Informing climate-health adaptation options through mapping the needs and potential for integrated climate-driven early warning forecasting systems in South Asia - a scoping review

Asaaga, Festus A. ORCID: https://orcid.org/0000-0003-2675-9464; Tomude, Emmanuel S. ORCID: https://orcid.org/0009-0007-2876-5514; Rickards, Nathan J. ORCID: https://orcid.org/0000-0002-7303-6739; Hassall, Richard ORCID: https://orcid.org/0000-0002-4489-8831; Sarkar, Sunita; Purse, Bethan V. ORCID: https://orcid.org/0000-0001-5140-2710. 2024 Informing climate-health adaptation options through mapping the needs and potential for integrated climate-driven early warning forecasting systems in South Asia - a scoping review. PLOS ONE, 19 (10), e0309757. 24, pp. 10.1371/journal.pone.0309757

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Abstract/Summary

•Background: Climate change is widely recognised to threaten human health, wellbeing and livelihoods, including through its effects on the emergence, spread and burdens of climate–and water-sensitive infectious diseases. However, the scale and mechanisms of the impacts are uncertain and it is unclear whether existing forecasting capacities will foster successful local-level adaptation planning, particularly in climate vulnerable regions in developing countries. The purpose of this scoping review was to characterise and map priority climate- and water-sensitive diseases, map existing forecasting and surveillance systems in climate and health sectors and scope out the needs and potential to develop integrated climate-driven early warning forecasting systems for long-term adaptation planning and interventions in the south Asia region. •Methods: We searched Web of Science Core Collection, Scopus and PubMed using title, abstract and keywords only for papers focussing on climate-and water-sensitive diseases and explicit mention of either forecasting or surveillance systems in south Asia. We conducted further internet search of relevant national climate adaptation plans and health policies affecting disease management. We identified 187 studies reporting on climate-sensitive diseases and information systems in the south Asia context published between 1992 and 2024. •Results: We found very few robust, evidenced-based forecasting systems for climate- and water- sensitive infectious diseases, which suggests limited operationalisation of decision-support tools that could inform actions to reduce disease burdens in the region. Many of the information systems platforms identified focussed on climate-sensitive vector-borne disease systems, with limited tools for water-sensitive diseases. This reveals an opportunity to develop tools for these neglected disease groups. Of the 34 operational platforms identified across the focal countries, only 13 (representing 38.2%) are freely available online and all were developed and implemented by the human health sector. Tools are needed for other south Asian countries (Afghanistan, Sri Lanka, Bhutan) where the risks of infectious diseases are predicted to increase substantially due to climate change, drought and shifts in human demography and use of ecosystems. •Conclusion: Altogether, the findings highlight clear opportunities to invest in the co-development and implementation of contextually relevant climate-driven early warning tools and research priorities for disease control and adaptation planning.

Item Type:	Publication - Article
Digital Object Identifier (DOI):	10.1371/journal.pone.0309757
UKCEH and CEH Sections/Science Areas:	Biodiversity (Science Area 2017-) Water Resources (Science Area 2017-)
ISSN:	1932-6203
Additional Information. Not used in RCUK Gateway to Research.:	Open Access paper - full text available via Official URL link.
NORA Subject Terms:	Health Meteorology and Climatology Data and Information
Date made live:	06 Nov 2024 10:24 +0 (UTC)
URI:	https://nora.nerc.ac.uk/id/eprint/538323

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