Background: Malaria continues to be a disease of massive burden in Africa, and the public health resources targeted at surveillance, prevention, control, and intervention comprise large outlays of expense. Malaria transmission is largely constrained by the suitability of the climate for Anopheles mosquitoes and Plasmodium parasite development. Thus, as climate changes, shifts in geographic locations suitable for transmission, and differing lengths of seasons of suitability will occur, which will require changes in the types and amounts of resources. Methods: The shifting geographic risk of malaria transmission was mapped, in context of changing seasonality (i.e. endemic to epidemic, and vice versa), and the number of people affected. A published temperature-dependent model of malaria transmission suitability was applied to continental gridded climate data for multiple future AR5 climate model projections. The resulting outcomes were aligned with programmatic needs to provide summaries at national and regional scales for the African continent. Model outcomes were combined with population projections to estimate the population at risk at three points in the future, 2030, 2050, and 2080, under two scenarios of greenhouse gas emissions (RCP4.5 and RCP8.5). Results: Estimated geographic shifts in endemic and seasonal suitability for malaria transmission were observed across all future scenarios of climate change. The worst-case regional scenario (RCP8.5) of climate change predicted an additional 75.9 million people at risk from endemic (10-12 months) exposure to malaria transmission in Eastern and Southern Africa by the year 2080, with the greatest population at risk in Eastern Africa. Despite a predominance of reduction in season length, a net gain of 51.3 million additional people is predicted be put at some level of risk in Western Africa by midcentury. Conclusions: This study provides an updated view of potential malaria geographic shifts in Africa under climate change for the more recent climate model projections (AR5), and a tool for aligning findings with programmatic needs at key scales for decision-makers. In describing shifting seasonality, it was possible to capture transitions between endemic and epidemic risk areas, to facilitate the planning for interventions aimed at year-round risk versus anticipatory surveillance and rapid response to potential outbreak locations.

Climate change is expected to intensify existing problems and create new combinations of risks, particularly in Africa, where there is widespread poverty and dependence on the natural environment. Accordingly, there is a growing need for proactive adaptation to climate change risks. In order to achieve this, the requisite competence needs to be developed on the use and interpretation of climate information to support informed decisions. The present paper assesses the extent to which climate change scenarios are currently used in developing adaptation strategies within the agricultural development sector, with a focus on Africa. The data, based on interviews with practitioners and donors working in the climate change field in Africa, suggest that although annual climate information (such as seasonal climate forecasts) is used to a certain extent to inform and support some decisions, climate change scenarios are rarely used at present in agricultural development. However, respondents suggest a number of ways to improve the application of climate change science in these endeavors; these include strengthening technical skills for downscaling climate models, as well as using scenario outputs to develop and prioritize robust locally relevant adaptation strategies to provide examples of 'good' adaptation practice. Improved understanding, packaging, and communication of climate scenarios are required between scientists, practitioners, policymakers and civil society, both within areas in the global south as well as between the global south and north. In addition, we argue that a paradigmatic shift is required from supply-driven activities to a userfocused approach that addresses decision makers' needs for climate change data. Such a shift would focus on generating the information required to provide actionable suggestions to formulate viable adaptation policies and reduce the negative consequences of climate change, particularly for Africa's most vulnerable groups.

AbstractBackgroundMalaria continues to be a disease of massive burden in Africa, and the public health resources targeted at surveillance, prevention, control, and intervention comprise large outlays of expense. Malaria transmission is largely constrained by the suitability of the climate for Anopheles mosquitoes and Plasmodium parasite development. Thus, as climate changes, we will see shifts in geographic locations suitable for transmission, and differing lengths of seasons of suitability, which will require changes in the types and amounts of resources.MethodsWe mapped the shifting geographic risk of malaria transmission, in context of changing seasonality (i.e. endemic to epidemic, and vice-versa), and the number of people affected. We applied a temperature-dependent model of malaria transmission suitability to continental gridded climate data for multiple future climate model projections. We aligned the resulting outcomes with programmatic needs to provide summaries at national and regional scales for the African continent. Model outcomes were combined with population projections to estimate the population at risk at three points in the future, 2030, 2050, and 2080, under two scenarios of greenhouse gas emissions (RCP4.5 and RCP8.5).ResultsGeographic shifts in endemic and seasonal suitability for malaria transmission were observed across all future scenarios of climate change. The worst-case regional scenario (RCP8.5) of climate change places an additional 75.9 million people at risk from endemic (10-12 months) exposure to malaria transmission in Eastern and Southern Africa by the year 2080, with the greatest population at risk in Eastern Africa. Despite a predominance of reduction in season length, a net gain of 51.3 million additional people will be put at some level of risk in Western Africa by midcentury.ConclusionsThis study provides an updated view of potential malaria geographic shifts in Africa under climate change for the more recent climate model projections (AR5), and a tool for aligning findings with programmatic needs at key scales for decision makers. In describing shifting seasonality, we can capture transitions between endemic and epidemic risk areas, to facilitate the planning for interventions aimed at year-round risk versus anticipatory surveillance and rapid response to potential outbreak locations.

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