%PDF-1.4 % 5 0 obj <>stream q 1 i 227.072 801.003 405.354 -35.433 re 297.645 396.87 m W* n 0 793.701 595.275 -793.701 re 297.645 396.87 m W n .015015 793.71 595.29 -793.71 re W n /GS1 gs q -369.05 0 0 -29.665 596.124 795.235 cm /Im1 Do Q Q q 1 i 0 793.701 595.275 -793.701 re 297.645 396.87 m W n .015015 793.71 595.29 -793.71 re W n /GS1 gs BT /F1 1 Tf 12 0 0 12 232.1951 772.5253 Tm 1 g 0 Tc 0 Tw ( )Tj 11 0 0 11 334.4351 772.5253 Tm .0213 Tw (Journal of Public Health in Africa 2023; volume 14:2868)Tj ET 1 .4 0 RG 0 J 0 j 2 w 10 M [] 0 d q 1 0 0 1 57.645 621.222 cm 0 0 m 239.528 0 l S Q /GS2 gs BT /TT2 1 Tf 9 0 0 9 66.1494 606.0486 Tm 0 0 0 1 k -.01 Tc .1967 Tw (Ending fossil fuel dependence is a prerequisite for a healthier )Tj -.9449 -1.2176 TD .1363 Tw [(world and future generations. )18.1(The direct health impact of climate )]TJ T* .1123 Tw [(change driven by fossil fuel emissions is already devastating. )18(The )]TJ T* -.0351 Tw (triple planetary pollution crisis, biodiversity loss, and climate change )Tj T* .029 Tw [(exacerbate the impact. )18(The )18(W)80.1(orld Health Or)18.1(ganization \(WHO\) pre-)]TJ T* .1548 Tw (dicts that between 2030 and 2050, climate change is expected to )Tj T* .2309 Tw (cause approximately 250,000 additional deaths per year)Tj 6.3 0 0 6.3 265.9385 542.9978 Tm 0 Tc 0 Tw (1)Tj 9 0 0 9 269.0257 540.2978 Tm -.01 Tc .2129 Tw [(. W)80.1(orld )]TJ -23.4867 -1.2176 TD -.0223 Tw [(leaders are taking actions to address climate change. Given the inter)19.9(-)]TJ T* -.0138 Tw (connectedness nature of climate change on health, and growing pan-)Tj T* -.0087 Tw [(demics ef)18.1(fecting the most vulnerable communities, there is no better )]TJ T* .12 Tw [(time than now)64.9(, to recognize health as the human face of climate )]TJ T* .0438 Tw [(change, and, crucially to set out clear tar)18.1(gets to tackle these issues )]TJ T* -.0122 Tw (systematically and underscoring the imperative for collective action. )Tj T* .1061 Tw (Governments must also adapt to a warming world by investing in )Tj T* -.0216 Tw (climate- and pandemic-resilient health systems and supply chains )Tj T* .025 Tw (not only at the domestic level but also regionally and globally)Tj 6.3 0 0 6.3 276.6799 444.3715 Tm 0 Tw (2,3)Tj 9 0 0 9 284.366 441.6714 Tm .025 Tw (. )Tj -24.2463 -1.2176 TD .1647 Tw (There are many ways in which health and climate interweave. )Tj -.9449 -1.2176 TD .0112 Tw [(There is no doubt that )55.2(Africa is the continent most vulnerable to cli-)]TJ T* .0797 Tw (mate change. Climate change is increasing the vulnerability of our )Tj T* .1106 Tw (ecosystems, accelerating the spread of diseases, and reshaping the )Tj T* .025 Tw [(trajectory of )55.2(Africa)55.2(s future. )]TJ .9449 -1.2176 TD .0094 Tw [(First, climate change is making future pandemics more likely due )]TJ -.9449 -1.2176 TD -.036 Tw [(to the increasing frequency)64.9(, geographic spread, and severity of infec-)]TJ T* .0946 Tw [(tious diseases. Zoonotic diseases comprise more than 60% of new )]TJ T* .2527 Tw [(infectious diseases and three-quarters of emer)18.1(ging pandemic )]TJ T* .0182 Tw [(threats to humans. )18.1(There has been a 63% increase in the number of )]TJ T* .1389 Tw [(zoonotic outbreaks in )55.2(Africa in the decade from 2012-2022 com-)]TJ T* .1126 Tw (pared to the previous decade; a significant proportion \(32%\) have )Tj T* .1541 Tw [(been zoonotic diseases. )55.2(A)55.2( modelling study predicts that by 2070, )]TJ T* .1936 Tw [(there will be increased cross-species viral transmission risk with )]TJ T* .025 Tw (geographical range shifts for 3,139 mammal species)Tj 6.3 0 0 6.3 242.1885 279.9943 Tm 0 Tc 0 Tw (4)Tj 9 0 0 9 245.2755 277.2942 Tm -.01 Tc .025 Tw (. )Tj -19.9029 -1.2176 TD .1205 Tw (Shifts in the thermal performance curves of pathogens, vectors, )Tj -.9449 -1.2176 TD -.0206 Tw (and hosts, and changing patterns in rainfall, land use, agriculture and )Tj 28.5039 40.0671 TD .1557 Tw [(livestock practices, and migration are causing the emer)18.1(gence and )]TJ 0 -1.2142 TD .0514 Tw (adaptation of novel pathogens through new transmission pathways. )Tj T* .0658 Tw [(Similarly)64.9(, a growing rise in vectors such as mosquitoes, birds, bats )]TJ T* .1786 Tw (and rodents as changing rainfall patterns and rising temperatures )Tj T* .0656 Tw [(of)18.1(fer the ideal environment for these vectors to thrive. Malaria, for )]TJ T* -.007 Tw [(instance, remains a significant health burden across )55.2(Africa, af)18.1(fecting )]TJ T* .0265 Tw [(millions of lives every year)55.2(. Climate change influences the range of )]TJ T* .0976 Tw (malaria-transmitting mosquitoes, extending their habitats to higher )Tj T* .025 Tw [(altitudes and previously unaf)18.1(fected regions)]TJ 6.3 0 0 6.3 466.0017 531.2554 Tm 0 Tc 0 Tw (4)Tj 9 0 0 9 469.0887 528.5554 Tm -.01 Tc .025 Tw (. )Tj -16.2671 -1.2143 TD -.0096 Tw [(Secondly)64.9(, climate change can also af)18.1(fect the availability and qual-)]TJ -.9449 -1.2143 TD .0574 Tw [(ity of water)40(, leading to increased risk of waterborne and foodborne )]TJ T* .093 Tw [(diseases. )18(The spread of cholera and the multi-country cholera out-)]TJ T* -.0328 Tw [(break presents another troubling example, in )55.2(Africa. )55.2(As temperatures )]TJ T* .01 Tc .4321 Tw [(rise, water sources warm up, creating an ideal home for)20( )]TJ 0 -1.2152 TD -.01 Tc 0 Tw (bacterium )Tj /TT4 1 Tf 4.2255 0 TD [(V)74.2(ibrio,)]TJ /TT2 1 Tf 2.6615 0 TD .0774 Tw [( the cholera bacteria)]TJ 6.3 0 0 6.3 449.0659 465.6769 Tm 0 Tc 0 Tw (5)Tj 9 0 0 9 452.153 462.9769 Tm -.01 Tc .0774 Tw (. Meanwhile, changing rain-)Tj -15.3302 -1.2133 TD .0272 Tw (fall patterns from droughts to heavy rains means that more peo-)Tj 0 -1.2143 TD .0469 Tw [(ple are forced to use unsafe drinking water and lack proper sanita-)]TJ T* -.0115 Tw (tion facilities. Families displaced by natural disasters or conflict find )Tj T* .0126 Tw [(themselves in overcrowded conditions, lacking access to safe water)40(, )]TJ T* .025 Tw (sanitation and hygiene. )Tj .9449 -1.2142 TD -.0226 Tw (Beyond infectious diseases, cyclones, floods, and droughts, which )Tj -.9449 -1.2143 TD .0562 Tw (are becoming more frequent and severe due to climate change, can )Tj T* .1568 Tw (also lead to various health challenges, such as mental health and )Tj T* .025 Tw (non-communicable diseases. )Tj .9449 -1.2143 TD .1294 Tw (Amid these circumstances, our health systems are struggling to )Tj -.9449 -1.2143 TD .0316 Tw (keep up. Many countries have reported disrupted vaccination, med-)Tj T* .0713 Tw (ical care and disease control interventions. Moreso, the destruction )Tj T* -.0225 Tw (of health infrastructure and disruption to basic services after extreme )Tj T* .1508 Tw [(weather events often af)18.1(fect the most vulnerable communities and )]TJ T* .025 Tw (groups, particularly women)Tj 6.3 0 0 6.3 411.5164 301.7616 Tm 0 Tc 0 Tw (6)Tj 9 0 0 9 414.6034 299.0614 Tm -.01 Tc (. )Tj -10.2132 -1.2143 TD -.0261 Tw [(The impact of climate change on health, do not exist in silos. )18(They )]TJ -.9449 -1.2142 TD .0134 Tw [(af)18.1(fect all countries, sectors and disciplines. In the face of these mul-)]TJ T* -.0031 Tw (tifaceted challenges, we must adopt a comprehensive, multi-sectoral )Tj T* .086 Tw [(and transdisciplinary approach. )18(T)69.8(o)0( ef)18.1(fectively address these evolv-)]TJ T* .0088 Tw (ing challenges in the preparedness and response to climate-sensitive )Tj T* .0211 Tw [(infectious diseases, )55.2(Africa CDC calls for a One Health )55.2(Approach. )]TJ T* .1513 Tw [(This holistic strategy)64.9(, which recognizes the interconnectedness of )]TJ T* -.0296 Tw [(human, animal, and environmental health, of)18.1(fers a robust framework )]TJ T* .143 Tw (for addressing the multidimensional challenges posed by climate-)Tj T* .025 Tw (related health threats)Tj 6.3 0 0 6.3 387.6139 192.4786 Tm 0 Tc 0 Tw (7)Tj 9 0 0 9 390.701 189.7786 Tm -.01 Tc (. )Tj -7.5574 -1.2143 TD -.0213 Tw [(The resilience of health systems to withstand and ef)18.1(fectively man-)]TJ -.9449 -1.2143 TD .0484 Tw (age the threats at the climate change-health nexus requires climate-)Tj T* .1392 Tw [(smart preparedness plans by enhancing national ef)18.1(forts in disease )]TJ T* .2452 Tw (surveillance and control by investing in early warning systems: )Tj T* -.0083 Tc .3733 Tw (innovative technologies, sustainable financing, and community )Tj T* -.01 Tc .025 Tw (engagement to mitigate climate-related health challenges)Tj 6.3 0 0 6.3 515.4274 126.9089 Tm 0 Tc 0 Tw (8)Tj 9 0 0 9 518.5145 124.209 Tm -.01 Tc .025 Tw (. )Tj -21.7589 -1.2143 TD .01 Tc .0057 Tw [(The New Public Health Order of )55.2(Africa calls for action-orient-)]TJ -.9449 -1.2143 TD -.0244 Tw [(ed partnerships and workforce development. )55.2(Africa CDC is at the )]TJ T* -.0197 Tw [(forefront of ef)18.1(forts to build resilient health systems that can with-)]TJ T* .0809 Tw [(stand the impact of climate change. )18.1(W)80.1(e)0( are actively engaged in )]TJ T* .0782 Tw (working with countries to strengthen disease surveillance, early )Tj T* .3511 Tw (warning systems, and response mechanisms to mitigate the )Tj /F2 1 Tf 15.9994 0 0 19.2 57.5923 737.9844 Tm -.006 Tc .024 Tw [(T)100.1(ackling the twin threats of pandemics and climate change:)-390( )]TJ 0 -.9375 TD (an agenda for action )Tj /TT6 1 Tf 11 0 0 11 57.6455 695.6458 Tm 0 Tc .025 Tw (Jean Kaseya)Tj 7.7 0 0 7.7 116.8897 698.9457 Tm 0 Tw (1)Tj 11 0 0 11 120.7397 695.6458 Tm -.0121 Tw [(, Y)110.8(ewande )18.1(Alimi)]TJ 7.7 0 0 7.7 196.9685 698.9457 Tm 0 Tw (1)Tj 11 0 0 11 200.8185 695.6458 Tm -.0302 Tw [(, Aggr)18.1(ey Aluso)]TJ 7.7 0 0 7.7 269.3128 698.9457 Tm 0 Tw (2)Tj 11 0 0 11 273.1628 695.6458 Tm .025 Tw (, Mahlet K. Habtemariam)Tj 7.7 0 0 7.7 395.8795 698.9457 Tm 0 Tw (1)Tj 11 0 0 11 399.7295 695.6458 Tm .0069 Tw [(, T)74.2(r)18.1(evor)18.1( )37.1(A. )-18.1(Cr)18.1(owell)]TJ 7.7 0 0 7.7 490.2787 698.9457 Tm 0 Tw (3)Tj 11 0 0 11 494.1286 695.6458 Tm 2.3652 Tw (, )Tj -39.6803 -1.1818 TD .025 Tw (Alain Ngashi Ngongo)Tj 7.7 0 0 7.7 157.8293 685.9457 Tm 0 Tw (1)Tj 11 0 0 11 161.6793 682.6458 Tm -.0121 Tw [(, Y)110.8(enew )-37.1(Kebede)]TJ 7.7 0 0 7.7 236.0604 685.9457 Tm 0 Tw (1)Tj 11 0 0 11 239.9104 682.6458 Tm .025 Tw (, Nicaise Ndembi)Tj 7.7 0 0 7.7 319.5927 685.9457 Tm 0 Tw (1)Tj 11 0 0 11 323.4428 682.6458 Tm ( )Tj /TT8 1 Tf 7 0 0 7 57.6455 666.9764 Tm (1)Tj 10 0 0 10 61.1455 663.9764 Tm .0302 Tw [(Africa Centres for Disease Control and Prevention \(Africa CDC\), )37.1(Addis )37.1(Ababa, Ethiopia; )]TJ 7 0 0 7 435.164 666.9764 Tm 0 Tw (2)Tj 10 0 0 10 438.6639 663.9764 Tm -.0069 Tw [(Pandemic Action )-37.1(Network)74.2(s )]TJ -38.1018 -1.3 TD .004 Tw [(\(P)74.2(AN\)/Resilience )37.1(Action Network )37.1(Africa \(RANA\), Nairobi, Kenya; )]TJ 7 0 0 7 333.9293 653.9764 Tm 0 Tw (3)Tj 10 0 0 10 337.4294 650.9764 Tm .004 Tw [(Henry M. Jackson Foundation for the )37.1(Advancement )]TJ -27.9784 -1.3 TD .025 Tw (of Military Medicine, Bethesda, MD, USA)Tj ET 0 0 0 1 K .2 w 56.792 233.335 240.279 -176.542 re 232.23 637.976 m S BT /TT2 1 Tf 8 0 0 8 61.8925 215.688 Tm .1256 Tw [(Correspondence: Nicaise Ndembi, )55.1(Africa Centres for Disease Control )]TJ 0 -1.25 TD .3669 Tw [(and Prevention \(Africa CDC\), )55.1(African Union Commission, )55.2(Addis )]TJ T* .025 Tw (Ababa, Ethiopia. )Tj T* [(E-mail: nicaisen@africacdc.or)18.1(g )]TJ T* 0 Tw ( )Tj T* .025 Tw (Key words: pandemics; climate change. )Tj T* 0 Tw ( )Tj T* .025 Tw (Received for publication: 5 December 2023. )Tj T* (Accepted for publication: 6 December 2023. )Tj 0 -1.2 TD 0 Tw ( )Tj T* .02 Tc .4043 Tw [(This work is licensed under a Creative Commons )55.1(Attribution)20.1( )]TJ T* 0 Tc .025 Tw [(NonCommercial 4.0 License \(CC BY)110.8(-NC 4.0\). )]TJ T* 0 Tw ( )Tj /TT4 1 Tf 6.65 0 0 7 61.8967 89.2881 Tm ()Tj 7.6 0 0 8 66.9489 87.7881 Tm .025 Tw [(Copyright: the )18.1(Author\(s\),2023)]TJ 8 0 0 8 159.8569 87.7881 Tm 0 Tw ( )Tj -12.2456 -1.3264 TD .025 Tw [(Journal of Public Health in )18.1(Africa 2023; 14:2868 )]TJ 0 -1.2 TD 0 Tw (doi:10.4081/jphia.2023.2868 )Tj /F3 1 Tf 9 0 0 9 122.9864 29.4739 Tm ( )Tj /TT2 1 Tf 10.14 0 TD .025 Tw [([Journal of Public Health in )55.2(Africa 2023; 14:2868])]TJ /F3 1 Tf 20.5862 0 TD 0 Tw ( )Tj ET /GS1 gs BT 9 0 0 9 514.1815 29.4739 Tm 1 g .026 Tw ([page 85])Tj ET 56.844 19.843 62.857 25.511 re f Q q 1 i 56.844 45.354 62.857 -25.511 re W* n 0 793.701 595.275 -793.701 re 297.645 396.87 m W n .015015 793.71 595.29 -793.71 re W n /GS1 gs q 63.776 0 0 25.511 55.144 21.545 cm /Im2 Do Q Q endstream endobj 6 0 obj <>/XObject<>/ExtGState<>/ColorSpace<>>> endobj 18 0 obj [/Indexed/DeviceGray 255 20 0 R] endobj 20 0 obj <>stream H  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~  endstream endobj 22 0 obj <>stream q 1 i 0 793.701 595.276 -793.701 re 297.645 396.87 m W n .015015 793.71 595.29 -793.71 re W n /GS1 gs BT /F3 1 Tf 9 0 0 9 42.5196 30.3891 Tm 1 g 0 Tc .026 Tw ([page 86])Tj ET /GS2 gs BT 9 0 0 9 83.0736 30.3891 Tm 0 0 0 1 k 0 Tw ( )Tj /TT2 1 Tf 13 0 TD .025 Tw [([Journal of Public Health in )55.2(Africa 2023; 14:2868])]TJ -17.506 79.3947 TD .01 Tc .0428 Tw [(spread of infectious diseases that may emer)18.1(ge or be exacerbated )]TJ 0 -1.2007 TD .025 Tw (due to climate shifts)Tj 6.3 0 0 6.3 117.8176 736.8346 Tm 0 Tc 0 Tw (9)Tj 9 0 0 9 121.0305 734.1346 Tm .01 Tc (. )Tj -7.7785 -1.2007 TD -.01 Tc .1367 Tw (This coming week at COP28 in Dubai will feature a dedicated )Tj -.9449 -1.2007 TD -.0291 Tw (Health Day and it can and must deliver an ambitious shared agen-)Tj T* .0071 Tw [(da for action that can deliver long-term structural change. )18(This must )]TJ T* -.0304 Tw (be an end-to-end investment, from supply chains to delivery capabil-)Tj T* .0341 Tw [(ity for community groups. )55.1(A)55.2( deeper understanding of how to invest )]TJ T* .1332 Tw [(in resilient health systems must be undertaken. )18.1(W)80.1(e)0( are calling on )]TJ T* .0471 Tw (world leaders at COP28 to launch a global expert Commission that )Tj T* .1373 Tw (will be tasked to provide a costing for the building of pandemic-)Tj T* .0366 Tw (resilient, climate-resilient, gender responsive health systems, with a )Tj T* .0894 Tw (focus on low- and middle-income countries, and regional perspec-)Tj T* 0 Tw (tives.)Tj /TT6 1 Tf 2.0787 0 TD 0 Tc ( )Tj /TT2 1 Tf .3084 0 TD -.01 Tc .0684 Tw (The Commission will identify the types and levels of invest-)Tj -2.3871 -1.2007 TD .1464 Tw (ments needed to save the most lives from increasing climate and )Tj T* .0131 Tw [(pandemic threat and improve people)55.2(s well-being. )18.1(The Commission )]TJ T* .0622 Tw (will help determine the policy interventions needed to help people, )Tj T* .1746 Tw (ecosystems, and society support the most pandemic-resilient, cli-)Tj T* .1722 Tw (mate-resilient, gender responsive health systems possible and the )Tj T* .0217 Tw (financing needed at scale. Community-led, country-led, and region-)Tj T* .025 Tw (ally-led policy and delivery vehicles must be used)Tj /TT6 1 Tf 19.6973 0 TD 0 Tw (. )Tj /TT2 1 Tf -18.7524 -1.2007 TD -.015 Tc -.0327 Tw (An overhaul of the global financial system is needed to connect cli-)Tj -.9449 -1.2007 TD .0899 Tw (mate action and development finance; fund the creation of resilient )Tj T* -.0071 Tw (health systems, jobs, and economies; design more secure instruments )Tj T* .0991 Tw (to unlock funding to mitigate health crises; encourage post-disaster )Tj T* .2099 Tw (reconstruction and establish better risk-sharing practices)Tj 6.3 0 0 6.3 246.816 488.2896 Tm 0 Tc 0 Tw (8)Tj 9 0 0 9 249.8716 485.5896 Tm -.015 Tc .1918 Tw [(. W)80.1(e)0( )-18.1(are )]TJ -23.0391 -1.2007 TD .0412 Tw [(adding our strong voice to the ur)18.1(gent calls for the reform of interna-)]TJ T* .1528 Tw (tional financial institutions and multilateral development banks, in )Tj T* -.0015 Tw [(which )55.2(Africa is ready to play its part. )18.1(These reforms must proceed all )]TJ T* .081 Tw (the way to the radical overhaul of international financial infrastruc-)Tj T* .0216 Tw (ture and institutional architectures to make sure that funds are acces-)Tj T* .1194 Tw [(sible, af)18.1(fordable, adequate, mobilize relevant technology)64.9(, and most )]TJ T* .025 Tw [(importantly)64.9(, provided in a timely manner)]TJ 6.3 0 0 6.3 186.1254 412.6454 Tm 0 Tc 0 Tw (8)Tj 9 0 0 9 189.1809 409.9454 Tm -.015 Tc .025 Tw (. )Tj -15.3508 -1.2007 TD -.01 Tc -.0135 Tw (By working hand in hand with partners, we can harness the power )Tj -.9449 -1.2007 TD .047 Tw (of science, innovation, and policy advocacy to safeguard the health )Tj T* .025 Tw (of our people and our planet. )Tj .9449 -1.2007 TD .1453 Tw (The agenda for a health-focused response to climate change in )Tj -.9449 -1.2007 TD .0968 Tw [(Africa emphasizes the need for better data. )18.1(The inter)18.1(governmental )]TJ T* .0879 Tw [(panel on climate change highlights that many )55.1(Africans are already )]TJ T* .1948 Tw (experiencing health issues due to climate change, including heat )Tj T* .0569 Tw (stress and disease transmission. Investing in data generation is cru-)Tj T* .0724 Tw [(cial to understanding these impacts better and developing ef)18.1(fective )]TJ T* .0829 Tw [(health strategies, including integrating )55.2(African research into global )]TJ T* .025 Tw (studies on short-lived climate pollutants. )Tj 29.4488 50.4294 TD -.0275 Tw [(Finally)64.9(, climate change influences human migration and urbaniza-)]TJ -.9449 -1.2304 TD .1053 Tw [(tion, necessitating the development of forward-looking emer)18.1(gency )]TJ T* .0824 Tw (response strategies. Learning from successful management of pan-)Tj T* .1769 Tw [(demics like COVID-19 in urban areas, it)55.2(s crucial to design and )]TJ T* .152 Tw [(implement response measures that consider the ef)18.1(fects of climate )]TJ T* .025 Tw [(change, enabling countries to respond ef)18.1(fectively)64.9(. )]TJ /TT4 1 Tf .9449 -1.2314 TD 0 Tc 0 Tw ( )Tj /TT2 1 Tf 0 -1.2295 TD ( )Tj ET 1 .4 0 RG 0 J 0 j 2 w 10 M [] 0 d /GS1 gs q 1 0 0 1 299.055 664.643 cm 0 0 m 239.528 0 l S 1 0 0 1 0 0 cm 0 0 m 239.528 0 l S Q /GS2 gs BT /TT6 1 Tf 11 0 0 11 299.0551 649.47 Tm -.01 Tc [(Refer)18.1(ences )]TJ /TT2 1 Tf 9 0 0 9 299.0551 634.3708 Tm .0268 Tc -.0118 Tw [( 1)36.8(.)-278(https://www)65(.who.int/news-room/fact-sheets/detail/climate-)]TJ 1.5748 -1.2304 TD -.01 Tc 0 Tw (change-and-health )Tj -1.5748 -1.2305 TD -.0022 Tw [( )-27.2( )-27.2(2.)-314.8(Jadeja N, Omumbo J, )55.2(Adelekan I, Rees H, Bonfoh B, Kariuki )18.1(T)74.2(,)-.1( )]TJ 1.5748 -1.2304 TD .0203 Tw [(T)35.2(ufet Bayona M. Climate and health strategies must take vacci-)]TJ T* .0194 Tw (nation into account. Nat Microbiol. 2023 Dec;8\(12\):2215-2216. )Tj T* .025 Tw (doi: 10.1038/s41564-023-01537-1. PMID: 38030902. )Tj -1.5748 -1.2305 TD .0793 Tw [( )54.3( )54.3(3.)-314.8(Ndembi N. )55.2(Africa: a new dawn for local vaccine manufacture. )]TJ 1.5748 -1.2304 TD -.0055 Tc .3705 Tw (Nature. 2023 Jul;619\(7971\):698. doi: 10.1038/d41586-023-)Tj T* -.01 Tc .025 Tw [(02316-y)64.9(. PMID: 37491391. )]TJ -1.5748 -1.2304 TD -.0274 Tw [( )-52.4( )-52.4(4.)-314.8(Carlson CJ, )55.2(Albery GF)80.1(, Merow C, )18.1(T)35.2(risos CH, Zipfel CM, Eskew )]TJ 1.5748 -1.2304 TD .1998 Tw (EA, Olival KJ, Ross N, Bansal S. Climate change increases )Tj T* -.0092 Tc .3742 Tw (cross-species viral transmission risk. Nature. 2022 Jul;607 )Tj T* -.01 Tc .0231 Tw [(\(7919\):555-562. doi: 10.1038/s41586-022-04788-w)64.9(. Epub 2022 )]TJ T* .025 Tw (Apr 28. 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