"Deadly Dozen" of Diseases Worsened by Climate Change

• “Red tides”: Harmful algal blooms off global coasts create toxins that are deadly to both humans and wildlife. These occurrences—commonly called “red tides”—cause mass fish kills, marine mammal strandings, penguin and seabird mortality, and human illness and death from brevetoxins, domoic acid, and saxitoxins (the cause of “paralytic shellfish poisoning”). Similar events in freshwater are caused by a species of Cyanobacteria and have resulted in animal die-offs in Africa. Altered temperatures or food-web dynamics resulting from climate change will have unpredictable impacts on the occurrences of this worldwide phenomenon. Effects of harmful algal blooms on sea life are often the first indicators that such an event is taking place.

• Rift Valley Fever: Rift Valley fever virus (RVFV) is an emerging zoonotic disease of significant public health, food security, and overall economic importance, particularly in Africa and the Middle East. In infected livestock such as cattle, sheep, goats and camels, abortions and high death rates are common. In people (who can get the virus from butchering infected animals), the disease can be fatal. Given the role of mosquitoes in transmission of the virus, changes in climate continue to be associated with concerns over the spread of RVFV.

• Sleeping sickness: Also known as trypanosomiasis, this disease affects people and animals. It is caused by the protozoan, Trypanosoma brucei, and transmitted by the tsetse fly. The disease is endemic in certain regions of Sub-Saharan Africa, affecting 36 countries, with estimates of 300,000 new cases every year and more than 40,000 human deaths each year in eastern Africa. Domestic cattle are a major source of the disease, but wildlife can be infected and maintain the disease in an area. Direct and indirect effects (such as human land-use patterns) of climate change on tsetse fly distributions could play a role in the distribution of this deadly disease.