ArticlePLoS neglected tropical diseases2019
Co-developing climate services for public health: Stakeholder needs and perceptions for the prevention and control of Aedes-transmitted diseases in the Caribbean.
Article in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Understanding the Effect of a Changing Climate on the Re-Emergence of Mosquito-Borne Diseases in Vulnerable Small Island Nations: A Systematic Review.Zoonoses and public health · 2025Pooled it
- The Impact of Climate Change on Health Services in Low- and Middle-Income Countries: A Systematised Review and Thematic Analysis.International journal of environmental research and public health · 2024Pooled it
- Climate change and health system preparedness: A scoping review of adaptation plans in Central America and the Caribbean.Lancet regional health. Americas · 2026Review
- Mapping stakeholders for developing cancer research in Small Island Developing States: a descriptive study from the Eastern Caribbean.BMJ open · 2026Article
- Critical reflections on post-pandemic dengue surveillance in Quezon city, Philippines.Tropical medicine and health · 2026Article
- Communicable Disease Surveillance in South Africa and LMICs: A Systematic Review of Systems, Challenges, and Integration with Environmental Health.Tropical medicine and infectious disease · 2025Review
- Beyond top-down: community co-creation approaches for sustainable dengue vector control.Global health action · 2024Review
- Advancing climate change health adaptation through implementation science.The Lancet. Planetary health · 2022Review
- Bridging landscape ecology and urban science to respond to the rising threat of mosquito-borne diseases.Nature ecology & evolution · 2022Review
- Co-learning during the co-creation of a dengue early warning system for the health sector in Barbados.BMJ global health · 2022Article
- Priorities for Bolstering Public Health Resilience in the Context of Climate Change in Dominica and Puerto Rico.Annals of global health · 2022Article
- Household and climate factors influence Aedes aegypti presence in the arid city of Huaquillas, Ecuador.PLoS neglected tropical diseases · 2021Article
- Study on the relationship between the incidence of influenza and climate indicators and the prediction of influenza incidence.Environmental science and pollution research international · 2021Article
- Building resilience to mosquito-borne diseases in the Caribbean.PLoS biology · 2020Article
- Strengthening the global response to climate change and infectious disease threats.BMJ (Clinical research ed.) · 2020Article
- Climate change and viral emergence: evidence from Aedes-borne arboviruses.Current opinion in virology · 2020Review
- A comparative study of two methods to predict the incidence of hepatitis B in Guangxi, China.PloS one · 2020Article
- A Stakeholder Analysis of Schistosomiasis Diagnostic Landscape in South-West Nigeria: Insights for Diagnostics Co-creation.Frontiers in public health · 2020Article
- Too hot and too humid in the Caribbean: Impacts of extreme heat events and non-accidental mortality in the tropical island of Puerto Rico (2015-2020).The journal of climate change and healthArticle
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmall island developing states (SIDS) in the Caribbean region are challenged with managing the health outcomes of a changing climate. Health and climate sectors have partnered to co-develop climate services to improve the management of emerging arboviral diseases such as dengue fever, for example, through the development of climate-driven early warning systems. The objective of this study was to identify health and climate stakeholder perceptions and needs in the Caribbean, with respect to the development of climate services for arboviruses.
methodsStakeholders included public decision makers and practitioners from the climate and health sectors at the regional (Caribbean) level and from the countries of Dominica and Barbados. From April to June 2017, we conducted interviews (n = 41), surveys (n = 32), and national workshops with stakeholders. Survey responses were tabulated, and audio recordings were transcribed and analyzed using qualitative coding to identify responses by research topic, country/region, and sector.
resultsHealth practitioners indicated that their jurisdiction is currently experiencing an increased risk of arboviral diseases associated with climate variability, and most anticipated that this risk will increase in the future. National health sectors reported financial limitations and a lack of technical expertise in geographic information systems (GIS), statistics, and modeling, which constrained their ability to implement climate services for arboviruses. National climate sectors were constrained by a lack of personnel. Stakeholders highlighted the need to strengthen partnerships with the private sector, academia, and civil society. They identified a gap in local research on climate-arbovirus linkages, which constrained the ability of the health sector to make informed decisions. Strategies to strengthen the climate-health partnership included a top-down approach by engaging senior leadership, multi-lateral collaboration agreements, national committees on climate and health, and shared spaces of dialogue. Mechanisms for mainstreaming climate services for health operations to control arboviruses included climatic-health bulletins and an online GIS platform that would allow for regional data sharing and the generation of spatiotemporal epidemic forecasts. Stakeholders identified a 3-month forecast of arboviral illness as the optimal time frame for an epidemic forecast.
conclusionsThese findings support the creation of interdisciplinary and intersectoral 'communities of practice' and the co-design of climate services for the Caribbean public health sector. By fostering the effective use of climate information within health policy, research and practice, nations will have greater capacity to adapt to a changing climate.
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