Luis Fernando Chaves|Justin M Cohen|Mercedes Pascual|Mark L. Wilson
Social Exclusion Modifies Climate and Deforestation Impacts on a Vector-Borne Disease
University of Michigan–Ann Arbor|Michigan United|University of Michigan–Ann Arbor|Michigan United|University of Michigan–Ann Arbor|Michigan United|University of Michigan–Ann Arbor|Michigan United
emergence american cutaneous leishmaniasis acl associated changes relationship people forests leading view forest ecosystems increase infection risk subsequent proposal deforestation could reduce reemergence diseasewe analyzed countylevel incidence rates acl costa rica 19962000 function social environmental variables relevant transmission ecology statistical models incorporate breakpoints social marginality taken account effect living close forest infection risk small diminished exponentially breakpoint forest cover associated modulation temporal effects el nio southern oscillation enso small spatial scales revealing additional complex interplay environmental forces disease patternssocial factors previously evaluated rigorously together environmental climatic factors appear play critical role may ultimately determine disease risk