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Abstract Predicting how increasing intensity of human–environment interactions affects pathogen transmission is essential to anticipate changing disease risks and identify appropriate mitigation strategies. Vector-borne diseases (VBDs) are highly responsive to environmental changes, but such responses are notoriously difficult to isolate because pathogen transmission depends on a suite of ecological and social responses in vectors and hosts that may differ across species. Here we use the emerging tools of cumulative pressure mapping and machine learning to better understand how the occurrence of six medically important VBDs, differing in ecology from sylvatic to urban, respond to multidimensional effects of human pressure. We find that not only is human footprint—an index of human pressure, incorporating built environments, energy and transportation infrastructure, agricultural lands and human population density—an important predictor of VBD occurrence, but there are clear thresholds governing the occurrence of different VBDs. Across a spectrum of human pressure, diseases associated with lower human pressure, including malaria, cutaneous leishmaniasis and visceral leishmaniasis, give way to diseases associated with high human pressure, such as dengue, chikungunya and Zika. These heterogeneous responses of VBDs to human pressure highlight thresholds of land-use transitions that may lead to abrupt shifts in infectious disease burdens and public health needs. 

Humans live in complex socio-ecological systems where we interact with parasites and pathogens that spend time in abiotic and biotic environmental reservoirs (e.g., water, air, soil, other vertebrate hosts, vectors, intermediate hosts). Through a synthesis of published literature, we reviewed the life cycles and environmental persistence of 150 parasites and pathogens tracked by the World Health Organization's Global Burden of Disease study. We used those data to derive the time spent in each component of a pathogen's life cycle, including total time spent in humans versus all environmental stages. We found that nearly all infectious organisms were “environmentally mediated” to some degree, meaning that they spend time in reservoirs and can be transmitted from those reservoirs to human hosts. Correspondingly, many infectious diseases were primarily controlled through environmental interventions (e.g., vector control, water sanitation), whereas few (14%) were primarily controlled by integrated methods (i.e., combining medical and environmental interventions). Data on critical life history attributes for most of the 150 parasites and pathogens were difficult to find and often uncertain, potentially hampering efforts to predict disease dynamics and model interactions between life cycle time scales and infection control strategies. We hope that this synthetic review and associated database serve as a resource for understanding both common patterns among parasites and pathogens and important variability and uncertainty regarding particular infectious diseases. These insights can be used to improve systems-based approaches for controlling environmentally mediated diseases of humans in an era where the environment is rapidly changing. 

Abstract The spatial distribution of population affects disease transmission, especially when shelter in place orders restrict mobility for a large fraction of the population. The spatial network structure of settlements therefore imposes a fundamental constraint on the spatial distribution of the population through which a communicable disease can spread. In this analysis we use the spatial network structure of lighted development as a proxy for the distribution of ambient population to compare the spatiotemporal evolution of COVID-19 confirmed cases in the USA and China. The Visible Infrared Imaging Radiometer Suite (VIIRS) Day/Night Band sensor on the NASA/NOAA Suomi satellite has been imaging night light at ~ 700 m resolution globally since 2012. Comparisons with sub-kilometer resolution census observations in different countries across different levels of development indicate that night light luminance scales with population density over ~ 3 orders of magnitude. However, VIIRS’ constant ~ 700 m resolution can provide a more detailed representation of population distribution in peri-urban and rural areas where aggregated census blocks lack comparable spatial detail. By varying the low luminance threshold of VIIRS-derived night light, we depict spatial networks of lighted development of varying degrees of connectivity within which populations are distributed. The resulting size distributions of spatial network components (connected clusters of nodes) vary with degree of connectivity, but maintain consistent scaling over a wide range (5 × to 10 × in area & number) of network sizes. At continental scales, spatial network rank-size distributions obtained from VIIRS night light brightness are well-described by power laws with exponents near −2 (slopes near −1) for a wide range of low luminance thresholds. The largest components (10 4 to 10 5 km 2 ) represent spatially contiguous agglomerations of urban, suburban and periurban development, while the smallest components represent isolated rural settlements. Projecting county and city-level numbers of confirmed cases of COVID-19 for the USA and China (respectively) onto the corresponding spatial networks of lighted development allows the spatiotemporal evolution of the epidemic (infection and detection) to be quantified as propagation within networks of varying connectivity. Results for China show rapid nucleation and diffusion in January 2020 followed by rapid decreases in new cases in February. While most of the largest cities in China showed new confirmed cases approaching zero before the end of February, most of these cities also showed distinct second waves of cases in March or April. Whereas new cases in Wuhan did not approach zero until mid-March, as of December 2020 it has not yet experienced a second wave of cases. In contrast, the results for the USA show a wide range of trajectories, with an abrupt transition from slow increases in confirmed cases in a small number of network components in January and February, to rapid geographic dispersion to a larger number of components shortly before mobility reductions occurred in March. Results indicate that while most of the upper tail of the network had been exposed by the end of March, the lower tail of the component size distribution has only shown steep increases since mid-June.