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<p>Anthropogenic effects on ecosystems have expanded in their scope and intensity,
with significant consequences for global environmental, wildlife and human health.
As human encroachment into wildlife habitat grows, habitat degradation and fragmentation
intensify, leading to increased contact among wildlife, humans and domestic animals.
Due to this increasing frequency of interaction, and the emergence of several high-profile
diseases, global concern has grown over the risk of emerging infectious disease from
zoonotic origins. </p><p>Due to Madagascar's rampant rate of human population growth
and deforestation, its incredible species diversity, the widespread presence of domestic
and invasive species, and its evolutionary isolation, it can be viewed as a high risk
region for potential disease emergence. There is a need for assessment of the zoonotic
and reverse zoonotic disease potential within this country. </p><p>To contribute to
this assessment, consistent baseline health monitoring provides an effective tool
for evaluating wildlife health and preparing for future disease occurrences. Limited,
disconnected surveys of lemur health have occurred, yet there remained a need for
more extensive, country-wide evaluations that also addresses invasive species, domestic
animal and human health, as well shifting patterns of environmental and climatic change.
</p><p>This research has investigated the connections among human, animal (both domestic
and wildlife) and ecosystem health in Madagascar. I have examined current trends in
anthropogenically-driven environmental change in Madagascar--including deforestation,
illegal logging of precious hardwoods, mining, hunting, and agriculture--and evaluated
how this change affects patterns of lemur, domestic animal and human health by evaluating
a suite of health measures and parasite prevalence and richness. I have also examined
how predicted global climate changes may influence the spatial patterns of lemur parasites
and human infectious disease by assessing their shifts in distributions and geographic
extent. </p><p>To assess the risk of disease transmission among lemur, domestic animal
and human hosts, I have modeled the areas of geographic overlap among these parasites
and their hosts and identified high-risk areas for disease emergence using geospatial
analysis. This information can help to develop predictive statistical and spatial
tools, which can inform both environmental management and public health planning.
</p><p>Through this work, I have evaluated the severe loss of distribution that rosewood
species have undergone, which highly qualifies them for international trade protection.
We predicted areas of high risk for future logging, many of which occurred within
protected areas in the biodiverse northeast. </p><p>Secondly, I have compiled the
most comprehensive record of parasites of lemurs to date. Building upon the Prosimian
Biomedical Survey Project data and the published literature, we have recorded 88 parasites
that have been documented in lemurs. These are composed of helminths, bacteria, ectoparasites
and protozoa. Of the 23 focal parasite species studied more in depth in this study,
we noted high variability in prevalence measures for unique parasites at different
sites. Parasite coinfection occurred quite commonly, with up to as many as 7 parasites
concurrently. On average, lemur parasites tend to be less species-, genus-, or family-specific
than other parasites across all primates. </p><p>Thirdly, I documented highly significant
differences in health measures from two populations of Indri that exist under differing
levels of anthropogenic pressure. Of note, the parasite richness, leukocyte count
and differential, and nickel and cobalt levels were significantly higher in the more
exposed population, while the total protein measures were significantly lower. These
data suggest that the exposed population experiencing more anthropogenic pressure
suffered from elevated health and nutritional stress. </p><p>Fourthly, I have documented
strong correlations among environmental drivers (temperature, precipitation and landscape-scale
features) and lemur parasite distributions. Striking shifts in their distributions
are predicted to occur with projected climate change in Madagascar, including an expansion
of helminth, virus and ectoparasite distributions, but a contraction of bacteria distributions
due to warming and drying in the south. </p><p>Fifthly, I have examined 10 human and
domestic animal parasites that hold great consequence for lemur, human and domestic
animal health in Madagascar. I have similarly demonstrated strong correlations among
environmental drivers (temperature, precipitation and landscape-scale features) and
the distributions of these human parasites. Shifts in the distributions are also predicted
to occur with projected climate change, including an expansion of helminth parasites,
and a contraction of viruses and bacteria due to warming and drying in the south.
I have identified areas of high risk for the transmission of parasites from human
hosts to lemurs, as well as conversely from lemur hosts to humans. These risk indices
will serve to highlight geographic areas at particular risk, and will also help to
direct limited funds and staff to those areas most in need of attention. </p><p>Sixthly,
I have demonstrated a need to train a growing cadre of One Health professionals from
many different disciplines. I have offered several suggestions to integrate One Health
training into graduate education, and have identified several geographic regions of
potential to be a Center of One Health Excellence, of which the North Carolina Triangle
area is one of great promise.</p>
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