{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T09:10:25Z","timestamp":1792919425732,"version":"4.5.0"},"reference-count":54,"publisher":"National Academy of Sciences","issue":"33","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"La Caixa Foundation","award":["LCF\/BQ\/DR19\/11740017"],"award-info":[{"award-number":["LCF\/BQ\/DR19\/11740017"]}]},{"name":"Severo Ochoa Centro de Excelencia","award":["CEX2018-000806-S"],"award-info":[{"award-number":["CEX2018-000806-S"]}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior - Brasil","doi-asserted-by":"crossref","award":["88887.717863\/2022-00"],"award-info":[{"award-number":["88887.717863\/2022-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.pnas.org"],"crossmark-restriction":true},"short-container-title":["Proc. Natl. Acad. Sci. U.S.A."],"published-print":{"date-parts":[[2023,8,15]]},"abstract":"<jats:p>\n                    Polycystic Echinococcosis (PE), a neglected life-threatening zoonotic disease caused by the cestode\n                    <jats:italic>Echinococcus vogeli,<\/jats:italic>\n                    is endemic in the Amazon. Despite being treatable, PE reaches a case fatality rate of around 29% due to late or missed diagnosis. PE is sustained in Pan-Amazonia by a complex sylvatic cycle. The hunting of its infected intermediate hosts (especially the lowland paca\n                    <jats:italic>Cuniculus paca<\/jats:italic>\n                    ) enables the disease to further transmit to humans, when their viscera are improperly handled. In this study, we compiled a unique dataset of host occurrences (~86000 records) and disease infections (~400 cases) covering the entire Pan-Amazonia and employed different modeling and statistical tools to unveil the spatial distribution of PE\u2019s key animal hosts. Subsequently, we derived a set of ecological, environmental, climatic, and hunting covariates that potentially act as transmission risk factors and used them as predictors of two independent Maximum Entropy models, one for animal infections and one for human infections. Our findings indicate that temperature stability promotes the sylvatic circulation of the disease. Additionally, we show how El Ni\u00f1o-Southern Oscillation (ENSO) extreme events disrupt hunting patterns throughout Pan-Amazonia, ultimately affecting the probability of spillover. In a scenario where climate extremes are projected to intensify, climate change at regional level appears to be indirectly driving the spillover of\n                    <jats:italic>E. vogeli<\/jats:italic>\n                    . These results hold substantial implications for a wide range of zoonoses acquired at the wildlife-human interface for which transmission is related to the manipulation and consumption of wild meat, underscoring the pressing need for enhanced awareness and intervention strategies.\n                  <\/jats:p>","DOI":"10.1073\/pnas.2302661120","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T15:11:27Z","timestamp":1691421087000},"update-policy":"https:\/\/doi.org\/10.1073\/pnas.cm10313","source":"Crossref","is-referenced-by-count":14,"title":["Climate determines transmission hotspots of Polycystic Echinococcosis, a life-threatening zoonotic disease, across Pan-Amazonia"],"prefix":"10.1073","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-4352","authenticated-orcid":false,"given":"Adri\u00e0","family":"San-Jos\u00e9","sequence":"first","affiliation":[{"name":"Climate and Health Program, ISGlobal, Barcelona 08003, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5297-792X","authenticated-orcid":false,"given":"Pedro","family":"Mayor","sequence":"additional","affiliation":[{"name":"Departament de Sanitat i Anatomia Animals, Universitat Aut\u00f2noma de Barcelona, Bellaterra 08193, Espa\u00f1a"},{"name":"Comunidad de Manejo de Fauna Silvestre en la Amazon\u00eda y en Latinoam\u00e9rica, Iquitos 16002, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0009-5770","authenticated-orcid":false,"given":"Bruno","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Climate and Health Program, ISGlobal, Barcelona 08003, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-6292","authenticated-orcid":false,"given":"Hani R.","family":"El Bizri","sequence":"additional","affiliation":[{"name":"Comunidad de Manejo de Fauna Silvestre en la Amazon\u00eda y en Latinoam\u00e9rica, Iquitos 16002, Peru"},{"name":"Rede de Pesquisa em Biodiversidade, Conserva\u00e7\u00e3o e Uso da Fauna da Amaz\u00f4nia, Manaus 69067-375, Brasil"},{"name":"School of Science, Engineering and Environment, University of Salford, Salford M5 4WT, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4404-3486","authenticated-orcid":false,"given":"Andr\u00e9 Pinassi","family":"Antunes","sequence":"additional","affiliation":[{"name":"Comunidad de Manejo de Fauna Silvestre en la Amazon\u00eda y en Latinoam\u00e9rica, Iquitos 16002, Peru"},{"name":"Rede de Pesquisa em Biodiversidade, Conserva\u00e7\u00e3o e Uso da Fauna da Amaz\u00f4nia, Manaus 69067-375, Brasil"},{"name":"Instituto Nacional de Pesquisas da Amaz\u00f4nia, Manaus, Amazonas 69067-375, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Antunez Correa","sequence":"additional","affiliation":[{"name":"Comunidad de Manejo de Fauna Silvestre en la Amazon\u00eda y en Latinoam\u00e9rica, Iquitos 16002, Peru"},{"name":"Programa Putumayo Amazonas, Instituto del Bien Com\u00fan, Loreto 15072, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolando","family":"Aquino","sequence":"additional","affiliation":[{"name":"Instituto de Investigaciones de Tr\u00f3pico y de Altura, Universidad Nacional Mayor de San Marcos, Iquitos 575, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8777-2967","authenticated-orcid":false,"given":"Richard E.","family":"Bodmer","sequence":"additional","affiliation":[{"name":"Comunidad de Manejo de Fauna Silvestre en la Amazon\u00eda y en Latinoam\u00e9rica, Iquitos 16002, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5833-9264","authenticated-orcid":false,"given":"Jean P.","family":"Boubli","sequence":"additional","affiliation":[{"name":"School of Science, Engineering and Environment, University of Salford, Salford M5 4WT, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4356-2954","authenticated-orcid":false,"suffix":"Jr.","given":"Elildo A. 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