Assessing the risk of diseases with epidemic and pandemic potential in a changing world

Angela Fanelli ORCID logo ; Alessandro Cescatti ORCID logo ; Juan-Carlos Ciscar ; Gregoire Dubois ORCID logo ; Dolores Ibarreta ORCID logo ; Rachel Lowe ORCID logo ; Nicola Riccetti ORCID logo ; Marine Robuchon ORCID logo ; Ilaria Capua ORCID logo ; Wojtek Szewczyk ; +1 more... Emanuele Massaro ; (2025) Assessing the risk of diseases with epidemic and pandemic potential in a changing world. Science advances, 11. eadw6363. ISSN 2375-2548 DOI: 10.1126/sciadv.adw6363
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How do human activities contribute to the emergence of zoonotic diseases that can lead to epidemics and pandemics? Our analysis of common drivers of the World Health Organization’s priority diseases suggests that climate conditions, including higher temperatures, higher annual precipitation levels, and water deficits, elevate the risk of disease outbreaks. In addition, land-use changes, human encroachment on forested areas, increased population and livestock density, and biodiversity loss contribute to this risk, with biodiversity loss showing a complex and nonlinear relationship. This study also presents a global risk map and an epidemic risk index that combines countries’ specific risk with their capacities for preparing and responding to zoonotic threats.


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