The Middletown Press (Middletown, CT)

Pandemic a reminder: All life is connected

- By Holly Burrows Holly Burrows is a master’s of public health candidate in epidemiolo­gy of microbial diseases at the Yale School of Public Health.

Throughout history, infectious diseases originatin­g in animals have crossed the species barrier to wreak havoc on humankind. Famous examples include Ebola from bats, HIV and malaria from chimpanzee­s and gorillas, and the bubonic plague from fleas on rodents.

However, the relationsh­ip between humankind and the natural world has fundamenta­lly changed in the last several decades, heightenin­g the risk of these dreaded “spillover” events. The mounting anthropoge­nic — human-caused — disruption of ecosystems, increased contact with wildlife and pressure on the climate together accelerate the pathway from animal infection to human pandemic.

In modern times, about 75 percent of emerging infectious diseases are zoonotic, meaning they originated in animals. Like SARS, which infected 8,098 people in 2003, COVID-19 is suspected to have passed from bats through another mammal before infecting humans. Chinese wet markets, where live animals such as ducks, ferrets and snakes are sold and slaughtere­d, have been implicated in the originatio­n and amplificat­ion of both viruses. These creatures would not naturally come into contact with each other, but markets bring them from their ecological niches into crowded, unhygienic conditions where diseases can spread between species, and into their human captors.

Although China has received much attention, it is far from alone in facilitati­ng spillover events, nor are wet markets the only risky environmen­t. Domestic animals raised through global industrial farming operations — or “factory farms” — may be an even more serious cause for concern.

In the United States, it is estimated that 99 percent of animal products are produced in factory farms, which hold massive numbers of stressed and densely packed animals. These conditions are perfect incubators for diseases like pandemic influenza. When two different strains of virus infect the same cell, there is an opportunit­y for them to combine and create a completely new virus. The result is a pathogen that the human immune system has never seen before, with high pandemic potential. The 1918 Spanish Influenza originated in birds and infected an estimated one billion people, while the 2009 H1N1 pandemic came from pigs and infected around 60 million people.

In addition to incubating disease, factory farms are major contributo­rs to land use changes and habitat loss, which bring humans into more frequent contact with our wilder neighbors. When animals lose their homes and food supply, they venture closer to human communitie­s in search of these necessitie­s, creating opportunit­ies for the exchange of pathogens.

Animal agricultur­e is also a major driver of climate change through deforestat­ion and greenhouse gas emissions. Climate change, in turn, promotes opportunit­ies for spillover. As temperatur­es rise, many species begin migrating towards the poles in search of new homes, bringing them into contact with new species and communitie­s. Mosquito-borne diseases such as dengue and zika virus are expected to become more common as mosquitoes expand their geographic range, and increased rainfall provides ideal breeding grounds. Lyme disease is also increasing in prevalence as ticks migrate north, a problem compounded by decreasing biodiversi­ty.

To prevent the next pandemic, we must target the forces driving spillover events — and this requires more than controls on wildlife trade. Action on climate change, including reducing greenhouse gas emissions and improving forest conservati­on, is needed. To reduce our greenhouse gas emissions, we must transition to low-carbon energy sources such as wind and solar. Not only is this necessary for mitigating global warming and extreme weather events, it also improves air quality, protecting against severe outcomes from respirator­y illnesses. Conservati­on also minimizes disruption to ecosystems and habitat loss. Sustainabl­e agricultur­e practices can be achieved through reducing the demand for meat, and improving livestock living conditions. These changes would alleviate the crowding and unsanitary conditions that promote outbreaks.

It is important to remember that epidemics have plagued humans for centuries, and likely always will. However, unmitigate­d anthropoge­nic activities make these occurrence­s far more likely. Once a spillover has happened, our urbanized, globalized society fuels the spread of the disease. COVID-19 has made it apparent that investment­s in public health, health care capacity and outbreak preparedne­ss are vital to mitigating the impact of novel pathogens when they do arise.

The natural world evolved in balance. It should not be surprising that when we upset this equilibriu­m, there will be consequenc­es. The forces shaping spillover events are inextricab­ly linked. Climate and land use changes, habitat loss, deforestat­ion and animal agricultur­e are all related to one another and the well-being of life on earth. By understand­ing this relationsh­ip, we can learn to live in greater harmony with the natural world and prevent pandemics before they begin.

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