu, Fang Yan, Xiaojuan Zhang, Baixue Liu, Yan Kui, Yixi Zhang, Chuizhao Xue, Liying Wang, Shuai Han

DOI
10.1186/s40249-026-01482-1
PMID
42693475
PMCID
OpenAlex
W7207842984
Study type
Journal article
Publisher
Springer Science and Business Media LLC
Article type
journal-article
Integrity
current

Why this research matters now

The authors frame the projections as motivation for forward-looking, spatially targeted surveillance and control of human echinococcosis in western China using a One Health approach, given anticipated shifts in alveolar echinococcosis endemicity and expansion of cystic echinococcosis endemicity under climate change.

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Structured evidence summary

Research question

The study examined how climate change may reshape the geographic transmission risk of human alveolar and cystic echinococcosis in western China by modelling ecological niches of the two causative parasites and projecting future habitat suitability.

Study design

An ecological niche modelling study using Maximum Entropy (MaxEnt) models fed with geolocated human case records and contemporary bioclimatic variables, evaluated by AUC and AUC of 10% ROC, validated against county-level incidence, and projected onto future periods (2011–2100) under three SSP scenarios from five global climate models.

Population and setting

Setting: western China. Population: 1,247 human echinococcosis cases diagnosed between 1981 and 2016, obtained from the National Echinococcosis Control Program, used as occurrence records in the models.

Main findings

Optimized MaxEnt models showed high predictive accuracy (AUC > 0.92; AUCpROC 0.084 for E. multilocularis and 0.070 for E. granulosus sensu lato) and a significant positive correlation with county-level incidence (ρ > 0.6, P < 0.0001). The two parasites occupied distinct climatic niches, with E. multilocularis associated with cool, stable climates with moderate summer moisture and E. granulosus sensu lato with dry-cold winters, warm-humid summers, and moderate seasonality. Projections indicated spatially heterogeneous changes, with E. multilocularis suitable area shifting toward higher altitudes (expansion in Qinghai and Xizang but contraction in Ningxia and Gansu), while E. granulosus sensu lato showed outward expansion from current endemic margins, notably across the Tibetan Plateau, identifying Qinghai and Xizang as expansion hotspots for both.

Public-health relevance

The authors frame the projections as motivation for forward-looking, spatially targeted surveillance and control of human echinococcosis in western China using a One Health approach, given anticipated shifts in alveolar echinococcosis endemicity and expansion of cystic echinococcosis endemicity under climate change.

Important limitations

The summary is limited to the supplied single-article abstract and metadata; no explicit author-stated limitations were provided in the abstract. Original-paper review is required for decision-grade interpretation.

GIDS interpretation

Within GIDS, the paper is discoverable as climate- and environment-linked modelling evidence on echinococcosis in China with One Health and surveillance framing; the abstract alone does not demonstrate linkage to a live surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

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