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Purpose of Review: In this paper, we synthesize the status and trends of studies assessing the effects of landscape structure and changes on zoonotic and vector-borne disease risk in the Tropical America region (i.e., spanning from Mexico to southern South America). Understanding how landscape structure affects disease emergence is critical to designing prevention measures and maintaining healthy ecosystems for both animals and humans. Recent Findings: We found that there is a small number of articles being published each year regarding landscape structure and zoonotic and vector borne diseases in the Tropical Americas region, with a slight growing trend after 2013. We identified a large knowledge gap on the subject in most of the countries: in 15 of 27 countries, no article was found, and 72% of the current literature available is concentrated in only three countries (Brazil, Panama, and Colombia). Five diseases represent about 68% of the available knowledge, which compared to over 200 types of known zoonoses and vector-borne diseases, is an extremely low number. Most of the knowledge that exists for the region is about landscape composition, with few studies evaluating configuration parameters. Summary: In general, landscape changes presented a positive effect on zoonotic and disease risk in most of the studies found, with habitat loss, fragmentation and increases in the amount of edge habitats leading to an increased risk of the diseases investigated. The continued integration of landscape ecology into disease ecology studies can increase the knowledge about how land use change is affecting animals and human health and can allow the establishment of guidelines to create landscapes that have a low pathogenicity. 

Abstract Zoonotic diseases represent 75% of emerging infectious diseases worldwide, and their emergence is mainly attributed to human‐driven changes in landscapes. Land use change, especially the conversion of natural areas to agricultural use, has the potential to impact hosts and vector dynamics, affecting pathogen transmission risk. While these links are becoming better understood, very few studies have investigated the opposite question—how native vegetation restoration affects zoonotic disease outbreaks.We reviewed the existing evidence linking native vegetation restoration with zoonotic transmission risk, identified knowledge gaps, and, by focusing on tropical areas, proposed forest restoration strategies that could help in limiting the spread of zoonotic diseases.We identified a large gap in information on the effects of native vegetation restoration on zoonotic diseases, especially within tropical regions. In addition, the few studies that exist do not consider environmental aspects that can affect the outcomes of restoration on disease risk, such as the land use history and landscape structural characteristics (as composition and configuration of native habitats). Our conceptual framework raises two important points: (1) the effects of forest restoration may depend on the context of the existing landscape, especially the percentage of native vegetation existing at the beginning of the restoration; and (2) these effects will also be dependent on the spatial arrangement of the restored area within the existing landscape. Furthermore, we propose important topics to be studied in the coming years to integrate zoonotic disease risk as a criterion in restoration planning.Synthesis and application. Our results contribute to a more comprehensive forest restoration planning, comprising multiple ecosystem services and resulting in healthier landscapes for both people and nature. Our framework could be integrated into the post‐2020 global biodiversity framework targets.