Infectious diseases have long been a focal point of climate change impacts research, with malaria prominent among them. Although it is universally acknowledged that malaria transmission is affected by temperature and rainfall, projections of future levels of malaria under different climate change scenarios have been the object of scientific controversy. One underappreciated reason for this is because modeling research has not consistently accounted for the role of socioeconomic factors in malaria transmission. There is now a growing awareness that greater and more explicit discussion about the impact of socioeconomic factors on malaria transmission under climate change scenarios is needed, but this will require deepened multidisciplinary collaboration and greater attention to climate change vulnerability science. In order to address this need and to ensure that that outputs from this research help address the needs of public health, the following activities are suggested: systematic analyses of past events to assess the relative role of climatic and socioeconomic drivers of malaria transmission, the development of a consistent definition of vulnerability, the development of metrics and indicators for the key components of vulnerability to malaria, greater collaboration with stakeholders, and the development of health-specific climate change scenarios under the shared socioeconomic pathways (SSPs). Finally, researchers should more explicitly detail how their assumptions about future socioeconomic development affect research findings. © 2016 Wiley Periodicals, Inc.
How to cite this article:WIREs Clim Change 2016Change , 7:551-568. doi: 10.1002 INTRODUCTION M alaria is one of the most important human diseases and it happens to be highly sensitive to climatic conditions (Box 1). Roughly one hundred years ago, British army Captain S.R. Christophers developed an early warning system for malaria in India based upon both climatic and socioeconomic data.1 Today, numerous methods for forecasting malaria based upon climatic variables have been explored, 2-5 and the rationale for doing so is sound. 6,7 Rainfall governs mosquito populations, as Anopheles mosquitoes tend to breed in temporary sites created after rainfalls. Temperature affects the growth and size of Anopheles mosquito populations, the digestion of bloodmeals (and thus the frequency
551of interactions between humans and mosquitoes), and the growth of malaria parasites within their mosquito hosts. 8 Generally, beyond lower and upper temperature thresholds, these processes are halted.In light of the above, assessing the impacts of climatic changes on malaria transmission has emerged as an important area of research. Yet despite the clear links between malaria and climatic variables, this research has proven to be controversial. [12][13][14][15] Respected and reputable scientists from a diverse range of disciplines, notably ecology, entomology and epidemiology, have extensively debated the importance of climate change on malaria transmission. Although not always ...