新興感染症の世界的なパターンに対する人間の影響が明らかになった(Study reveals human impact on global patterns of emerging infectious diseases)

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2026-09-23 フロリダ大学 (UF)

フロリダ大学(UF)などの国際研究チームは、人間活動が新興感染症の発生地域をどのように形作るかを大規模に分析した。169カ国・32疾患・58,318件のアウトブレイクを対象とした研究では、人間・家畜と森林などの自然環境が接する地域で発生が多く、特にデング熱やライム病など蚊・マダニ媒介感染症では、森林・農地・居住地が混在する景観や長期的な降雨減少との関連が強かった。一方、エボラ、mpox、コロナウイルスなど人から人へ直接感染する疾患では、共通して発生場所を予測する環境要因は少なかった。また、医療機関までの移動時間が1時間増えるごとに報告されたアウトブレイク数が32%減少しており、医療アクセスの乏しい地域では感染症が見逃されている可能性も示された。研究は、疾患・地域ごとに監視と介入を設計する「One Health」アプローチの重要性を示している。

<関連情報>

新興感染症における人為的痕跡 The anthropogenic fingerprint on emerging infectious diseases

Rory Gibb, Sadie J. Ryan, David M. Pigott, Maria del Pilar Fernandez, Renata L. Muylaert, Gregory F. Albery, Daniel J. Becker, Jason K. Blackburn, Hernan Caceres-Escobar, Michael Celone, Evan A. Eskew, Hannah K. Frank, Barbara A. Han, Erin N. Hulland, Kate E. Jones, Rebecca Katz, Adam Kucharski, Direk Limmathurotsakul, Catherine A. Lippi, Joshua Longbottom, Juan Fernando Martinez, Jane P. Messina, Elaine O. Nsoesie, David W. Redding, … Colin J. Carlson
Nature  Published:23 September 2026
DOI:https://doi.org/10.1038/s41586-026-11058-6

新興感染症の世界的なパターンに対する人間の影響が明らかになった(Study reveals human impact on global patterns of emerging infectious diseases)

Abstract

Emerging infectious diseases are a hallmark of the Anthropocene1,2. Human-driven ecosystem changes and human–wildlife–livestock contact can drive the emergence of zoonotic and vector-borne diseases3,4,5, but how much these processes shape landscapes of outbreak risk is poorly understood, beyond a few well-studied systems6,7,8. Here we consolidate 58,319 outbreak event records for 32 diseases and systematically test how 16 hypothesized social and environmental drivers impact outbreak geographies, while accounting for detection and reporting biases. We show that outbreak risks are typically highest in mosaic landscapes where people and livestock live alongside forests and fragmented ecosystems. These combined factors, along with long-term declines in precipitation, share strong impacts across several vector-borne diseases (for example, dengue, Lyme disease and zoonotic arboviruses). By contrast, directly transmitted zoonoses (for example, Ebola and mpox) share few common drivers, and the impacts of most other anthropogenic pressures (for example, deforestation, climate warming and agricultural intensification) vary widely between diseases. Most consistently, the observed geography of outbreaks is shaped by healthcare access: reporting declines by a median of 32% (range across diseases: 1.2–96.7%) for each additional hour’s travel time from a health facility. Our findings underscore that infectious disease spillover and emergence are multi-causal, and that no one-size-fits-all strategy can prevent epidemics and pandemics. Ecosystem-based public health interventions9 should always follow system-specific evidence, and be paired with greater investment in health systems and One Health pathogen surveillance.

医療・健康
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