{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:38:30Z","timestamp":1760060310389,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union","award":["FPI\/2022\/427-564"],"award-info":[{"award-number":["FPI\/2022\/427-564"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microorganisms"],"abstract":"<jats:p>Understanding the risk factors for vector-borne diseases, such as Crimean\u2013Congo hemorrhagic fever (CCHF), is critical for effective public health strategies. This study aims to identify and map the environmental and climatic determinants influencing the distribution of Hyalomma marginatum, the primary vector of CCHF, in T\u00fcrkiye, using a Multi-Criteria Decision Analysis (MCDA) approach. A rapid literature review was conducted to identify environmental, climatic, and methodological criteria used in MCDA studies on vector-borne diseases. Semi-structured interviews with local experts from Armenia, Serbia, and T\u00fcrkiye provided fine-scale data on vector presence. These criteria were analyzed using the Analytic Hierarchy Process (AHP) and combined with Weighted Linear Combination (WLC) within the MCDA framework to produce risk maps for H. marginatum occurrence in T\u00fcrkiye. Key environmental and climatic factors influencing H. marginatum distribution, such as temperature, humidity, vegetation, and precipitation, were identified. The MCDA analysis highlighted high-risk regions in T\u00fcrkiye with elevated suitability for the vector, correlating with areas of human CCHF cases. MCDA risk maps are valuable tools for public health officials, enabling targeted surveillance and interventions. By integrating diverse environmental and climatic variables, this study enhances the understanding of CCHF dynamics and supports the development of focused control strategies.<\/jats:p>","DOI":"10.3390\/microorganisms13091987","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T10:35:17Z","timestamp":1756204517000},"page":"1987","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multicriteria Decision Analysis as a Tool for Assessing Vector-Borne Diseases Risk: The Case of Crimean\u2013Congo Hemorrhagic Fever in T\u00fcrkiye"],"prefix":"10.3390","volume":"13","author":[{"given":"Alessia","family":"Milano","sequence":"first","affiliation":[{"name":"Department of Public Health, Sapienza, University of Rome, Piazzale Aldo Moro 5, 00161 Rome, Italy"},{"name":"Avia-GIS, Risschotlei 33, 2980 Zoersel, Belgium"},{"name":"National Center of Global Health, Istituto Superiore di Sanit\u00e0, Viale Regina Elena 299, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Juache","sequence":"additional","affiliation":[{"name":"Avia-GIS, Risschotlei 33, 2980 Zoersel, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Houben","sequence":"additional","affiliation":[{"name":"Avia-GIS, Risschotlei 33, 2980 Zoersel, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0782-6564","authenticated-orcid":false,"given":"Maria Grazia","family":"Dente","sequence":"additional","affiliation":[{"name":"National Center of Global Health, Istituto Superiore di Sanit\u00e0, Viale Regina Elena 299, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Robbiati","sequence":"additional","affiliation":[{"name":"National Center of Global Health, Istituto Superiore di Sanit\u00e0, Viale Regina Elena 299, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Declich","sequence":"additional","affiliation":[{"name":"National Center of Global Health, Istituto Superiore di Sanit\u00e0, Viale Regina Elena 299, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3351-3625","authenticated-orcid":false,"given":"Ruben","family":"Danielyan","sequence":"additional","affiliation":[{"name":"National Center Disease Control and Prevention, Mkhitar Heratsi 12, Yerevan 0025, Armenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5008-9443","authenticated-orcid":false,"given":"Aykut","family":"Ozkul","sequence":"additional","affiliation":[{"name":"Department of Virology, Faculty of Veterinary Medicine, Ankara University, \u015eehit \u00d6mer Halisdemir Street, Diskapi, Ankara 06070, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1566-630X","authenticated-orcid":false,"given":"Ilke","family":"Karayel-Hac\u0131oglu","sequence":"additional","affiliation":[{"name":"Department of Virology, Faculty of Veterinary Medicine, Ankara University, \u015eehit \u00d6mer Halisdemir Street, Diskapi, Ankara 06070, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitra B.","family":"Drakulovi\u0107","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia, dr Suboti\u0107a Starijeg 5, 112113 Beograd, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Hendrickx","sequence":"additional","affiliation":[{"name":"Avia-GIS, Risschotlei 33, 2980 Zoersel, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cedric","family":"Marsboom","sequence":"additional","affiliation":[{"name":"Avia-GIS, Risschotlei 33, 2980 Zoersel, Belgium"},{"name":"Spatial Epidemiology Laboratory, Universit\u00e9 Libre de Bruxelles, 1050 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/S0140-6736(22)01540-9","article-title":"The 2022 report of the Lancet Countdown on health and climate change: Health at the mercy of fossil fuels","volume":"400","author":"Romanello","year":"2022","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"106225","DOI":"10.1016\/j.actatropica.2021.106225","article-title":"Climate change and zoonoses: A review of the current status, knowledge gaps, and future trends","volume":"226","author":"Rupasinghe","year":"2022","journal-title":"Acta Trop."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1007\/s40121-022-00647-3","article-title":"Climate change and 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