Impact of climate change on human health and health systems in Tanzania: A review

Tanzania Journal of Health Research

Volumn 13, Issue 5 SUPPL.ISS, 2011, Pages 1-23

  Mboera, Leonard E G ^a,b,c   Mayala, Benjamin K ^a,b,c   Kweka, Eliningaya J ^a,b,c   Mazigo, Humphrey D ^a,b,c  

^a NATIONAL INSTITUTE FOR MEDICAL RESEARCH   (Tanzania)

^b Tropical Pesticide Research Institute   (Tanzania)

^c CATHOLIC UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

Author keywords

Adaptation; Climate change; Diseases; Health; Health systems; Mitigation; Policy; Tanzania

Indexed keywords

ADAPTATION; AFRICAN TRYPANOSOMIASIS; BIODIVERSITY; BIOSAFETY; CHOLERA; CLIMATE CHANGE; DENGUE; DIARRHEA; DISEASE TRANSMISSION; DROUGHT; ECOSYSTEM; EMERGENCY CARE; ENVIRONMENTAL HEALTH; ENVIRONMENTAL MANAGEMENT; ENVIRONMENTAL PLANNING; FOOD SAFETY; FOOD SECURITY; GEOGRAPHIC DISTRIBUTION; HEALTH CARE POLICY; HEALTH SERVICE; HUMAN; INCIDENCE; INFECTION; INFECTION CONTROL; LANDSLIDE; LEPTOSPIROSIS; LIFE CYCLE; MALARIA; MALNUTRITION; MOLECULAR DYNAMICS; MORBIDITY; MORTALITY; NATURAL DISASTER; PLAGUE; POPULATION DYNAMICS; PREVALENCE; REVIEW; RIFT VALLEY FEVER; RISK ASSESSMENT; SCHISTOSOMIASIS HAEMATOBIA; SCHISTOSOMIASIS MANSONI; SEASONAL VARIATION; SOCIAL WELFARE; TANZANIA; TEMPERATURE DEPENDENCE; URBANIZATION; WARMING;

EID: 84859467020     PISSN: 18216404     EISSN: None     Source Type: Journal    
DOI: 10.4314/thrb.v13i1.10     Document Type: Review

References (116)

1. Afrane, Y.A., Zhou, G., Lawson, B.W., Githeko, A.K., Yan, G. (2006) Effects of microclimatic changes caused by deforestation on the survivorship and reproductive fitness of Anopheles gambiae In Western Kenya Highlands. American Journal of Tropical Medicine and Hygiene 74, 772-778.
2. Ari, T.B., Neerinckx, S., Gage, K.L., Kreppel, K., Laudisoit, A., Leirs, H. & Stenseth, N.C. (2011) Plague and Climate: Scales Matter. PLoS Pathogens 7 (9): 7(9): e1002160.
3. Biggs, H.M., Bui, D.M., Galloway, R.L., Stoddard, R.A., Shadomy, S.V., Morrissey, A.B., Bartlett, J.A., Onyango, J.J., Maro, V.P., Kinabo, G.D., Saganda, W. & Crump, J.A. (2011) Leptospirosis among hospitalized febrile patients in northern Tanzania. American Journal of Tropical Medicine and Hygiene 88, 275-281.
4. Bødker, R., Akida, J., Shayo, D., Kisinza, W., Msangeni, H. A., Pedersen, E.M. & Lindsay, S.W. (2003). Relationship between altitude and intensity of malaria transmission in the Usambara Mountains, Tanzania. Journal of Medical Entomology 40, 706-717.
5. Bødker, R., Msangeni, H.A., Kisinza, W.N. & Lindsay, S.W. (2006) Relationship between the intensity of exposure to malaria parasites and infection in the Usambara Mountains Tanzania. American Journal of Tropical Medicine and Hygiene 74, 716-723.
6. Brooker, S., Issae, W., Hall, A., Kihamia, C.M., Lwambo, N.J.S., Hay, S.I., Wint, W., Rogers, D.J. & Bundy, D.A.P. (2001) Predicting the distribution of urinary schistosomiasis in Tanzania using satellite sensor data. Tropical Medicine and international Health 6 (10), 1-10.
7. Chan, N.Y., Ebi, K.L., Smith, F., Wilson, T.F. & Smith, A.E. (1999) An integrated assessment framework for climate change and infectious diseases. Environmental Health Perspectives 107, 329-337.
8. Chivian, E. & Bernstein, A.S. (2004) Embedded in nature: human health and biodiversity. Environmental Health Perspective 112, A12-A13.
9. Clyde, D.F. (1967) Malaria in Tanzania. Oxford University Press.
10. Coluzzi, M., Sabatini, A., Petrarca, V. & Di Deco, M.A. (1979) Chromosomal differentiation and adaptation to human environment in the Anopheles gambiae complex. Transactions of the Royal Society of Medicine and Hygiene 73, 483-497.
11. Courtin, F., Jamonneau, V., Duvallet, G., Garcia, A., Coulibaly, B., Doumenge, J.P., Cuny, G. & Solano, P. (2008) Sleeping sickness in West Africa (1906-2006): changes in spatial repartition and lessons from the past. Tropical Medicine and International Health 13,334-344.
12. Crabtree M, Sang R, Lutomiah J, Richardson J, Miller B. (2007) Arbovirus surveillance of mosquitoes collected at sites of active Rift Valley Fever Virus Transmission: Kenya 2006-2007. Journal of Medical Entomology 46, 961-964.
13. del Ninno, C. & Lundberg, M. (2005) Treading water: the long term impact of the 1998 flood on nutrition in Bangladesh. Economics & Human Biology 3, 67-96.
14. Douglas, I., Alam, K., Maghenda, M., McDonnell, Y., Mclean, L., Campbell, J. (2008) Unjust waters: climate change, flooding and the urban poor in Africa. Environment and Urbanization 20, 187-205.
15. Drancourt, M., Houhamdi, L., Raoult, D. (2006) Yersinia pestis as a telluric, human ectoparasiteborne organism. Lancet Infectious Diseases 6:234-241.
16. Ebi, K., Woodruff, R., Hildebrand, A. & Corvalan, C. (2007) Climate change related health impacts in the Hindu Kush-Himalayas. EcoHealth 4, no. 3: 264-270.
17. Fahey, C., Wei, D., Bwana, V., Mlacha, T., Stanley, G., Senkoro, K.P., Mboera, L.E.G. (2011) Integrating Agriculture, Food Security, and Malaria in Tanzania. National Institute for Medical Research Headquarters Quarterly Report (October-December 2011).
18. FAO (2007) Adaptation to climate change in agriculture, forestry and fisheries: Perspective, frameworks and priorities. FAO, Rome.
19. Fukumi, H., Hayashi, K., Mifune, K., Ujiiye, A., Suenaga, O., Futatsuki, K., Matsuo, S. & Miyagi, I. (1967) Epidemiological studies on viral and parasitic diseases, and vector insects in East Africa: I. Virological studies especially on the epidemiology of Arboviruses (Preliminary Report). Tropical Medicine 9, 127-135.
20. Gage, K.L. & Kosoy, M.Y. (2005) Natural history of plague: perspectives from more than a century of research. Annual Review of Entomology 50, 505-528.
21. Garay, J. (1998) Epidemiological survey and situation analysis: Malaria epidemic in Nshamba Division, Muleba District, Tanzania. 47 pp. MSF Spain.
22. Gillies, M.T. (1953) The duration of the gonotrophic cycle in Anopheles gambiae and An. funestus with a note on the efficiency of hand catching. East African Medical Journal 30: 129-135.
23. Githeko, A.K., Lindsay, S.W., Confalonieri, U.E. & Patz, J.A. (2000) Climate change and vector-borne diseases: a regional analysis. Bulletin of the World Health Organization 78, 1136-1147.
24. Gubler, D.J. & Clark, C.G. (1995) Dengue/Dengue hemorrhagic fever: The emergence of a global health problem. Emerging Infectious Diseases 1: 55-57
25. stcentury. Trends in Microbiology 10,100-103.
26. Gubler, D.J., Sather, G.E., Kuno, G. & Cabral, J.R. (1986) Dengue 3 virus transmission in Africa. American Journal of Tropical Medicine and Hygiene35, 1280-1284.
27. Hales, S., de Wet, N., Maindonald, J. & Woodward, A. (2002) Potential effect of population and climate changes on global distribution of dengue fever: an empirical model. Lancet 360:830-834.
28. Harrus, S. & Baneth, G. (2005) Drivers for the emergence and re-emergence of vector-borne protozoal and bacterial diseases. International Journal Parasitology 35, 1309-1318.
29. Hashizume, M. (2008) The effect of rainfall on the incidence of cholera in Bangladesh. Epidemiology 19, 103-110.
30. Hertz, J.T., Munishi, O.M., Ooi, E., Howe, S., Lim, S.Y., Chow, A., Morrissey, A.B., Bartlett, J.A., Onyango, J.J., Maro, V.P., Kinabo, G.D., Saganda, U., Gubler, D.J. & Crump, J.A. (2012) Chikungunya and Dengue fever among hospitalized febrile patients in northern Tanzania. American Journal of Tropical Medicine and Hygiene 86, 171-177.
31. Hightower, A., Kinkade, C., Nguku, P.M., Anyangu, A., Mutonga, D., Omolo, J., Njenga, M.K., Feikin, D.R., Schanbel, D., Ombok, M. & Breiman, R.F. (2012) Relationship of Climate, Geography, and Geology to the Incidence of Rift Valley Fever in Kenya during the 2006-2007 Outbreak. American Journal of Tropical Medicine and Hygiene 86, 373-380.
32. Iijima, T. & Sugiura, S. (1962) Studies on the temperature as a limiting factor for the survival of Oncomelania nosophora, the vector snail of Schistosoma japonicum in Japan. Japanese Journal Medical Science and Biology 15:221-228
33. IPCC (2001) Intergovernmental Panel on Climate Change (IPCC) 2001. Climate Change 2001: Impacts, Adaptation, and Vulnerability. Cambridge. Cambridge University Press.
34. IPCC (2007) Climate Change 2007: Impacts Adaptation and Vulnerability. Contributions of Working Group II to the Fourth Assessment Report of the Intergovernmental Pannel on Climate Change, Cambridge, UK: Cambridge University Press.
35. Jetten, T.H. & Focks, D.A. (1997) Potential changes in the distribution of dengue transmission under climate warming. American Journal of Tropical Medicine and Hygiene 57, 285-297.
36. Jones, A.E., Wort, U.U., Morse, A.P., Hastings, I.M. & Gagnon, A.S. (2007) Climate prediction of El Nino malaria epidemics in north-west Tanzania. Malaria Journal 6: 162.
37. Kandji, S.T. & Verchot, L.V. (2005) Impacts of and Adaptation to Climate Variability and Climate Change in the East African Community. A focus on the Agricultural Sector. World Agroforestry Centre.
38. Kangalawe, R.Y.M. (2009) Impact of climate change on human health: Example of highland malaria-Mbeya Region. Study report submitted to the Division of Environment, Vice President's Office, Dar es Salaam, Tanzania.
39. Kangalawe, R.Y.M. (2012) Food security and health in the southern highlands of Tanzania: A multidisciplinary approach to evaluate the impact of climate change and other stress factors. African Journal of Environmental Science and Technology 6, 50-66. doi: 10.5897/ajest11.003
40. Kilonzo, B.S., Mvena, Z.S., Machangu, R.S. & Mbise, T.J. (1997) Preliminary observations on factors responsible for long persistence and continued outbreaks of plague in Lushoto district, Tanzania. Acta Tropica 68, 215-227.
41. Kokernot RH, Smithburn KC, Weinbren MP. Neutralising antibodies to arthropod-borne viruses in human and animals in the Union of South Africa. J Immunol 77: 313-322.
42. Kokernot RH, Smithburn KC, Weinbren MP. Neutralising antibodies to arthropod-borne viruses in human and animals in the Union of South Africa. J Immunol 77: 313-322.
43. Leopoldo M. Rueda (2004) "Pictorial Keys for the Identification of mosquitoes (Diptera: Culicidae) associated with dengue virus transmission" Magnolia Press, Auckland, New Zealand.
44. Lindsay, S.W. & Birley, M.H. (1996) Climate change and malaria transmission. Annals of Tropical Medicine and Parasitology 90: 573-588.
45. Lindsay, S.W. & Martens, W.J. (1998) Malaria in the African highlands: past, present and future. Bulletin of the World Health Organization 76: 33-45.
46. Lindsay, S.W., Bødker, R., Malima, R., Msangeni, H. A. And Kisinza, W. (2000) Effect of 1997-8 El Niño on highland malaria in Tanzania. Lancet 355, 989-990.
47. Lutwama, J.J., Rwaguma, E.B., Nawanga, P.L., Mukuya, A. (2002) Isolations of Bwamba virus from south central Uganda and north eastern Tanzania. African Health Science 2(1): 24-28.
48. Lutwama, J.J., Rwaguma, E.B., Nawanga, P.L., Mukuya, A. (2002) Isolations of Bwamba virus from south central Uganda and north eastern Tanzania. African Health Science 2(1): 24-28.
49. Lwambo N.J.S. (2005) Schistosomiasis and Soil-Transmitted Helminthiasis in Tanzania, Tanzania health Research Bulletin 7, iii-iv
50. Lwambo, N.J.S. Siza, J.E., Brooker, S., Bundy, D.A.P. & Guyat, H.(1999) Patterns of concurrent hookworm infection and schistosomiasis in schoolchildren in Tanzania. Transactions of the Royal Society of Tropical Medicine and Hygiene 93 497-505
51. Lwambo, N.J.S., Siza, J.E., Brooker, S., Bundy, D.A.P., Guyyat, H. (1999) Patterns of concurrent hookworms infection and schistosomiasis in school children in Tanzania. Transaction of Royal Society of Tropical Medicine and Hygiene 93 497-502.
52. Machang'u, R. S., Mgode, G., Asenga, J., Mhamphi, G., Hartskeerl, R., Goris, M., Cox, C., Weetjens, B. & Verhagen, R. (2003) Characterization of Leptospira isolates from captive giant pouched rats, Cricetomys gambianus. In Rats, Mice and People, Rodent Biology and Management, pp. 40-42. Edited by G. R. Singleton, L. A. Hinds, C. J. Krebs & M. D. Spratt. Canberra: Australian Centre for International Agricultural Research.
53. Machang'u, R.S., Mgode, G. & Mpanduji, D. (1997) Leptospirosis in animals and humans in selected areas of Tanzania. Belgium Journal of Zoology 127, 97-104.
54. Marti, H.P., Tanner, M., Degremont, A.A. & Freyvogel, T.A. (1985) Studies on the ecology of Bulinus globosus, the intermediate host of Schistosoma haematobium in the Ifakara area, Tanzania. Acta Tropica 42, 171-187.
55. Matola, Y.G., White, G.B. & Magayuka, S.A. (1987). The changed pattern of malaria endemicity and transmission at Amani in the eastern Usambara mountains, north-eastern Tanzania. Journal of Tropical Medicine and Hygiene, 90, 127-134.
56. Mayala, B.K., Mboera, L.E.G. & Gwacha, F. (2003) Mapping cholera risks using Geographical Information System in Ilala District, Tanzania. Tanzania Health Research Bulletin 5, 8-12.
57. Mboera, L.E.G. & Kitua, A.Y. (2001) Malaria epidemics in Tanzania: An overview. African Journal of Health Sciences 8, 14-18.
58. Mboera, L.E.G. (2004) Environmental and socio-economic determinants of malaria epidemics in the highlands of Tanzania, Tanzania Health Research Bulletin 6, 11-17.
59. Mboera, L.E.G., Kamugisha, M.L., Njunwa, K.J., Mutalemwa, P., Kitua, A.Y., Salum, F.M. & Makunde, W.H. (1999) Study on epidemiological factors related to malaria epidemics in Babati, Dodoma and Lushoto districts of Tanzania. Report of the Project ID 001/98 submitted to the National Institute for Medical Research.
60. Mboera, L.E.G., Massaga, J.J., Munga, M.A., Mayala, B.K., Kahwa, A.M., Msovela, J., Shija, A., Mushi, A.K. & Kilale, A.M. (2010) Current status of the service availability at various levels Health System in Tanzania. National Institute for Medical Research, Dar es Salaam, Tanzania.
61. Mboera, L.E.G., Molteni, F., Nyange, A. & Thomas, E.G. (2005) Using retrospective epidemiological data to determine malaria epidemic prone areas and development of an epidemic early warning system in Mpwapwa District, central Tanzania. Tanzania Health Research Bulletin 7, 73-78.
62. McMichael, A.J., Haines, A., Slooff, R. & Kovats, S. (1996) Climate Change and Human Health. Geneva: World Health Organisation.
63. Messer, W.B., Gubler, D.J., Harris, E., Sivananthan, K., De Silva, A.M. (2003) Emergence and global spread of dengue serotype 3, Subtype III virus. Emerg Infec Dis. 2003; 9(7):800-9.
64. Mgode, G.F., Machang'u, R.S., Gorsi, M.G., Engelbert, M., Sondij, S. & Hartskeerl, R.A. (2006) New Leptospira serovar Sokoine of serogroup Icterohaemorrhagiae from cattle in Tanzania (2006) International Journal of Systematic and Evolutionary Microbiology 56, 593-597.
65. MoH (2004) Disease Outbreak Management: A Field Manual for Council Health Management Teams. Ministry of Health, United Republic of Tanzania. Version 1. February 2004.
66. Mohamed, M., Mosha, F., Mghamba, J., Zaki, S.R., Shieh, W-J., Paweska, J., Omulo, S., Gikundi, S., Mmbuji, P., Bloland, P., Zeidner, N., Kalinga, R., Breiman, R.F. & Njenga, M.K. (2010) Epidemiologic and clinical aspects of a Rift Valley fever outbreak in humans in Tanzania, 2007. American Journal of Tropical Medicine and Hygiene 83, 22-27.
67. MoHSW (2008) Health Sector Strategic Plan III (2008-2015). Ministry of Health and Social Welfare, Dar es Salaam, United Republic of Tanzania.
68. Moore, S., Shresthna, S., Tomlinson, K.W. & Vuong, H. (2011) Predicting the effect of climate change on African Trypanosomiasis: integrating epidemiology with parasite and vector biology. Journal of the Royal Society Interface. doi: 10.1098/rsif.2011.0654.
69. Mutuku, F.M., King, C.H., Bustinduy, A.I., Mungai, P.I., Muchiri, E.M. & Kitron, U. (2011) Impact of Drought on the Spatial Pattern of Transmission of S. haematobium in Coastal Kenya. American Journal of Tropical Medicine and Hygiene 85, 1065-1070.
70. Mwandosya, M.J., Nyenzi, B.S. & Luhanga, M.L. (1998) The Assessment of Vulnerability and Adaptation to Climate Change Impacts in Tanzania. Dar-es-Salaam, Tanzania: Centre for Energy, Environment, Science and Technology (CEEST).
71. Nakazawa, Y., Williams, R., Peterson, A.T., Mead, P., Staples, J.E., Gage, K. (2007) Climate change effects on plague and tularemia in the United States. Vector Borne Zoonotic Diseases 7, 529-540.
72. NAPA (2007) Tanzania: National Adaptation Plan for Action. United Republic of Tanzania.
73. Neerinckx, S.B., Peterson, A.T., Gulinck, H., Deckers, J. & Leirs, H. (2008) Geographic distribution and ecological niche of plague in sub-Saharan Africa. International Journal of Health Geographics 7:54
74. NIMR (2006) National Health Research Priorities. National Institute for Medical Research http://www.nimr.or.tz/
75. NIMR (2008) Strategic Plan III. National Institute for Medical Research http://www.nimr.or.tz/
76. NSGRP II (2010) National Strategy for Growth and Reduction of Poverty. Ministry of Finance and Economic Affairs. United Republic of Tanzania.
77. Olson, W.P. (1969) Rat-flea indices, rainfall, and plague outbreaks in Vietnam, with emphasis on the Pleikue Area. American Journal of Tropical Medicine and Hygiene 18, 621-628.
78. Omumbo, J.A., Lyon, B., Waweru, S.M., Connor, S.J. & Thomson, M.C. (2011) Raised temperatures over Kericho tea estates: revisiting the climate in the East African highlands malaria debate. Malaria Journal 10:2.
79. Parmenter RR, Yadav EP, Parmenter CA, Ettestad P, Gage KL. (1999) Incidence of plague associated with increased winter-spring precipitation in New Mexico. American Journal Tropical Medicine Hygiene 61, 814-821.
80. Patz, J.A., Campbell-Lendrum, D., Holloway, T. & Folley, J.A. (2005) Impact of regional climate change on human health. Nature 438, 310-317.
81. Patz, J.A., Martens, W.J.M., Focks, D.A. & Jettend, T.H. (1996) Dengue fever epidemic potential as projected by general circulation models of global climate change. Environmental Health Perspectives 106, 147-153.
82. Pham, H.V., Dang, D.T., Tran Minh, N.N., Nguyen, N.D. & Nguyen, T.V. (2009) Correlates of environmental factors and human plague: an ecological study in Vietnam. International Journal of Epidemiology 38, 1634-1641.
83. Ramin, B. (2009) Slums, climate change and human health in sub-Saharan Africa. Bulletin of the World Health Organization 87, 886
84. REDD (2009) Reducing Emission from Deforestation and Forest Degradation.
85. Rueda, L.M., Patel, K.J., Axtell, R.C. & Stinner, R.E. (1990) Temperature-dependent development and survival rates of Culex quinquefasciatus and Aedes aegypti (Diptera: Culicidae). Journal of Medical Entomology 27, 892-898.
86. Rush, AB. An account of the bilious remitting fever, as it appeared in Philadelphia in the summer and autumn of the year 1780. In: Medical Inquiries and Observations. Richard & Hall, Philadelphia 1789. p.104.
87. Rwaguma, E.B., Lutwama, J.J., Sempla, S.D.K., Kiwanuka, N., Kamugisha, J., Okware, S., Bagambisa, G., Lanciotti, R., Roehrig, J.T., & Gubler, D.J. (1997) Emerging Infectious Diseases 3 (1), 1 (January-March 1997).
88. Sang, R. C (2007) Dengue in Africa. Nairobi, Kenya, Arbovirology/Viral Haemorrhagic Fever Laboratory, Centre for Virus Research, Kenya Medical Research Institute, 2007. Available from: http:// www.tropika.net/review/061001-Dengue_in_Africa/article.pdf. [Accessed 21October 2009]
89. Schmidhuber, J. & Tubiello, F.N. (2007) Global food security under climate change. Proceedings of the National Academy of Science 104, 19703-19708.
90. Schoonman, L. & Swai, E. S. (2009) Risk factors associated with the seroprevalence of leptospirosis, amongst at-risk groups in and around Tanga city, Tanzania. Annals of Tropical Medicine and Parasitology 103, 711-718.
91. Shongwe, S.V. (2009) The impact of climate change on health on the East, Central and Southern African (ECSA) region. Commonwealth Health Ministers' Update.
92. Shope, R.E. (1992) Impacts of global climate change on human health: Spread of infectious disease. Chapter 25 of Global climate change: Implications, challenges and mitigation measures, ed. S. K. Majumdar, L. S. Kalkstein, B. Yarnal, E. W. Miller, and L. M. Rosenfeld, 363-70. Easton, PA: The Pennsylvania Academy of Science.
93. Speranza, C.I., Kiteme, B. & Wiesmann, U. (2008) Droughts and famines: the underlying factors and causal links among agro-pastoral households in semi-arid Makueni district, Kenya. Global Environmental Change 18, 220-233.
94. Stenseth, N.C., Atshabar, B.B., Begon, M., Belmain, S.R., Bertherat, E., Carniel, E., Gage, K.L., Leirs, H. & Rahalison, L. (2008) Plague: past, present, and future. PLoS Medicine, 5:e3.
95. Sturrock, R.F. (1965) The development of irrigation and its influence on the transmission of Bilharziasis in Tanganyika. Bulletin of the World Health Organization 32, 225-236.
96. Swai, E.S. & Schoonman, L. (2009) Prevalence of Rift Valley Fever immunoglobulin G antibody in various occupational groups before the 2007 outbreak in Tanzania. Vector-borne and Zoonotic Diseases 9, 579-582.
97. Taylor, B., (2009) Situation Analysis of Women, Children and the Water, Sanitation and Hygiene Sector in Tanzania. United National Children Fund.
98. Thompson, L., Mosley-Thompson, E. & Mark, B. (2007) Core Project: Low latitude glacier retreat: Evidence of accelerating climate change and impacts on local to regional water resources. CWC Funded Project.
99. Turell, M.J. (1989) Effects of environmental temperature on the vector competence of Aedes fowleri for Rift Valley fever virus. Research in Virology 140, 147-154.
100. Unger, A. & Riley, L.W. (2007) Slum health: from understanding to action. PLoS Medicine 4: e295-doi: 10.371/journal.pmed.0040295.
101. Urama, K.C. & Ozor, N. (2010) Impact of Climate Change on Water Resources in Africa: the Role of Adaptation. African Technology Policy Studies.
102. URT (1991) The Disaster Relief Coordination Regulations. Dar es Salaam, United Republic of Tanzania.
103. URT (2002) National Operational Guidelines for Disaster Management (Draft Report). Prime Ministers' Office, United Republic of Tanzania, March 2002.
104. URT (2005) Environmental Management Act, 2004. United Republic of Tanzania
105. Vasilakis, N., Tesh, R.B. & Weaver, S.C. (2008) Sylvatic dengue type 2 activity in humans, Nigeria 1966. Emerging Infectious Disease14, 502-504.
106. Vora, N. (2008) Impact of anthropogenic environmental alterations on vector-borne diseases. Medscape Journal of Medicine 10 (10): 238.
107. Wandiga, S.O., Opondo, M., Kathuri, J., Olago, D., Apindi, E., Olaka, L., Githeko, A., Githui, F., Opere, A., Ogallo, L., Marshall, M., Downs, T., Yanda, P.Z., Kangalawe, R., Sigalla, R., Kabumbuli, R., Kiramura, E., Mugambi, P., Nanyunja, R., Baguma, T., Achola, P. (2006) Climate Change Induced Vulnerability to Malaria and Cholera in the Lake Victoria Region: Final Report for Project No. AF 91. Published by the Assessments of Impacts and Adaptations to Climate Change (AIACC). The International START Secretariat, Washington, DC. (Available at: www.aiaccproject.org)
108. Watson, R.T., Zinyowera, M.C. & Moss, R.H. (1998) The Regional Impacts of Climate Change. An Assessment of Vulnerability. A Special Report of IPCC Working Group II. Cambridge, Cambridge University Press, 1998.
109. WDR (2010) World Development Report 2010. Washington DC, World Bank 2009.
110. thAnnual Joint Scientific Conference, Arusha, Tanzania, March 15-18, 2010.
111. WHO (1986) Epidemiology and control of African trypanosomiasis. Report of a WHO expert committee. World Health Organization. Geneva, Switzerland. Technical Report Series, No. 739. 126 pp.
112. WHO (2001) Malaria Early Warning Systems. Concepts, Indicators and Partners: A framework for field research in Africa. WHO/CDS/RBM/2001.32, Geneva.
113. WHO (2008). Report on the Review of Primary Health Care in the African Region. World Health Oeganization, Geneva Switzerland.
114. WHO (2009) Protecting Health from Climate Change. Connecting Science, Policy and People. World Health Organization. Hppt://www.who.int.globalchange_en.
115. Woolhouse, M.E. & Chandiwana, S.K. (1990) Population dynamics model for Bulinus globosus, intermediate host for Schistosoma haematobium, in river habitats. Acta Tropica 47, 151-160.
116. Yamin, F., Rahman, A. & Huq, S. (2005) Vulnerability, adaptation and climate disasters: a conceptual overview. IDS Bulletin 36, 1-14.