Evidence map›Paper›PMID 31232609›Full record

ArticleEnvironmental health perspectives2019

Lyme Disease Risks in Europe under Multiple Uncertain Drivers of Change.

Sen Li, Lucy Gilbert, Sophie O Vanwambeke, Jianjun Yu, Bethan V Purse, Paula A Harrison

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 71 citations in OpenAlex.

  1. The niche ofOne health (Amsterdam, Netherlands) · 2026
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  8. Identifying hotspots and risk factors for tick-borne encephalitis virus emergence at its range margins to guide interventions, Great Britain.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
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  10. Impact of climate change on the tick-host-pathogen complex: distribution patterns, disease incidence, and host infestation.Revista brasileira de parasitologia veterinaria = Brazilian journal of veterinary parasitology : Orgao Oficial do Colegio Brasileiro de Parasitologia Veterinaria · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Sen Li1 School of Environmental Science and Engineering, Huazhong University of Science and Technology , Wuhan, P.R. China.
Lucy Gilbert4 Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow , Glasgow, UK.
Sophie O Vanwambeke5 Georges Lemaître Centre for Earth and Climate Research, Université Catholique de Louvain , Louvain-la-Neuve, Belgium.
Jianjun Yu3 Environmental Change Institute, University of Oxford , Oxford, UK.
Bethan V Purse2 Centre for Ecology & Hydrology, Wallingford, UK.
Paula A Harrison6 Centre for Ecology & Hydrology, Lancaster, UK.
UK Centre for Ecology & Hydrology · GBUniversity of Oxford · GBUCLouvain · BEUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDebates over whether climate change could lead to the amplification of Lyme disease (LD) risk in the future have received much attention. Although recent large-scale disease mapping studies project an overall increase in Lyme disease risk as the climate warms, such conclusions are based on climate-driven models in which other drivers of change, such as land-use/cover and host population distribution, are less considered.

objectivesThe main objectives were to project the likely future ecological risk patterns of LD in Europe under different assumptions about future socioeconomic and climate conditions and to explore similarity and uncertainty in the projected risks.

methodsAn integrative, spatially explicit modeling study of the ecological risk patterns of LD in Europe was conducted by applying recent advances in process-based modeling of tick-borne diseases, species distribution mapping, and scenarios of land-use/cover change. We drove the model with stakeholder-driven, integrated scenarios of plausible future socioeconomic and climate change [the Shared Socioeconomic Pathway (SSPs) combined with the Representative Concentration Pathways (RCPs)].

resultsThe model projections suggest that future temperature increases may not always amplify LD risk: Low emissions scenarios (RCP2.6) combined with a sustainability socioeconomic scenario (SSP1) resulted in reduced LD risk. The greatest increase in risk was projected under intermediate (RCP4.5) rather than high-end (RCP8.5) climate change scenarios. Climate and land-use change were projected to have different roles in shaping the future regional dynamics of risk, with climate warming being likely to cause risk expansion in northern Europe and conversion of forest to agriculture being likely to limit risk in southern Europe.

conclusionsProjected regional differences in LD risk resulted from mixed effects of temperature, land use, and host distributions, suggesting region-specific and cross-sectoral foci for LD risk management policy. The integrated model provides an improved explanatory tool for the system mechanisms of LD pathogen transmission and how pathogen transmission could respond to combined socioeconomic and climate changes. https://doi.org/10.1289/EHP4615.

Indexed as

Climate ChangeSocioeconomic FactorsAnimal DistributionAnimalsBirdsBorrelia burgdorferiEcosystemEuropeHumansIxodesLyme DiseaseMammalsModels, TheoreticalZoonoses

Identifiers

PMID31232609
PMCPMC6792373
OpenAlexW2951306772

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.