Global expansion and redistribution of Aedes-borne virus transmission risk with climate change

Forecasting the impacts of climate change on Aedes-borne viruses—especially dengue, chikungunya, and Zika—is a key component of public health preparedness. We apply an empirically parameterized Bayesian transmission model of Aedes-borne viruses for the two vectors Aedes aegypti and Ae. albopictus as a function of temperature to predict cumulative monthly global transmission risk in current climates, and compare with projected risk in 2050 and 2080 based on general circulation models (GCMs). Our results show that if mosquito range shifts track optimal temperatures for transmission (26-29 °C), we can expect poleward shifts in Aedes-borne virus distributions. However, the differing thermal niches of the two vectors produce different patterns of shifts under climate change. More severe climate change scenarios produce proportionally worse population exposures from Ae. aegypti, but not from Ae. albopictus in the most extreme cases. Expanding risk of transmission from both mosquitoes will likely be a serious problem, even in the short term, for most of Europe; but significant reductions are also expected for Aedes albopictus, most noticeably in southeast Asia and west Africa. Within the next century, nearly a billion people are threatened with new exposure to both Aedes spp. in the worst-case scenario; but massive net losses in risk are noticeable for Ae. albopictus, especially in terms of year-round transmission, marking a global shift towards more seasonal risk across regions. Many other complicating factors (like mosquito range limits and viral evolution) exist, but overall our results indicate that while climate change will lead to both increased and new exposures to vector-borne disease, the most extreme increases in Ae. albopictus transmission are predicted to occur at intermediate climate change scenarios. Author Summary: The established scientific consensus indicates that climate change will severely exacerbate the risk and burden of Aedes-transmitted viruses, including dengue, chikungunya, Zika, West Nile virus, and other significant threats to global health security. Here, we show that the story is more complicated, first and foremost due to differences between the more heat-tolerant Aedes aegypti and the more heat-limited Ae. albopictus. Almost a billion people could face their first exposure to viral transmission from either mosquito in the worst-case scenario, especially in Europe and high-elevation tropical and subtropical regions. On the other hand, while year-round transmission potential from Ae. aegypti is likely to expand (especially in south Asia and sub-Saharan Africa), Ae. albopictus loses significant ground in the tropics, marking a global shift towards seasonal risk as the tropics eventually become too hot for transmission by Ae. albopictus. Complete mitigation of climate change to a pre-industrial baseline could protect almost a billion people from arbovirus range expansions; but middle-of-the-road mitigation may actually produce the greatest expansion in the potential for viral transmission by Ae. albopictus. In any scenario, mitigating climate change also shifts the burden of both dengue and chikungunya (and potentially other Aedes transmitted viruses) from higher-income regions back onto the tropics, where transmission might otherwise start to be curbed by rising temperatures.