title: Unhealthy landscapes: Policy recommendations on land use change and infectious disease emergence.
abstract: Anthropogenic land use changes drive a range of infectious disease outbreaks and emergence events and modify the transmission of endemic infections. These drivers include agricultural encroachment, deforestation, road construction, dam building, irrigation, wetland modification, mining, the concentration or expansion of urban environments, coastal zone degradation, and other activities. These changes in turn cause a cascade of factors that exacerbate infectious disease emergence, such as forest fragmentation, disease introduction, pollution, poverty, and human migration. The Working Group on Land Use Change and Disease Emergence grew out of a special colloquium that convened international experts in infectious diseases, ecology, and environmental health to assess the current state of knowledge and to develop recommendations for addressing these environmental health challenges. The group established a systems model approach and priority lists of infectious diseases affected by ecologic degradation. Policy-relevant levels of the model include specific health risk factors, landscape or habitat change, and institutional (economic and behavioral) levels. The group recommended creating Centers of Excellence in Ecology and Health Research and Training, based at regional universities and/or research institutes with close links to the surrounding communities. The centers' objectives would be 3-fold: a) to provide information to local communities about the links between environmental change and public health; b) to facilitate fully interdisciplinary research from a variety of natural, social, and health sciences and train professionals who can conduct interdisciplinary research; and c) to engage in science-based communication and assessment for policy making toward sustainable health and ecosystems.
authors.affiliation: Center for Sustainability and the Global Environment (SAGE), Nelson Institute for Environmental Studies and the Department of Population Health Sciences, University of Wisconsin, Madison, 53726-4087, USA. jpatz@wisc.edu
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Patz
authors.forename: Peter
authors.initials: P
authors.lastname: Daszak
authors.forename: Gary M
authors.initials: GM
authors.lastname: Tabor
authors.forename: A Alonso
authors.initials: AA
authors.lastname: Aguirre
authors.forename: Mary
authors.initials: M
authors.lastname: Pearl
authors.forename: Jon
authors.initials: J
authors.lastname: Epstein
authors.forename: Nathan D
authors.initials: ND
authors.lastname: Wolfe
authors.forename: A Marm
authors.initials: AM
authors.lastname: Kilpatrick
authors.forename: Johannes
authors.initials: J
authors.lastname: Foufopoulos
authors.forename: David
authors.initials: D
authors.lastname: Molyneux
authors.forename: David J
authors.initials: DJ
authors.lastname: Bradley
mesh_terms: D000383:Agriculture; D002947:Cities; D003141:Communicable Diseases; D004196:Disease Outbreaks; D004777:Environment; D004785:Environmental Pollutants; D016468:Forestry; D006801:Humans; D008906:Mining; D011050:Policy Making; D011634:Public Health; D012307:Risk Factors; D012924:Social Conditions
chemical_list: D004785:Environmental Pollutants