Deforestation changes the effectiveness of bed nets for malaria control

Abstract Land use changes such as deforestation and the degradation of tropical forests can be key drivers of infectious disease, including malaria. However, programmes that evaluate the effectiveness of malaria‐control strategies such as bed nets rarely account for the impacts of surrounding land u...

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Main Authors: Tafesse Kefyalew Estifanos, Brendan Fisher, Taylor H. Ricketts
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:People and Nature
Subjects:
Online Access:https://doi.org/10.1002/pan3.10753
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author Tafesse Kefyalew Estifanos
Brendan Fisher
Taylor H. Ricketts
author_facet Tafesse Kefyalew Estifanos
Brendan Fisher
Taylor H. Ricketts
author_sort Tafesse Kefyalew Estifanos
collection DOAJ
description Abstract Land use changes such as deforestation and the degradation of tropical forests can be key drivers of infectious disease, including malaria. However, programmes that evaluate the effectiveness of malaria‐control strategies such as bed nets rarely account for the impacts of surrounding land use change. This study investigates how the cumulative deforestation rate for nearly 20 years moderates the effectiveness of bed nets on malaria positivity in children under age of 5 years. We used multilevel mixed‐effect modelling, demographic and health data, and remotely sensed environmental data to analyse malaria positivity among 18,610 children in six malaria‐endemic sub‐Saharan African countries. Our models suggest that deforestation is positively associated with increased odds of malaria positivity, whereas bed net use is negatively associated with malaria positivity, as expected. However, we also found that the effectiveness of bed net use varies with the extent of deforestation levels. Bed net use is associated with a significant reduction (by 24.7% to 32%) in malaria positivity at sites with less than 50% deforestation, but this effect is not observed at sites where deforestation exceeded 50%. Our findings suggest that the extent of deforestation can influence the efficacy of malaria control interventions, highlighting the need to integrate deforestation and malaria control considerations when designing environmental conservation and public health policies. Read the free Plain Language Summary for this article on the Journal blog.
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spelling doaj-art-bb583ac390894a348ee6097227f4b8612025-01-23T04:04:08ZengWileyPeople and Nature2575-83142025-01-017118019310.1002/pan3.10753Deforestation changes the effectiveness of bed nets for malaria controlTafesse Kefyalew Estifanos0Brendan Fisher1Taylor H. Ricketts2Gund Institute for Environment The University of Vermont Burlington Vermont USAGund Institute for Environment The University of Vermont Burlington Vermont USAGund Institute for Environment The University of Vermont Burlington Vermont USAAbstract Land use changes such as deforestation and the degradation of tropical forests can be key drivers of infectious disease, including malaria. However, programmes that evaluate the effectiveness of malaria‐control strategies such as bed nets rarely account for the impacts of surrounding land use change. This study investigates how the cumulative deforestation rate for nearly 20 years moderates the effectiveness of bed nets on malaria positivity in children under age of 5 years. We used multilevel mixed‐effect modelling, demographic and health data, and remotely sensed environmental data to analyse malaria positivity among 18,610 children in six malaria‐endemic sub‐Saharan African countries. Our models suggest that deforestation is positively associated with increased odds of malaria positivity, whereas bed net use is negatively associated with malaria positivity, as expected. However, we also found that the effectiveness of bed net use varies with the extent of deforestation levels. Bed net use is associated with a significant reduction (by 24.7% to 32%) in malaria positivity at sites with less than 50% deforestation, but this effect is not observed at sites where deforestation exceeded 50%. Our findings suggest that the extent of deforestation can influence the efficacy of malaria control interventions, highlighting the need to integrate deforestation and malaria control considerations when designing environmental conservation and public health policies. Read the free Plain Language Summary for this article on the Journal blog.https://doi.org/10.1002/pan3.10753anopheles speciesbed net usedeforestationland use changemalaria controlmalaria prevalence
spellingShingle Tafesse Kefyalew Estifanos
Brendan Fisher
Taylor H. Ricketts
Deforestation changes the effectiveness of bed nets for malaria control
People and Nature
anopheles species
bed net use
deforestation
land use change
malaria control
malaria prevalence
title Deforestation changes the effectiveness of bed nets for malaria control
title_full Deforestation changes the effectiveness of bed nets for malaria control
title_fullStr Deforestation changes the effectiveness of bed nets for malaria control
title_full_unstemmed Deforestation changes the effectiveness of bed nets for malaria control
title_short Deforestation changes the effectiveness of bed nets for malaria control
title_sort deforestation changes the effectiveness of bed nets for malaria control
topic anopheles species
bed net use
deforestation
land use change
malaria control
malaria prevalence
url https://doi.org/10.1002/pan3.10753
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