Journal Articles

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    Land Use Change and Infectious Disease Emergence
    (John Wiley and Sons, Inc on behalf of the American Geophysical Union, 2025-06-01) Rulli MC; D’Odorico P; Galli N; John RS; Muylaert RL; Santini M; Hayman DTS
    Major infectious diseases threatening human health are transmitted to people from animals or by arthropod vectors such as insects. In recent decades, disease outbreaks have become more common, especially in tropical regions, including new and emerging infections that were previously undetected or unknown. Even though there is growing awareness that altering natural habitats can lead to disease outbreaks, the link between land use change and emerging diseases is still often overlooked and poorly understood. Land use change typically destroys natural habitat and alters landscape composition and configuration, thus altering wildlife population dynamics, including those of pathogen hosts, domesticated (often intermediary) hosts, infectious agents, and their vectors. Moreover, land use changes provide opportunities for human exposure to direct contact with wildlife, livestock, and disease-carrying vectors, thereby increasing pathogen spillover from animals to humans. Here we explore the nexus between human health and land use change, highlighting multiple pathways linking emerging disease outbreaks and deforestation, forest fragmentation, urbanization, agricultural expansion, intensified farming systems, and concentrated livestock production. We connect direct and underlying drivers of land use change to human health outcomes related to infectious disease emergence. Despite growing evidence of land-use induced spillover, strategies to reduce the risks of emerging diseases are often absent from discussions on sustainable food systems and land management. A “One Health” perspective—integrating human, animal, and environmental health—provides a critical yet often-overlooked dimension for understanding the health impacts of land use change.
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    Transmission pathways of Campylobacter jejuni between humans and livestock in rural Ethiopia are highly complex and interdependent
    (BioMed Central Limited, London, United Kingdom, 2025-12-01) Singh N; Thystrup CAN; Hassen BM; Bhandari M; Rajashekara G; Hald TM; Manary MJ; McKune SL; Hassen JY; Smith HL; Marshall JC; French NP; Havelaar AH; Mekuria ZH; Weldesenbet YD; Yang Y; Li X; Gebreyes W; Shaikh N; Bhrane M; Dawid MM; Usmail MM; Deblais L; Mechlowitz K; Umer KA; Roba KT; Hassen KA; Amin JK; Usmane IA; Ahmed IA; Yimer G; Yusuf EA; Chen D; Saleem C; Ahmedo BU; Ojeda AE; Ibrahim AM; Seran AJ
    Background: Campylobacter jejuni and C. coli are the most common causes of bacterial enteritis worldwide whereas symptomatic and asymptomatic infections are associated with stunting in children in low- and middle-income countries. Little is known about their sources and transmission pathways in low- and middle-income countries, and particularly for infants and young children. We assessed the genomic diversity of C. jejuni in Eastern Ethiopia to determine the attribution of infections in infants under 1 year of age to livestock (chickens, cattle, goats and sheep) and other humans (siblings, mothers). Results: Among 287 C. jejuni isolates, 48 seven-gene sequence types (STs), including 11 previously unreported STs were identified. Within an ST, the core genome STs of multiple isolates differed in fewer than five alleles. Many of these isolates do not belong to the most common STs reported in high-resource settings, and of the six most common global STs, only ST50 was found in our study area. Isolates from the same infant sample were closely related, while those from consecutive infant samples often displayed different STs, suggesting rapid clearance and new infection. Four different attribution models using different genomic profiling methods, assumptions and estimation methods predicted that chickens are the primary reservoir for infant infections. Infections from chickens are transmitted with or without other humans (mothers, siblings) as intermediate sources. Model predictions differed in terms of the relative importance of cattle versus small ruminants as additional sources. Conclusions: The transmission pathways of C. jejuni in our study area are highly complex and interdependent. While chickens are the most important reservoir of C. jejuni, ruminant reservoirs also contribute to the infections. The currently nonculturable species Candidatus C. infans is also highly prevalent in infants and is likely anthroponotic. Efforts to reduce the colonization of infants with Campylobacter and ultimately stunting in low-resource settings are best aimed at protecting proximate sources such as caretakers’ hands, food and indoor soil through tight integration of the currently siloed domains of nutrition, food safety and water, sanitation and hygiene.