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@article{Shah:2019:10.1038/s41467-019-12333-z,
author = {Shah, H and Huxley, P and Elmes, J and Murray, K},
doi = {10.1038/s41467-019-12333-z},
journal = {Nature Communications},
title = {Agricultural land-uses consistently exacerbate infectious disease risks in Southeast Asia},
url = {http://dx.doi.org/10.1038/s41467-019-12333-z},
volume = {10},
year = {2019}
}

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TY  - JOUR
AB  - Agriculture has been implicated as a potential driver of human infectious diseases. However, the generality of disease-agriculture relationships has not been systematically assessed, hindering efforts to incorporate human health considerations into land-use and development policies. Here we perform a meta-analysis with 34 eligible studies and show that people who live or work in agricultural land in Southeast Asia are on average 1.74 (CI 1.47 – 2.07) times as likely to be infected with a pathogen than those unexposed. Effect sizes are greatest for exposure to oil palm, rubber, and non-poultry based livestock farming and for hookworm (OR 2.42, CI 1.56 – 3.75), malaria (OR 2.00, CI 1.46 – 2.73), Scrub typhus (OR 2.37, CI 1.41 – 3.96) and Spotted fever group diseases (OR 3.91, CI 2.61 – 5.85). In contrast, no change in infection risk is detected for faecal-oral route diseases. Although responses vary by land-use and disease types, results suggest that agricultural land uses exacerbate many infectious diseases in Southeast Asia.
AU  - Shah,H
AU  - Huxley,P
AU  - Elmes,J
AU  - Murray,K
DO  - 10.1038/s41467-019-12333-z
PY  - 2019///
SN  - 2041-1723
TI  - Agricultural land-uses consistently exacerbate infectious disease risks in Southeast Asia
T2  - Nature Communications
UR  - http://dx.doi.org/10.1038/s41467-019-12333-z
UR  - http://hdl.handle.net/10044/1/73187
VL  - 10
ER  -

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