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Understanding the socio-ecology of disease requires careful attention to the role of patches within disease landscapes. Such patches, and the interfaces between different socio-epidemiological systems, we argue, have important implications for disease control. We conducted an interdisciplinary study over three years to investigate the spatial dynamics of human and animal trypanosomiasis in the Zambezi valley, Zimbabwe. We used a habitat niche model to identify changes in suitable habitat for tsetse fly vectors over time, and this is related to local villagers’ understandings of where flies are found. Fly trapping and blood DNA analysis of livestock highlighted the patchy distribution of both flies and trypanosome parasites. Through livelihoods analysis we explored who makes use of what areas of the landscape and when, identifying the social groups most at risk. We conclude with a discussion of the practical implications, including the need for an integrated ‘One Health’ approach involving targeted approaches to both vector control and surveillance.

Tsetse flies transmit trypanosomes that cause Human African Trypanosomiasis (HAT) in humans and African Animal Trypanosomiasis (AAT) in animals. Understanding historical trends in the spatial distribution of tsetse fly habitat is necessary for planning vector control measures. The objectives of this study were (i) to test for evidence of any trends in suitable tsetse fly habitat and (ii) to test whether there is an association between trypanosomiasis detected from livestock sampled in dip tanks and local tsetse habitat in the project area. Results indicate a significant decreasing trend in the amount of suitable habitat. There is no significant correlation between trypanosomiasis prevalence rates in cattle and distance from patches of suitable tsetse habitat. The observed low trypanosomiasis prevalence and the lack of dependence on suitable tsetse fly habitat can be explained by the observed decreases in suitable tsetse habitat, which themselves are due to expansion of settlement and agriculture in North Western Zimbabwe.

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