Deforestation |
Increases in anopheline larval breeding sites in response to forest clearing in the Amazon |
[30] |
Initial decreases in vector densities followed by colonization by more efficient malaria vectors |
[7, 35] |
Changes in vector habitat suitability linked with forest disturbance |
[29, 34] |
Changes in ecological structure and biodiversity increasing or decreasing vector densities, availability of blood meals and resulting disease risks |
[116–118] |
Agricultural expansion |
Effects of irrigation systems |
[40, 119] |
Expansion of rubber and rice paddies associated with increases in anopheline densities |
[28, 36] |
Socio-demographic changes |
Population at risk |
Influx of susceptible populations into endemic areas in response to increased economic opportunity |
[43, 120] |
Increase and movement of migrant worker populations in the Amazon and Southeast Asia |
[121, 122] |
Occupational changes, such as forestry and extraction activities bringing people into vector habitats |
[44, 47] |
Socioeconomic status |
Increased income following agricultural development leading to decrease in malaria risk |
[52] |
Improved housing structure due to development reducing malaria risks |
[51, 123] |
Wildlife reservoirs |
Origin of malaria |
P. falciparum originated from non-human primates |
[54] |
Spatial overlap with wildlife hosts |
Increased contact between people and non-human primates hypothesised as main driver of human infections with P. knowlesi and P. cynomolgi in Asia and P. simium and P. brasilianum in South America |
[76, 85, 124, 125] |
Maintenance of malaria infections |
Human malaria species circulating in great apes and gorillas in West and Central Africa |
[55, 56] |