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The proliferation of vector-borne diseases are predicted to increase in a changing climate and Leishmaniases, as a vector-borne diseases, are re-emerging diseases in several regions of the world. In Morocco, during the last decade, a sharp increase in cutaneous leishmaniases cases has been reported. Nevertheless, in Morocco, leishmaniases are a major public health problem, and little interest was given to climate change impacts on the distribution and spread of these diseases. As insect-borne diseases, the incidence and distribution of leishmaniases are influenced by environmental changes, but also by several socio-economic and cultural factors. From a biological point of view, environmental variables have effects on the survival of insect vectors and mammalian reservoirs, which, in turn, affects transmission. Here, we highlight the effects of climate change in Morocco and discuss its consequences on the epidemiology of leishmaniases to identify challenges and define targeted recommendations to fight this disease.

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The incidence of emergence diseases including vector borne diseases, water diseases, and some physiologic impairment is considered sensitive to climate. Malaria, leishmaniasis, dengue, and viral encephalitis are among those diseases most influenced by climate. Variation in the incidence of vector borne diseases is associated with extreme weather events and annual changes in weather conditions. Africa in general and Morocco in particular are designated as an area of significant impact by numerous the Intergovernmental Panel on Climate Change (IPCC) reports and notably susceptible to such drastic climate-related health consequences. Climatic parameter change would directly affect disease transmission by acting on the vector's geographic range, activity, or reproduction and by reduction the period of pathogen incubation. This chapter will discuss the increasing risk of some vector-borne diseases in hazard-prone localities. It further identifies the severe challenges both of health adaptation to climate change by highlighting Moroccan adaptive capacity to such crises.

Leishmaniasis is a complex disease comprised of multiple organisms in association. Each of these organisms responds differently to external factors. The environmental and socio-economic associations contribute to the dynamics and emergence of leishmaniasis across the globe. Ecological dynamics of the vector-parasite-host system of leishmaniasis influenced directly and indirectly both human and animal health. The transitions and rapid climate and socio-economic changes caused a transition of emergence and re-emergence of leishmaniasis outbreaks. The pattern of changes is influenced by the distribution and abundance as well as the spatial dynamics of vector and reservoirs species, which in turn disrupts ecosystem structure of vector and parasite. In Morocco, leishmaniasis are endemic and constitute a major public health threat. The observations showed significant variations in its spatial distribution and forms through Morocco with increase in the number of recorded cases during the last couple of years. Here, the authors discuss disease change related to climate and socio-economic influence.