Leptospirosis and the Environment: A Review and Future Directions.

Leptospirosis is a zoonotic disease of global importance with significant morbidity and mortality. However, the disease is frequently overlooked and underdiagnosed, leading to uncertainty of the true scale and severity of the disease. A neglected tropical disease, leptospirosis disproportionately impacts disadvantaged socioeconomic communities most vulnerable to outbreaks of zoonotic disease, due to contact with infectious animals and contaminated soils and waters. With growing evidence that Leptospira survives, persists, and reproduces in the environment, this paper reviews the current understanding of the pathogen in the environment and highlights the unknowns that are most important for future study. Through a systematic Boolean review of the literature, our study finds that detailed field-based study of Leptospira prevalence, survival, and transmission in natural waters and soils is lacking from the current literature. This review identified a strong need for assessment of physical characteristics and biogeochemical processes that support long-term viability of Leptospira in the environment followed by epidemiological assessment of the transmission and movement of the same strains of Leptospira in the present wildlife and livestock as the first steps in improving our understanding of the environmental stage of the leptospirosis transmission cycle.

Climatic, ecological, and socioeconomic factors associated with West Nile virus incidence in Atlanta, Georgia, U.S.A.

The integrated effects of the many risk factors associated with West Nile virus (WNV) incidence are complex and not well understood. We studied an array of risk factors in and around Atlanta, GA, that have been shown to be linked with WNV in other locations. This array was comprehensive and included climate and meteorological metrics, vegetation characteristics, land use / land cover analyses, and socioeconomic factors. Data on mosquito abundance and WNV mosquito infection rates were obtained for 58 sites and covered 2009-2011, a period following the combined storm water - sewer overflow remediation in that city. Risk factors were compared to mosquito abundance and the WNV vector index (VI) using regression analyses individually and in combination. Lagged climate variables, including soil moisture and temperature, were significantly correlated (positively) with vector index as were forest patch size and percent pine composition of patches (both negatively). Socioeconomic factors that were most highly correlated (positively) with the VI included the proportion of low income households and homes built before 1960 and housing density. The model selected through stepwise regression that related risk factors to the VI included (in the order of decreasing influence) proportion of houses built before 1960, percent of pine in patches, and proportion of low income households.

Impacts of urbanization on carbon balance in terrestrial ecosystems of the Southern United States.

Using a process-based Dynamic Land Ecosystem Model, we assessed carbon dynamics of urbanized/developed lands in the Southern United States during 1945-2007. The results indicated that approximately 1.72 (1.69-1.77) Pg (1P = 10(15)) carbon was stored in urban/developed lands, comparable to the storage of shrubland or cropland in the region. Urbanization resulted in a release of 0.21 Pg carbon to the atmosphere during 1945-2007. Pre-urbanization vegetation type and time since land conversion were two primary factors determining the extent of urbanization impacts on carbon dynamics. After a rapid decline of carbon storage during land conversion, an urban ecosystem gradually accumulates carbon and may compensate for the initial carbon loss in 70-100 years. The carbon sequestration rate of urban ecosystem diminishes with time, nearly disappearing in two centuries after land conversion. This study implied that it is important to take urbanization effect into account for assessing regional carbon balance.