Producing context specific land cover and land use maps of human-modified tropical forest landscapes for infectious disease applications.

Satellite-based land cover mapping plays an important role in understanding changes in ecosystems and biodiversity. There are global land cover products available, however for region specific studies of drivers of infectious disease patterns, these can lack the spatial and thematic detail or accuracy required to capture key ecological processes. To overcome this, we produced our own Landsat derived 30 m maps for three districts in India's Western Ghats (Wayanad, Shivamogga and Sindhudurg). The maps locate natural vegetation types, plantation types, agricultural areas, water bodies and settlements in the landscape, all relevant to functional resource use of species involved in infectious disease dynamics. The maps represent the mode of 50 classification iterations and include a spatial measure of class stability derived from these iterations. Overall accuracies for Wayanad, Shivamogga and Sindhudurg are 94.7 % (SE 1.2 %), 88.9 % (SE 1.2 %) and 88.8 % (SE 2 %) respectively. Class classification stability was high across all three districts and the individual classes that matter for defining key interfaces between human habitation, forests, crop, and plantation cultivation, were generally well separated. A comparison with the 300 m global ESA CCI land cover map highlights lower ESA CCI class accuracies and the importance of increased spatial resolution when dealing with complex landscape mosaics. A comparison with the 30 m Global Forest Change product reveals an accurate mapping of forest loss and different dynamics between districts (i.e., Forests lost to Built-up versus Forests lost to Plantations), demonstrating an interesting complementarity between our maps and the % tree cover Global Forest Change product. When studying infectious disease responses to land use change in tropical forest ecosystems, we recommend using bespoke land cover/use classifications reflecting functional resource use by relevant vectors, reservoirs, and people. Alternatively, global products should be carefully validated with ground reference points representing locally relevant habitats.

Predicting disease risk areas through co-production of spatial models: The example of Kyasanur Forest Disease in India's forest landscapes.

Zoonotic diseases affect resource-poor tropical communities disproportionately, and are linked to human use and modification of ecosystems. Disentangling the socio-ecological mechanisms by which ecosystem change precipitates impacts of pathogens is critical for predicting disease risk and designing effective intervention strategies. Despite the global "One Health" initiative, predictive models for tropical zoonotic diseases often focus on narrow ranges of risk factors and are rarely scaled to intervention programs and ecosystem use. This study uses a participatory, co-production approach to address this disconnect between science, policy and implementation, by developing more informative disease models for a fatal tick-borne viral haemorrhagic disease, Kyasanur Forest Disease (KFD), that is spreading across degraded forest ecosystems in India. We integrated knowledge across disciplines to identify key risk factors and needs with actors and beneficiaries across the relevant policy sectors, to understand disease patterns and develop decision support tools. Human case locations (2014-2018) and spatial machine learning quantified the relative role of risk factors, including forest cover and loss, host densities and public health access, in driving landscape-scale disease patterns in a long-affected district (Shivamogga, Karnataka State). Models combining forest metrics, livestock densities and elevation accurately predicted spatial patterns in human KFD cases (2014-2018). Consistent with suggestions that KFD is an "ecotonal" disease, landscapes at higher risk for human KFD contained diverse forest-plantation mosaics with high coverage of moist evergreen forest and plantation, high indigenous cattle density, and low coverage of dry deciduous forest. Models predicted new hotspots of outbreaks in 2019, indicating their value for spatial targeting of intervention. Co-production was vital for: gathering outbreak data that reflected locations of exposure in the landscape; better understanding contextual socio-ecological risk factors; and tailoring the spatial grain and outputs to the scale of forest use, and public health interventions. We argue this inter-disciplinary approach to risk prediction is applicable across zoonotic diseases in tropical settings.