<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="research-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Environ. Sci.</journal-id>
<journal-title>Frontiers in Environmental Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Environ. Sci.</abbrev-journal-title>
<issn pub-type="epub">2296-665X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1243777</article-id>
<article-id pub-id-type="doi">10.3389/fenvs.2023.1243777</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Environmental Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Predicted changes in habitat suitability for human schistosomiasis intermediate host snails for modelled future climatic conditions in KwaZulu-Natal, South Africa</article-title>
<alt-title alt-title-type="left-running-head">Nwoko et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fenvs.2023.1243777">10.3389/fenvs.2023.1243777</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nwoko</surname>
<given-names>Onyekachi Esther</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2165371/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Manyangadze</surname>
<given-names>Tawanda</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chimbari</surname>
<given-names>Moses John</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Discipline of Public Health Medicine</institution>, <institution>College of Health Sciences</institution>, <institution>University of KwaZulu-Natal</institution>, <addr-line>Durban</addr-line>, <country>South Africa</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Geosciences Department</institution>, <institution>School of Geosciences, Disaster and Development</institution>, <institution>Faculty of Science and Engineering</institution>, <institution>Bindura University of Science Education</institution>, <addr-line>Bindura</addr-line>, <country>Zimbabwe</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Behavioural Science, Medical and Health Sciences</institution>, <institution>Great Zimbabwe University</institution>, <addr-line>Masvingo</addr-line>, <country>Zimbabwe</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/198678/overview">Jorge Contreras-Gardu&#xf1;o</ext-link>, National Autonomous University of Mexico, Mexico</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1312850/overview">Ted Grantham</ext-link>, University of California, Berkeley, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1087239/overview">Michael Zimmermann</ext-link>, Shenandoah University, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Onyekachi Esther Nwoko, <email>nwokonyekachi@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>11</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>11</volume>
<elocation-id>1243777</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>06</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>11</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Nwoko, Manyangadze and Chimbari.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Nwoko, Manyangadze and Chimbari</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Introduction:</bold> Climate change alters environmental and climatic conditions, leading to expansion or contraction and possible shifts in the geographical distribution of vectors that transmit diseases. <italic>Bulinus globosus</italic> and <italic>Biomphalaria pfeifferi</italic> are the intermediate host snails for human schistosomiasis in KwaZulu-Natal (KZN) province, South Africa.</p>
<p>
<bold>Methods:</bold> Using the Maximum entropy (MaxEnt) model, we modelled the current and future distribution of human schistosomiasis intermediate host snails in KZN using two representation concentration pathways (RCP4.5 and RCP8.5) for the year 2085. Thirteen and ten bioclimatic variables from AFRICLIM were used to model the habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, respectively. The Jack-knife test was used to evaluate the importance of each bioclimatic variable.</p>
<p>
<bold>Results:</bold> Mean temperature warmest quarter (BIO10, 37.6%), the number of dry months (dm, 32.6%), mean diurnal range in temperature (BIO2, 10.8%), isothermality (BIO3, 6.7%) were identified as the top four bioclimatic variables with significant contribution to the model for predicting the habitat suitability for <italic>B. globosus</italic>. Annual moisture index (mi, 34%), mean temperature warmest quarter (BIO10, 21.5%), isothermality (BIO3, 20.5%), and number of dry months (dm, 7%) were identified as the four important variables for the habitat suitability of <italic>B. pfeifferi</italic>. Area under the curve for the receiving operating characteristics was used to evaluate the performance of the model. The MaxEnt model obtained high AUC values of 0.791 and 0.896 for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, respectively. Possible changes in the habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> were observed in the maps developed, indicating shrinkage and shifts in the habitat suitability of <italic>B. pfeifferi</italic> as 65.1% and 59.7% of the current suitable habitats may become unsuitable in the future under RCP4.5 and RCP8.5 climate scenarios. Conversely, an expansion in suitable habitats for <italic>B. globosus</italic> was predicted to be 32.4% and 69.3% under RCP4.5 and RCP8.5 climate scenarios, with some currently unsuitable habitats becoming suitable in the future.</p>
<p>
<bold>Discussion:</bold> These habitat suitability predictions for human schistosomiasis intermediate host snails in KZN can be used as a reference for implementing long-term effective preventive and control strategies for schistosomiasis.</p>
</abstract>
<kwd-group>
<kwd>Schistosomiasis</kwd>
<kwd>
<italic>B. globosus</italic>
</kwd>
<kwd>
<italic>B. pfeifferi</italic>
</kwd>
<kwd>habitat suitability</kwd>
<kwd>climate change</kwd>
<kwd>representation concentration pathways (RCP)</kwd>
<kwd>RCP4.5</kwd>
<kwd>RCP 8.5</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Freshwater Science</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Climate change threatens aquatic ecosystems including freshwater ecosystems which are at high risk, particularly where humans already exploit these systems De Necker (<xref ref-type="bibr" rid="B10">De Necker, 2020</xref>). According to the sixth assessment report (AR6) produced by the Intergovernmental Panel on Climate Change (IPCC), global surface temperature will reach or exceed 1.5&#xb0;C in the near term (2021&#x2013;2040) relative to 1860&#x2013;1900 (pre-industrial era) even for the very low greenhouse gas emissions (<xref ref-type="bibr" rid="B48">P&#xf6;rtner et al., 2022</xref>). Shifts in precipitation patterns, temperature rise, and increased frequency and severity of extreme climate events (e.g., droughts and flooding) are three major components of ongoing climate change (<xref ref-type="bibr" rid="B54">Stensgaard et al., 2019</xref>). Climate change leads to environmental changes that affect food security, air quality, the distribution and occurrence of various diseases. In South Africa&#x2019;s interior, it is predicted that mean annual air temperatures will increase by 3&#xb0;C&#x2013;3.5&#xb0;C while the coastal regions will experience a 1.5&#xb0;C&#x2013;2.5&#xb0;C increase. In summer rainfall areas, the mean annual rainfall will increase by 40&#x2013;80&#xa0;mm per decade, while this will decrease by 20&#x2013;40&#xa0;mm per decade in winter rainfall areas. Limpopo, Mpumalanga, and Kwa-Zulu Natal (summer rainfall regions) will therefore experience hotter and wetter conditions in summer and autumn. In contrast, the Western Cape and southern parts of the Eastern Cape (winter rainfall regions) will experience hotter and drier winter conditions (<xref ref-type="bibr" rid="B10">De Necker, 2020</xref>).</p>
<p>Schistosomiasis is a chronic and debilitating neglected tropical disease caused by infection with parasitic blood flukes of the genus Schistosoma, which uses freshwater snails as intermediate hosts (<xref ref-type="bibr" rid="B2">Ahmad, 2022</xref>). Infection occurs in humans when they have contact with waterbodies that contain intermediate host snails contaminated with parasites. Parasites released from the contaminated snails penetrate human skin causing infection (<xref ref-type="bibr" rid="B51">Sokolow et al., 2016</xref>; <xref ref-type="bibr" rid="B10">De Necker, 2020</xref>). Schistosomiasis is endemic in 78 countries, with more than 800 million people at risk and over 200 million people infected, with the majority from sub-Saharan Africa (<xref ref-type="bibr" rid="B51">Sokolow et al., 2016</xref>; <xref ref-type="bibr" rid="B40">Ogongo et al., 2022</xref>). More than 4 million people are estimated to be infected with schistosomiasis in South Africa. Limpopo, Mpumalanga, Eastern Cape, and KwaZulu-Natal are the provinces where the disease is endemic (<xref ref-type="bibr" rid="B25">Magaisa et al., 2015</xref>; <xref ref-type="bibr" rid="B9">De Boni et al., 2021</xref>). <italic>Bulinus globosus</italic> and <italic>Biomphalaria pfeifferi</italic> are the intermediate host snails for <italic>Schistosoma haematobium</italic> which causes urogenital schistosomiasis, and <italic>Schistosoma mansoni</italic> which causes intestinal schistosomiasis in South Africa, respectively (<xref ref-type="bibr" rid="B36">Nwoko et al., 2022a</xref>).</p>
<p>Transmission of schistosomes depends on the spatial and temporal distribution of specific freshwater snails that are intermediate hosts and are the prerequisite that <italic>Schistosoma</italic> parasites to reach the development stage that infects humans. The global strategy endorsed by the World Health Organization to control schistosomiasis is the large-scale administration of the antischistosomal drug praziquantel to at-risk populations to prevent morbidity. The sustainability of this control strategy is now questionable as there is rapid re-infection after deworming. In recent years, a shift occurred from morbidity control to transmission control and local elimination, and hence, much attention is being given to control of intermediate host snails at transmission sites, along with primary prevention tailored to specific social-ecological systems (<xref ref-type="bibr" rid="B55">Walz et al., 2015</xref>).</p>
<p>The spatial and seasonal distribution of schistosomiasis intermediate host snails have been studied (<xref ref-type="bibr" rid="B41">Opisa et al., 2011</xref>; <xref ref-type="bibr" rid="B28">Manyangadze et al., 2021</xref>; <xref ref-type="bibr" rid="B37">Nwoko et al., 2022b</xref>; <xref ref-type="bibr" rid="B38">Nwoko et al., 2023</xref>). Physico-chemical properties, climatic and environmental factors such as water depth (<xref ref-type="bibr" rid="B4">Boelee and Laamrani, 2004</xref>), temperature, rainfall (<xref ref-type="bibr" rid="B53">Stensgaard et al., 2013</xref>) are known to affect the distribution, reproduction, fecundity, and survival of schistosomiasis intermediate host snails. Therefore, rising water temperatures and altered precipitation associated with climate change could considerably alter the distribution and abundance of the intermediate host snail and schistosome parasites, resulting in a shift in the transmission dynamics of the disease (<xref ref-type="bibr" rid="B31">McCreesh et al., 2015</xref>). Assessing the compounded impact of climate change are important challenges that will affect global health. Analysis of variance and generalized mixed effect models are commonly used to determine the spatial and seasonal distribution of schistosomiasis intermediate host snails but they do not predict the habitat suitability of the intermediate host snails (<xref ref-type="bibr" rid="B41">Opisa et al., 2011</xref>; <xref ref-type="bibr" rid="B49">Rabone et al., 2019</xref>). However, due to advances in technology, improved statistical and modelling techniques such as species distribution models, it is now possible to do that.</p>
<p>Species Distribution Model (SDM) is used to determine the potential distribution and habitat suitability of species based on the relationship between environmental factors, climatic factors and species occurrence (<xref ref-type="bibr" rid="B24">Liu et al., 2022</xref>). Among the SDMs, the maximum entropy (MaxEnt) model is a machine learning algorithm based on the principle that estimates the probability of species presence (<xref ref-type="bibr" rid="B12">Duan et al., 2014</xref>). MaxEnt model is a commonly used SDM because of its ability to model presence-only data as absence data are rarely available, and very unreliable when available (<xref ref-type="bibr" rid="B45">Phillips et al., 2006</xref>). Also, the model is robust in modelling data with small sample size as well as complex relations between the independent and dependent variables. Finally, the prediction results from a MaxEnt model is high, accurate and reproducible (<xref ref-type="bibr" rid="B20">Kaky et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Gunawan et al., 2021</xref>). Several studies have used SDMs to predict the spatial distribution of schistosomiasis intermediate host snails on present-day climate, and to predict the distribution on a future climate using historical presence and absence data at national, continental, and global levels (<xref ref-type="bibr" rid="B53">Stensgaard et al., 2013</xref>; <xref ref-type="bibr" rid="B43">Pedersen et al., 2014</xref>; <xref ref-type="bibr" rid="B27">Manyangadze et al., 2016</xref>; <xref ref-type="bibr" rid="B52">Stensgaard et al., 2016</xref>).</p>
<p>Manyangadze, Chimbari (<xref ref-type="bibr" rid="B27">Manyangadze et al., 2016</xref>) modelled the spatial and seasonal distribution of suitable habitats of intermediate host for <italic>Schistosoma</italic> spp using the Maxent model without the aspect of climate change. However, this study was carried out in Ndumo area in uMkhanyakude district. It is in the north-eastern part of KwaZulu-Natal (KZN) province, bordered by Swaziland and Mozambique to the north-west and north, respectively. The area is approximately <inline-formula id="inf1">
<mml:math id="m1">
<mml:mrow>
<mml:mrow>
<mml:mn>60</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>30</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> (<xref ref-type="bibr" rid="B27">Manyangadze et al., 2016</xref>). Therefore, the objectives of the present study include 1) identify the main environmental variables that influence suitable habitats for the distribution of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, 2) model the current suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, and 3) predict future suitable habitats for the distribution of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> under different climatic scenarios in all the districts in KZN. The results of this study will provide guidance to policymakers in the development of schistosomiasis control strategies, for instance, the judicial allocation of limited resources (money, time, and effort), targeted control measures, environmental management, and behavioural interventions.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Study area</title>
<p>This study was carried out in KZN province, South Africa. It is located in the southeast of the country, with a long shoreline on the Indian Ocean and sharing borders with three provinces (Free state, Eastern Cape, and Mpumalanga) and three countries; Mozambique, Eswatini, and Lesotho. It is the second-most populous province in South Africa with a population of about 11 million people and an area approximately 94,361&#xa0;km<sup>2</sup> (<xref ref-type="bibr" rid="B22">Khumalo et al., 2022</xref>). KZN comprises of ten district municipalities: Amajuba, iLembe, Ugu, uMgungundlovu, uThukela, uMkhanyakude, King Cetshwayo (formerly uThugulu), uMzinyathi, Harry Gwala (formerly Sisonke), and Zululand; and one metropolitan municipality: eThekwini (<xref ref-type="fig" rid="F1">Figure 1</xref>). KwaZulu-Natal&#x2019;s climate differs from subtropical to temperate with four seasons: rainy (December&#x2013;February), post-rainy (March&#x2013;May), cold/dry (June&#x2013;August), and hot/dry (September&#x2013;November). KwaZulu-Natal province is characterized by major rivers such as Mfolozi, Nyalazi, Tugela, Pongolo, and uMvoti amongst others. The province consists of three distinct geographical areas, namely, the lowland Indian Ocean coastal region, the central Natal Midlands and the mountainous areas of the Drakensberg and Lebombo Mountains (<xref ref-type="bibr" rid="B34">Ndlovu, 2013</xref>). Primary economic activities in the province include agriculture, mining and quarrying, manufacturing, trade, and tourism.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Map of South Africa showing KwaZulu Natal province as well as the occurrence data for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>.</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g001.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>2.2 Species occurrence data</title>
<p>We a conducted malacology survey in the 11 districts of KZN province for 12 months (September 2020&#x2013;August 2021). Sampling sites were determined by proximity to schools (randomly selected) where parasitological surveys were carried out and where human water contact activities occurred. This was done because this study is a subset of a larger study and we needed to be able to trace infections. Snail sampling were done once in each season (that is, quarterly) at each site for 15&#xa0;min by trained field staff. The trained field staffs used the combination of handpicking and the scoop nets described Appleton and Miranda (<xref ref-type="bibr" rid="B3">Appleton and Miranda, 2015</xref>) to collect the snails. The collected snails were identified morphologically using the key developed by Brown and Kristensen (<xref ref-type="bibr" rid="B6">Brown and Kristensen, 1989</xref>). <italic>Bulinus globosus</italic> and <italic>B. pfeifferi</italic> snails from each site were labelled, put in a container with water from the water body and transported to the processing site. Global positioning system was used to record the geographical coordinates of each site with the occurrence of <italic>B. globosus</italic> and <italic>B. pfeifferi.</italic> A total of 45 occurrence points of human schistosomiasis intermediate snail hosts were obtained in KwaZulu-Natal comprising of 38 occurrence points <italic>B. globosus</italic> and 17 occurrence points for <italic>B. pfeifferi</italic> (<xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
</sec>
<sec id="s2-3">
<title>2.3 Environmental variables</title>
<p>Bioclimatic variables are important in determining species&#x2019; habitats. Therefore, a total of 17 bioclimatic variables were downloaded with a spatial resolution of 30 arc-second (923&#xa0;m) from the AFRICLIM version 3 database (<ext-link ext-link-type="uri" xlink:href="https://webfiles.york.ac.uk/KITE/AfriClim/GeoTIFF_30S/">https://webfiles.york.ac.uk/KITE/AfriClim/GeoTIFF_30S/</ext-link>) for current and future projections of suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> (<xref ref-type="table" rid="T1">Table 1</xref>). These variables were downloaded because they are known to have influence on the habitat suitability of human schistosomiasis intermediate host snails (<xref ref-type="bibr" rid="B26">Mahmoud et al., 2022</xref>). We used the AFRICLIM ensemble model that comprised of ten general circulation models (GCMs) (GCM: CCCma-CanESM2, MPI-M-MPI-ESM-LR, CNRM-CERFACS-CNRM-CM5, ICHEC-EC-EARTH, NOAA-GFDL-GFDL-ESM2M, CSIRO-QCCCE-CSIRO-Mk3-6&#x2013;0, IPSL- IPSL-CM5A-MR, MIROC-MIROC5, MOHC-HadGEM2-ES, and NCC-NorESM1-M), reduced to five regional climate models (RCM: CCCma-CanRCM4_r2, CLMcom-CCLM4-8-17_v1 (4 GCMs), DMI-HIRHAM5_v2, KNMI-RACMO22T_v1 (2 GCMs), SMHI-RCA4_v1 (10 GCMs)), the WorldClim contemporary baseline, under two representative concentration pathways of the IPCC-AR5 (RCP4.5 and RCP8.5). This ensemble model was used because it provides robust assessments of expected climate variability and reduces bias effectively (<xref ref-type="bibr" rid="B47">Platts et al., 2015</xref>). To predict the future distribution of habitat suitability of intermediate host snails in KwaZulu Natal, the Representative Concentration Pathways (RCPs) was used. RCPs are trajectories of four greenhouse gas emissions and concentrations adopted by the International Panel on Climate Change (IPCC). These pathways help to determine four possible future climates based on the amount of greenhouse gases emitted by 2085. RCP 2.6 is used in cases of minimum greenhouse gas emissions scenarios. RCP 4.5 and RCP 6.0 represents the intermediate scenarios of greenhouse gas emissions while RCP 8.5 represents the case of very high greenhouse gas emissions (<xref ref-type="bibr" rid="B7">Change, 2023</xref>). If additional efforts are not made to reduce emissions, the pathway will range between RCP 6.0 and 8.5 while RCP 2.6 represents a scenario where all efforts to reduce emission works and keeps global warming below 2&#xb0;C above pre-industrial levels. Since RCP 2.6 is almost impossible to attain, this work uses RCP 4.5 and an extreme case of RCP 8.5 to predict changes in the spatial distribution of suitable habitats for schistosomiasis intermediate host snails.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Bioclimatic variables included in the MaxEnt model for modeling the current and predict the future suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, and their percentage contribution to model performance.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Code</th>
<th rowspan="2" align="left">Description</th>
<th rowspan="2" align="left">Units</th>
<th colspan="2" align="center">Percentage contribution</th>
</tr>
<tr>
<th align="left">
<italic>B. globosus</italic>
</th>
<th align="left">
<italic>B. pfeifferi</italic>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">BIO1&#x2a;</td>
<td align="left">Mean annual temperature</td>
<td align="left">&#xb0;C</td>
<td align="left">0.3</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">BIO2&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Mean diurnal range in temperature</td>
<td align="left">&#xb0;C</td>
<td align="left">10.8</td>
<td align="left">0.7</td>
</tr>
<tr>
<td align="left">BIO3&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Isothermality</td>
<td align="left">&#xb0;C</td>
<td align="left">6.7</td>
<td align="left">20.5</td>
</tr>
<tr>
<td align="left">BIO4&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Temperature seasonality</td>
<td align="left">&#xb0;C</td>
<td align="left">2.3</td>
<td align="left">2.2</td>
</tr>
<tr>
<td align="left">BIO10&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Mean temperature warmest quarter</td>
<td align="left">&#xb0;C</td>
<td align="left">37.6</td>
<td align="left">21.5</td>
</tr>
<tr>
<td align="left">BIO11&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Mean temperature coolest quarter</td>
<td align="left">&#xb0;C</td>
<td align="left">0.2</td>
<td align="left">5.1</td>
</tr>
<tr>
<td align="left">BIO12</td>
<td align="left">Mean annual rainfall</td>
<td align="left">mm</td>
<td align="left">-</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">BIO13<sup>&#x2b;</sup>
</td>
<td align="left">Rainfall wettest month</td>
<td align="left">mm</td>
<td align="left">-</td>
<td align="left">1.4</td>
</tr>
<tr>
<td align="left">BIO14&#x2a;</td>
<td align="left">Rainfall driest month</td>
<td align="left">mm</td>
<td align="left">2.1</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">BIO15</td>
<td align="left">Rainfall seasonality</td>
<td align="left">mm</td>
<td align="left">-</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">BIO16&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Rainfall wettest quarter</td>
<td align="left">mm</td>
<td align="left">0.7</td>
<td align="left">1.1</td>
</tr>
<tr>
<td align="left">BIO17&#x2a;</td>
<td align="left">Rainfall driest quarter</td>
<td align="left">mm</td>
<td align="left">0.7</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">MI<sup>&#x2b;</sup>
</td>
<td align="left">Annual moisture index</td>
<td align="left">-</td>
<td align="left">-</td>
<td align="left">34</td>
</tr>
<tr>
<td align="left">MIMQ&#x2a;</td>
<td align="left">Moisture index moist quarter</td>
<td align="left">-</td>
<td align="left">0.6</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">MIAQ&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Moisture index arid quarter</td>
<td align="left">-</td>
<td align="left">4.8</td>
<td align="left">6.6</td>
</tr>
<tr>
<td align="left">DM&#x2a;<sup>&#x2b;</sup>
</td>
<td align="left">Number of dry months</td>
<td align="left">month</td>
<td align="left">32.6</td>
<td align="left">7</td>
</tr>
<tr>
<td align="left">LLDS&#x2a;</td>
<td align="left">Length of longest dry season</td>
<td align="left">month</td>
<td align="left">0.7</td>
<td align="left">-</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note: &#x2a; and <sup>&#x2b;</sup> indicates variables that were included in the MaxEnt model for <italic>B. globosus</italic> and <italic>B. pfeifferi,</italic> respectively.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-4">
<title>2.4 Modelling procedure and evaluation</title>
<p>The MaxEnt version 3.3.3k (<ext-link ext-link-type="uri" xlink:href="https://www.cs.princeton.edu/%7Eschapire/maxent">https://www.cs.princeton.edu/&#x223c;schapire/maxent</ext-link>) was used to create the habitat suitability maps for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. For each species, the training data comprised of 75% of the presence data that was randomly selected while the test data comprised of the remaining 25% which was used in predicting the ability of the model (<xref ref-type="bibr" rid="B44">Phillips, 2007</xref>). Variable contribution analysis that gives a heuristic estimate of the relative contributions of the environmental variables to the MaxEnt model was carried out. In addition, a jackknife procedure, implemented in MaxEnt, was used to quantify each environmental variable&#x2019;s explanatory power (importance) (<xref ref-type="bibr" rid="B27">Manyangadze et al., 2016</xref>). It reveals the predictive power of a model when trained under different scenarios (without a variable, with only a specific variable, and with all variables).</p>
<p>To assess the performance of the fitted MaxEnt model in appropriately discriminating suitable and unsuitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, the area under the curve (AUC) of the receiving operating characteristics (ROC) was used. AUC values range from 0 to 1, where a model with an AUC value of 1 indicates perfect discrimination whereas where a model with AUC values &#x2264; 0.5 indicate no difference in the discriminative power of the model versus a random prediction. A model with an AUC value closer to 1 has better discriminant power. A model with an AUC above 0.75 indicates sufficient discrimination and is useful (<xref ref-type="bibr" rid="B14">Ferson et al., 2000</xref>; <xref ref-type="bibr" rid="B46">Phillips and Dud&#xed;k, 2008</xref>).</p>
<p>The habitat suitability index for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> were calculated. These values range between 0 and 1, where 0 implies that the habitat is unsuitable for the species to be found there and higher habitat suitability index values indicate higher habitat suitability for species occurrence (<xref ref-type="bibr" rid="B11">Du et al., 2021</xref>).</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Climatic variables influencing habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> distribution</title>
<p>Among the 13 bioclimatic variables used in the prediction of habitats suitable for the distribution of <italic>B. globosus</italic>, the four highest variables in terms of contribution were mean temperature warmest quarter (37.6%), the number of dry months (32.6%), mean diurnal range in temperature (10.8%), and isothermality (6.7%), which quantifies the degree of day-to-night temperatures oscillation relative to the summer-to-winter (annual) oscillations. On the other hand, annual moisture index (34%), mean temperature warmest quarter (21.5%), isothermality (20.5%), and the number of dry months (7%) were the four variables that contributed most in the prediction of suitable habitats for the distribution of <italic>B. pfeifferi</italic> out of the 10 bioclimatic variables included in the model. <xref ref-type="table" rid="T1">Table 1</xref> shows all the variables that were considered in this study and presents the percentage contribution of each bioclimatic variable in predicting the habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> distribution. Variables that had zero percentage contribution to the model were excluded (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<p>The result of the jack-knife test of variable importance is shown in <xref ref-type="fig" rid="F2">Figure 2</xref> below. The four environmental variables with the highest regularized training gain when used in isolation for modeling the habitat suitability of <italic>B. globosus</italic> are mean temperature warmest quarter (BIO10), number of dry months (DM), length of longest dry season (LLDS), and mean annual temperature (BIO1). Number of dry months (DM), mean temperature warmest quarter (BIO10), annual moisture index (MI), and Rainfall wettest quarter (BIO16) are the four environmental variables with the highest regularized training gain when used in isolation for modeling the habitat suitability of <italic>B. pfeifferi</italic>. This implies that the top four important variables above have the most information that is not present in the other variables. The environmental variable that decreases the gain the most when omitted is BIO10 for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>, which therefore appears to have the most information that is not present in the other variables. In <xref ref-type="fig" rid="F2">Figure 2</xref>, the light blue bars (without variables) are not longer than the red bars (with all variables), this shows that the predictive performance of the model is better when the corresponding variables are used.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Jack-knife plots evaluating the environmental variables contribution in the MaxEnt model for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> (for full names of the variables, refer to <xref ref-type="table" rid="T1">Table 1</xref>).</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g002.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Model performance</title>
<p>The area under the curve (AUC) of the receiving operating characteristic (ROC) for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> are 0.791 and 0.896, respectively (<xref ref-type="fig" rid="F3">Figure 3</xref>). The results obtained were above 0.75 indicating that the MaxEnt model had excellent predictive accuracy and satisfactorily reflects the distribution and habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> (<xref ref-type="bibr" rid="B14">Ferson et al., 2000</xref>; <xref ref-type="bibr" rid="B46">Phillips and Dud&#xed;k, 2008</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>The results of the AUC of the ROC in developing the habitat suitability model for <bold>(A)</bold> <italic>B. globosus</italic> and <bold>(B)</bold> <italic>B. pfeifferi</italic>.</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g003.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> under current climate conditions</title>
<p>The habitat suitability of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> in KwaZulu Natal under current climate conditions is presented in <xref ref-type="table" rid="T2">Table 2</xref> and <xref ref-type="fig" rid="F4">Figure 4</xref>. A total area of 14 096.01 <inline-formula id="inf2">
<mml:math id="m2">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>; 15.71% and 14 973.82 <inline-formula id="inf3">
<mml:math id="m3">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>; 16.68% in KZN is suitable habitat for <italic>B. pfeifferi</italic> and <italic>B. globosus</italic>, respectively. Current suitable areas for the distribution of <italic>B. globosus</italic> are areas along the coastlines (uMkhanyakude, King Cetshwayo iLembe, eThekwini, and Ugu districts), the northern part of the province (uMkhanyakude and Zululand districts), the western part of the province (uThukela district). The mountainous areas of the Drakensberg and Lebombo mountains (Harry Gwala and Amajuba districts) and the central Natal Midlands (uMgungundlovu and uMzinyathi districts) are currently unsuitable areas for the distribution of <italic>B. globosus</italic>. Habitats in the eastern part of the province (uThukela), districts along the coastlines excluding eThekwini, and the northern part of uMkhanyakude district are suitable for the distribution of <italic>B. pfeifferi</italic>. There are more suitable habitats for <italic>B. pfeifferi</italic> compared to <italic>B. globosus</italic> in uThukela district. The non-suitable habitats for <italic>B. pfeifferi</italic> are like that of <italic>B. globosus</italic>. We used the &#x201c;maximum training sensitivity plus specificity&#x201d; as the threshold to distinguish &#x201c;suitable&#x201d; from &#x201c;unsuitable&#x201d; habitats to obtain the best results as recommended by Hu and Jiang (<xref ref-type="bibr" rid="B18">Hu and Jiang, 2011</xref>). This was 0.542 for <italic>B. globosus</italic> and 0.480 for <italic>B. pfeifferi</italic>.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Habitat suitability of <italic>B. pfeifferi</italic> and <italic>B. globosus</italic> under current conditions.</p>
</caption>
<table>
<thead>
<tr>
<th rowspan="2" align="left"/>
<th rowspan="2" align="left">Habitat suitability</th>
<th colspan="2" align="center">
<italic>B. pfeifferi</italic>
</th>
<th colspan="2" align="center">
<italic>B. globosus</italic>
</th>
<th rowspan="2" align="left">Total (<inline-formula id="inf4">
<mml:math id="m4">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>)</th>
</tr>
<tr>
<th align="left">Area (<inline-formula id="inf5">
<mml:math id="m5">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>)</th>
<th align="left">(%)</th>
<th align="left">Area (<inline-formula id="inf6">
<mml:math id="m6">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>)</th>
<th align="left">(%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="left">Current conditions</td>
<td align="left">Not suitable</td>
<td align="left">75 658</td>
<td align="left">84.29</td>
<td align="left">74 780.19</td>
<td align="left">83.32</td>
<td align="left">89 754.01</td>
</tr>
<tr>
<td align="left">Suitable</td>
<td align="left">14 096.01</td>
<td align="left">15.71</td>
<td align="left">14 973.82</td>
<td align="left">16.68</td>
<td align="left">89 754.01</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>
<bold>(A)</bold> Probabilities of predicted suitable habitats and <bold>(B)</bold> habitat suitability of <italic>B. globosus</italic>, <bold>(C)</bold> Probabilities of predicted suitable habitats and <bold>(D)</bold> habitat suitability of <italic>B. pfeifferi</italic> under current climate conditions in KZN province, South Africa.</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> under future climate conditions</title>
<p>The habitat suitability predictions for <italic>B. globosus</italic> under the RCP4.5 and RCP8.5 climate scenarios in 2085 are shown in <xref ref-type="fig" rid="F5">Figure 5</xref>. A significant difference was seen between the current suitable habitats and those predicted in 2085 across both RCP4.5 and RCP8.5 climate scenarios. The prediction shows a great expansion in suitable habitats for B. <italic>globosus</italic> towards the midlands (uMzinyathi, uMgungundlovu, and the entire uThukela districts). The predicted suitable habitats for the RCP8.5 climate scenario show more expansion compared to the RCP4.5 climate condition with the former projection having districts situated in the north-western and south-western regions of the province as suitable habitats. Under the RCP4.5 and RCP8.5 climate scenarios approximately 95.5% and 97.2% of the currently suitable areas will remain suitable while 32.4% and 69.3% of the currently unsuitable habitats will be suitable for <italic>B. globosus</italic> distribution in RCP4.5 and RCP8.5, respectively (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Habitat suitability of <italic>B. globosus</italic> under future climate scenarios <bold>(A)</bold> Probabilities of predicted suitable habitats at RCP4.5 max <bold>(B)</bold> RCP4.5max <bold>(C)</bold> Probabilities of predicted suitable habitats at RCP8.5max and <bold>(D)</bold> RCP8.5max in KZN province, South Africa.</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g005.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Habitat suitability changes for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> under RCP4.5 AND RCP8.5 climate scenarios in 2085.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="3" align="center">Habitat suitability</th>
<th rowspan="3" align="center">Possible changes</th>
<th colspan="4" align="center">
<italic>B. pfeifferi</italic>
</th>
<th colspan="4" align="center">
<italic>B. globosus</italic>
</th>
</tr>
<tr>
<th colspan="2" align="center">RCP 4.5</th>
<th colspan="2" align="center">RCP 8.5</th>
<th colspan="2" align="center">RCP 4.5</th>
<th colspan="2" align="center">RCP8.5</th>
</tr>
<tr>
<th align="center">
<inline-formula id="inf7">
<mml:math id="m7">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="left">%</th>
<th align="center">
<inline-formula id="inf8">
<mml:math id="m8">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="left">%</th>
<th align="center">
<inline-formula id="inf9">
<mml:math id="m9">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="left">%</th>
<th align="center">
<inline-formula id="inf10">
<mml:math id="m10">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi>k</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="left">%</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="center">Not suitable</td>
<td align="left">Always unsuitable</td>
<td align="left">66748.88</td>
<td align="left">88.2</td>
<td align="left">65244.94</td>
<td align="left">86.2</td>
<td align="left">50579.445</td>
<td align="left">67.6</td>
<td align="left">22966.83</td>
<td align="left">30.7</td>
</tr>
<tr>
<td align="left">Currently unsuitable but suitable in the future</td>
<td align="center">8969.13</td>
<td align="center">11.9</td>
<td align="center">10473.36</td>
<td align="center">13.8</td>
<td align="center">24203.75</td>
<td align="center">32.4</td>
<td align="center">51813.37</td>
<td align="center">69.3</td>
</tr>
<tr>
<td rowspan="2" align="center">Suitable</td>
<td align="left">Currently suitable but unsuitable in the future</td>
<td align="center">9135.29</td>
<td align="center">65.1</td>
<td align="center">8386.06</td>
<td align="center">59.7</td>
<td align="center">671.925</td>
<td align="center">4.5</td>
<td align="center">415.44</td>
<td align="center">2.8</td>
</tr>
<tr>
<td align="left">Always suitable</td>
<td align="left">4900.72</td>
<td align="left">34.9</td>
<td align="left">5649.95</td>
<td align="left">40.3</td>
<td align="left">14301.89</td>
<td align="left">95.5</td>
<td align="left">14558.38</td>
<td align="left">97.2</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In 2085 under the RCP4.5 and RCP8.5 climate scenarios<italic>,</italic> there will be contraction, shifts, and expansion in the habitat suitability of <italic>B. pfeifferi</italic>, as regions that were formerly suitable such as Ugu, eThekwini, iLembe, and King Cetshwayo districts may no longer be suitable. On the other hand, when there is extreme greenhouse gas emission (RCP8.5), some parts of King Cetshwayo district are likely to become suitable for the distribution of <italic>B. pfeifferi</italic>. Conversely, uThukela and uMkhanyakude districts, will always be suitable habitats regardless of the amount of greenhouse gas emissions. If the greenhouse gas emissions increase moderately (RCP4.5), districts such as uMgungundlovu, eastern part of Harry Gwala and parts of uThukela districts that are currently not suitable may become suitable habitats for intermediate host snails. In addition, under the RCP4.5 and RCP8.5 climate scenarios approximately 65.1% and 59.7% of the currently suitable areas will likely become unsuitable while 11.9% and 13.8% of the currently unsuitable habitats may become suitable for <italic>B. pfeifferi</italic> distribution in RCP4.5 and RCP8.5, respectively (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>To our knowledge this study is the first to explore the impacts of climate change on the habitat suitability for human schistosomiasis intermediate host snails in all the districts of KwaZulu-Natal (KZN) province, South Africa. We used the MaxEnt to model and predict the current and future distribution of suitable habitats for <italic>B</italic>. <italic>globosus</italic> and <italic>B. pfeifferi</italic> under two RCPs (4.5 and 8.5) for the year 2085. MaxEnt model is effective at predicting distributions with small datasets (<xref ref-type="bibr" rid="B56">Yuan et al., 2015</xref>), thus it was used in predicting the habitat suitability of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> with 38 and 18 occurrence records, respectively. A high AUC for the ROC was obtained for predicting suitable habitats for the distribution of <italic>B. globosus</italic> (0.791) and <italic>B. pfeifferi</italic> (0.896) implying that the results obtained are reliable.</p>
<sec id="s4-1">
<title>4.1 Bioclimatic variables influencing the occurrence of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>
</title>
<p>The four key variables influencing the distribution of <italic>B. globosus</italic> are mean temperature warmest quarter, number of dry months, mean diurnal range in temperature, and isothermality (that is precipitation and temperature). Number of dry months, mean temperature warmest quarter, annual moisture index, and annual wettest quarter (summarily, precipitation and temperature) were the four key bioclimatic variables identified to influence the distribution of <italic>B. pfeifferi</italic>. Malacological surveys that investigated the influence of bioclimatic variables on <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> have shown similar findings (<xref ref-type="bibr" rid="B32">Moodley et al., 2003</xref>; <xref ref-type="bibr" rid="B53">Stensgaard et al., 2013</xref>). The effect of temperature on the survival of snails have been well documented (<xref ref-type="bibr" rid="B21">Kalinda et al., 2017</xref>). The optimal temperature where growth and reproduction is most favourable for <italic>B. globosus</italic> is between 200&#xb0;C and 30&#xb0;C while that of <italic>B. pfeifferi</italic> ranges from 220&#xb0;C to 28&#xb0;C (<xref ref-type="bibr" rid="B1">Adekiya, 2018</xref>). At lower temperatures, metabolism slows down, reproduction rate reduces, and the snails become less active. At high temperatures, usually above 30&#xb0;C, the snails become stressed which increases their susceptibility to diseases and eventual mortality (<xref ref-type="bibr" rid="B29">McCreesh et al., 2014</xref>). Thus, high temperatures in an environment will reduce the distribution of snails in that region (<xref ref-type="bibr" rid="B30">McCreesh and Booth, 2013</xref>). Since temperature affects vegetation growth, oxygen level, water availability, this in turn affects snail&#x2019;s habitat suitability (<xref ref-type="bibr" rid="B42">Oso and Odaibo, 2021</xref>). Seasonal variation also affects the abundance of snail in an environment (<xref ref-type="bibr" rid="B17">Gurarie et al., 2017</xref>). Warm and humid summers have been found to be favourable condition for both <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. These warm temperatures also favour their lifecycle from egg laying, to hatching and to the development of larvae as the snails become more active (<xref ref-type="bibr" rid="B33">Nandy and Aditya, 2022</xref>). Similarly, it is expected that the water levels in dams, lakes, ponds, and reservoir will reduce due to increase in average surface temperature in the coming years (<xref ref-type="bibr" rid="B21">Kalinda et al., 2017</xref>). This will result in decrease in the population of <italic>B. pfeifferi</italic>. However, in regions and seasons where temperature is between 20&#xb0;C and 25&#xb0;C, it is expected that there will be an increase in the population of <italic>B. pfeifferi</italic>. However, at high temperatures and in areas where <italic>B. pfeifferi&#x2019;s</italic> population is small, there is the possibility of them dying.</p>
<p>The amount of water present in an environment determines the abundance of snails. When there is no water, snails cannot survive and where there is too much water, the abundance of snail population reduces. Therefore, when there is rainfall, temporary snail habitats are created as well as new habitats due to heavy rainfall that moves snails from one environment to another (<xref ref-type="bibr" rid="B28">Manyangadze et al., 2021</xref>). This implies when there is heavy rainfall, the population density of snails in that environment reduces due to transportation. If the speed of flowing water exceeds 0.3&#xa0;m/s, snails will be washed away to a new environment (<xref ref-type="bibr" rid="B39">Ofulla et al., 2013</xref>). Cold and dry seasons as well as post rainy seasons have been found to be suitable habitats for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> while hot dry seasons reduces the abundance of snails due to pools and rivers drying up. Therefore, long period of rainfall or absence of rainfall as well as the intensity of rainfall will determine the abundance of snails in a region (<xref ref-type="bibr" rid="B50">Rubaba et al., 2016</xref>). However, it is quite difficult to accurately determine the spatial relationship between rainfall, snail population dynamics, and infection transmission due to varying rainfall effect on species as well as geographical location (<xref ref-type="bibr" rid="B5">Brooker, 2007</xref>). Therefore, in areas where rainfall plays important role in snail population, population of snails reduces after each rainy season as well as their transport from one location to another, thereby creating temporary habitat (<xref ref-type="bibr" rid="B28">Manyangadze et al., 2021</xref>).</p>
</sec>
<sec id="s4-2">
<title>4.2 Analysis of current suitable habitat <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>
</title>
<p>The observation that all the eastern part of the province currently has suitable habitats for <italic>B. globosus</italic> may be attributed to the average annual temperature in that part of the province. Temperature increases south-easterly in South Africa, hence KwaZulu natal province situated in the eastern part of the country is generally warmer with temperatures of about 25&#xb0;C that create suitable habitats for <italic>B. globosus</italic> (<xref ref-type="bibr" rid="B13">Ebhota and Tabakov, 2021</xref>). Our findings corroborate the findings from a parasitology study carried out in KwaZulu-Natal as the districts with current suitable habitats for human schistosomiasis snail hosts were found endemic for schistosomiasis (<xref ref-type="bibr" rid="B35">Nemungadi et al., 2022</xref>). Western parts of uMkhanyakude district and some parts of uThukela district also shows current habitat suitability of <italic>B. globosus</italic>. As observed for <italic>B. globosus</italic>, suitable habitat for <italic>B. pfeifferi</italic> can also be found in the eastern part of the province except around iLembe district and eastern part of uMkhanyakude. Compared to <italic>B. globosus</italic>, the current habitat is more suitable for the distribution of <italic>B. pfeifferi</italic>. Other parts of the province are not suitable habitats for the distribution of both <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. However, some of these districts may have suitable habitats depending on the season. It is expected that during spring and summer months temperatures are high, the districts might become suitable for both <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. These suitable areas for both species are characterised by temperate or subtropical climates with warm to hot summers and mild winters. Hence, the warm and humid climate might be the factors influencing the distribution of both species as the habitats that are currently unsuitable for the distribution of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> such as Amajuba, Sisonke, and uMgungundlovu districts are characterized by very cold temperatures during the winter and high temperatures in the summers.</p>
</sec>
<sec id="s4-3">
<title>4.3 Analysis of future suitable habitat of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>
</title>
<p>In KZN province, annual average temperature and annual average rainfall have been projected to increase for the period 2021&#x2013;2050 under the RCP 8.5 scenario. Increase in the number of rainfall days may result in an increase in flood and storms. This projected increase will affect the environment, socio-economy, water, and food quality (<xref ref-type="bibr" rid="B23">Le Roux et al., 2017</xref>).</p>
<p>Temperature affects the growth, reproduction and population of snails which influences the rate of parasite and host development (<xref ref-type="bibr" rid="B21">Kalinda et al., 2017</xref>). Climate change predictions may play an important role in determining high-risk areas as increased temperature increases the development of hosts and parasites but limiting their survival. However, there have been conflicting reports on how increase in temperature will affect snail population. McCreesh, Nikulin (<xref ref-type="bibr" rid="B31">McCreesh et al., 2015</xref>) suggested that increase in temperature will result in increase in suitable habitats resulting in increased disease prevalence while Pedersen, Midzi (<xref ref-type="bibr" rid="B43">Pedersen et al., 2014</xref>) suggested that increased temperature will result in decreased suitable habitat leading to a reduction in the transmission of the disease. There is also the possibility of snails adapting to higher temperature which will increase habitat suitability and disease prevalence (<xref ref-type="bibr" rid="B54">Stensgaard et al., 2019</xref>).</p>
<p>These contrasting views may all be valid for certain areas. For regions where temperatures were too low and hence presenting unsuitable habitats, increased temperature due to climate change may result in the habitat becoming suitable and areas currently presenting suitable habitats may be affected by increased temperature resulting in the areas becoming unsuitable. This is supported by Kalinda, Chimbari (<xref ref-type="bibr" rid="B21">Kalinda et al., 2017</xref>) who reported that snails can survive at about 15.5&#xb0;C during cold seasons but with increased temperatures, there will be high snail proliferation resulting in increased disease prevalence.</p>
<p>
<xref ref-type="fig" rid="F5">Figure 5</xref> shows the predicted habitat suitability of <italic>B. globosus</italic> for both RCP 4.5 and RCP 8.5 indicating that habitats around the northern part of Amajuba district are always not suitable. However, with increased temperature, the unsuitable areas may drastically reduce as observed in <xref ref-type="fig" rid="F5">Figure 5D</xref>. Also, with moderate increase (RCP 4.5) in temperature, most parts of Harry Gwala district are likely to remain unsuitable for <italic>B. globosus</italic> and this may be the situation in most parts of uMgungundlovu, iLembe, and uMzinyathi districts. Under extreme increased temperatures (RCP 8.5), most of these areas will become suitable habitats for <italic>B. globosus</italic>. According to the Koppen Geiger climate classification in South Africa, these areas are currently classified as always unsuitable habitat for <italic>B. globosus</italic> fall under the temperate, cold summer with no dry season (<xref ref-type="bibr" rid="B8">Cui et al., 2021</xref>). With increased temperature, it is expected that the cold summer will be warmer resulting in increased snails and increased disease prevalence. Most of uThukela district and parts of Zululand, uMzinyathi, uMgungundlovu, and uMkhanyakude that are currently not suitable will become suitable in the future. With extreme global warming, more parts in the districts will become suitable habitats for <italic>B</italic>. <italic>globosus</italic>. Only a small part of King Cetshwayo that is currently suitable will become an unsuitable habitat under RCP 4.5 while small parts of Ugu districts currently suitable will become unsuitable under extreme conditions. The eastern part of the province and the western part of uMkhanyakude as well as parts of uThukela district will always present suitable habitats for <italic>B. globosus</italic>. According to the Koppen Geiger classification, this region falls under the temperate hot summer with no dry season (<xref ref-type="bibr" rid="B8">Cui et al., 2021</xref>). Since there is no dry season, water is always present, and temperatures are conducive for survival of snails.</p>
<p>Habitat suitability of <italic>B. pfeifferi</italic> for both RCP 4.5 and RCP 8.5 show that Harry Gwala, Amajuba, Zululand, uMzinyathi, parts of King Cetshwayo, uMgungundlovu, and uMkhanyakude districts are always not suitable habitat for <italic>B. pfeifferi</italic> (<xref ref-type="fig" rid="F6">Figure 6</xref>). This may be attributed to the weather condition in this region. However, with increased temperature, some of these regions like parts of Ugu, uThukela, and uMkhanyakude districts that currently not suitable will become suitable with moderate increase in temperature. However, under extreme cases, only parts of uMgungundlovu district and parts of Amajuba district that are currently unsuitable will become suitable. Much of the eastern part of KwaZulu natal province currently suitable may later become unsuitable. Since the climate classification classifies this area as temperate, hot summer with no dry season, with increased temperatures, the summer months can become very hot such that the existing snails will be desiccated leading to a reduction in disease prevalence. The modelled climate change has different effects on the habitat suitability of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. There is likely to be expansion in the habitat suitability of <italic>B. globosus</italic> while there will be contraction and shifts in the case of <italic>B. pfeifferi</italic>. This may be because of the high tolerance of <italic>B. globosus</italic> to higher temperatures compared to <italic>B. pfeifferi</italic> (<xref ref-type="bibr" rid="B19">Joubert et al., 1986</xref>; <xref ref-type="bibr" rid="B28">Manyangadze et al., 2021</xref>). Parts of uThukela and uMkhanyakude districts were shown to always have suitable habitats for the distribution of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. Therefore, priority should be given to these districts when prevention and control strategies are implemented to interrupt the transmission of schistosomiasis.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Habitat suitability of <italic>B. pfeifferi</italic> under future climate scenarios <bold>(A)</bold> probabilities of predicted suitable habitats at RCP4.5 max <bold>(B)</bold> RCP4.5max <bold>(C)</bold> probabilities of predicted suitable habitats at RCP8.5max and <bold>(D)</bold> RCP8.5max in KZN province, South Africa.</p>
</caption>
<graphic xlink:href="fenvs-11-1243777-g006.tif"/>
</fig>
<p>A limitation of our study is that we only investigated the influence of climatic variables on the habitat suitability of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. As such, some important predictor variables such as topographic (altitude and slope), biotic (competition and predators), and behavioural variables which are important in determining the habitat suitability for <italic>B. globosus</italic> and <italic>B. pfeifferi</italic> distribution might have been omitted.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>Our study modelled and predicted the current and future distribution of suitable habitats for B. <italic>globosus</italic> and <italic>B. pfeifferi</italic> in KZN province, South Africa. The MaxEnt method was used in modelling the suitable habitats. Bioclimatic variables related to rainfall and temperature significantly contributed to the habitat suitability of <italic>B. globosus</italic> and <italic>B. pfeifferi</italic>. Climate change predictions regarding the future habitats of human schistosomiasis intermediate host snails in 2085 suggest that the habitats will become less favorable for <italic>B. pfeifferi</italic> and more favourable for <italic>B. globosus</italic>. This shift, expansion, and contraction will influence the transmission of schistosomiasis. We produced predictive habitat suitability maps that may guide public health measures and strategies to interrupt schistosomiasis transmission in the region through for instance the judicial allocation of limited resources (money, time, and effort), targeted control measures, environmental management, and behavioural interventions.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The raw data supporting the conclusion of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s7">
<title>Ethics statement</title>
<p>The University of KwaZulu Natal biomedical research ethics committee (BREC) issued the ethical approval (Ref. No: BREC/00001305/2020) for this study.</p>
</sec>
<sec id="s8">
<title>Author contributions</title>
<p>ON and TM conceptualised the study. ON collected the data, TM conducted statistical analysis, ON wrote the first draft. TM and MC read and edited the draft. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s9">
<title>Funding</title>
<p>This research is also commissioned by the National Institute for Health Research, using Official Development Assistance (ODA) funding 16/136/33.</p>
</sec>
<ack>
<p>Many thanks to the people living in the communities where this project was carried out for giving us access to sample from the water bodies. We are also thankful to the community research assistants and colleagues at KwaZulu-Natal Ecohealth Programme (KEP) for their support during the data collection process.</p>
</ack>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12">
<title>Author disclaimer</title>
<p>The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. The funders had no role in the conception, study design, data collection and analysis, decision to publish or preparation of the manuscript.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Adekiya</surname>
<given-names>T. A.</given-names>
</name>
</person-group> (<year>2018</year>). <source>Theoretical modelling of temperature and rainfall inuence on Schistosoma species population dynamics</source>. <publisher-loc>China</publisher-loc>: <publisher-name>University of Zululand</publisher-name>.</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ahmad</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Schistosomiasis: basic requirements for the development of a subunit vaccine, using genetic vectors</article-title>. <source>eBioMedicine</source>, <fpage>82</fpage>. <pub-id pub-id-type="doi">10.1016/j.ebiom.2022.104162</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Appleton</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Miranda</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Locating bilharzia transmission sites in South Africa: guidelines for public health personnel</article-title>. <source>South. Afr. J. Infect. Dis.</source> <volume>30</volume> (<issue>3</issue>), <fpage>95</fpage>&#x2013;<lpage>102</lpage>. <pub-id pub-id-type="doi">10.1080/23120053.2015.1074438</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boelee</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Laamrani</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Environmental control of schistosomiasis through community participation in a Moroccan oasis</article-title>. <source>Trop. Med. Int. Health</source> <volume>9</volume> (<issue>9</issue>), <fpage>997</fpage>&#x2013;<lpage>1004</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-3156.2004.01301.x</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brooker</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Spatial epidemiology of human schistosomiasis in Africa: risk models, transmission dynamics and control</article-title>. <source>Trans. R. Soc. Trop. Med. Hyg.</source> <volume>101</volume> (<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1016/j.trstmh.2006.08.004</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Brown</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Kristensen</surname>
<given-names>T. J. D. B. L. p.n.</given-names>
</name>
</person-group> (<year>1989</year>). <source>A field guide to African freshwater snails, southern African species</source>. <publisher-name>Danish Bilharziasis Laboratory</publisher-name>.</citation>
</ref>
<ref id="B7">
<citation citation-type="web">
<person-group person-group-type="author">
<name>
<surname>Change</surname>
<given-names>I. P. o.C.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Future climate changes, risks and impacts</article-title>. <comment>Available at: <ext-link ext-link-type="uri" xlink:href="https://ar5-syr.ipcc.ch/topic_futurechanges.php">https://ar5-syr.ipcc.ch/topic_futurechanges.php</ext-link>.</comment>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cui</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Observed and projected changes in global climate zones based on K&#xf6;ppen climate classification</article-title>. <source>Wiley Interdiscip. Rev. Clim. Change</source> <volume>12</volume> (<issue>3</issue>), <fpage>e701</fpage>. <pub-id pub-id-type="doi">10.1002/wcc.701</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>De Boni</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Msimang</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>De Voux</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Frean</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Trends in the prevalence of microscopically-confirmed schistosomiasis in the South African public health sector, 2011&#x2013;2018</article-title>. <source>PLoS Neglected Trop. Dis.</source> <volume>15</volume> (<issue>9</issue>), <fpage>e0009669</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pntd.0009669</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>De Necker</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Billharzia and its snail vectors under the spotlight in current study</article-title>. <source>Water wheel.</source> <volume>19</volume> (<issue>6</issue>), <fpage>20</fpage>&#x2013;<lpage>23</lpage>.</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Duan</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Potential geographical distribution and habitat shift of the genus Ammopiptanthus in China under current and future climate change based on the MaxEnt model</article-title>. <source>J. Arid Environ.</source> <volume>184</volume>, <fpage>104328</fpage>. <pub-id pub-id-type="doi">10.1016/j.jaridenv.2020.104328</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duan</surname>
<given-names>R.-Y.</given-names>
</name>
<name>
<surname>Kong</surname>
<given-names>X. Q.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>M. Y.</given-names>
</name>
<name>
<surname>Fan</surname>
<given-names>W. Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Z. G.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>The predictive performance and stability of six species distribution models</article-title>. <source>PloS one</source> <volume>9</volume> (<issue>11</issue>), <fpage>e112764</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0112764</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ebhota</surname>
<given-names>W. S.</given-names>
</name>
<name>
<surname>Tabakov</surname>
<given-names>P. Y.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Assessment of solar PV potential and performance of a household system in Durban North, Durban, South Africa</article-title>. <source>Clean Technol. Environ. Policy</source> <volume>24</volume>, <fpage>1241</fpage>&#x2013;<lpage>1259</lpage>. <pub-id pub-id-type="doi">10.1007/s10098-021-02241-6</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ferson</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Burgman</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Elith</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2000</year>). <article-title>Quantitative methods for modeling species habitat: comparative performance and an application to Australian plants</article-title>. <source>Quantitative methods conservation Biol.</source>, <fpage>39</fpage>&#x2013;<lpage>58</lpage>. <pub-id pub-id-type="doi">10.1007/0-387-22648-6_4</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Frandsen</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Christensen</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>1984</year>). <article-title>An introductory guide to the identification of cercariae from African freshwater snails with special reference to cercariae of trematode species of medical and veterinary importance</article-title>. <source>Acta trop.</source> <volume>41</volume>, <fpage>181</fpage>&#x2013;<lpage>202</lpage>.</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gunawan</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Sulistijorini</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Chikmawati</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Sobir</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Predicting suitable areas for Baccaurea angulata in Kalimantan, Indonesia using Maxent modelling</article-title>. <source>Biodiversitas J. Biol. Divers.</source> <volume>22</volume> (<issue>5</issue>). <pub-id pub-id-type="doi">10.13057/biodiv/d220523</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gurarie</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>King</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Yoon</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Alsallaq</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Seasonal dynamics of snail populations in coastal Kenya: model calibration and snail control</article-title>. <source>Adv. Water Resour.</source> <volume>108</volume>, <fpage>397</fpage>&#x2013;<lpage>405</lpage>. <pub-id pub-id-type="doi">10.1016/j.advwatres.2016.11.008</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Climate change hastens the conservation urgency of an endangered ungulate</article-title>. <source>PloS One</source> <volume>6</volume> (<issue>8</issue>), <fpage>e22873</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0022873</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Joubert</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Pretorius</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>de Kock</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Van Eeden</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>1986</year>). <article-title>Survival of Bulinus africanus (Krauss), Bulinus globosus (Morelet) and Biomphalaria pfeifferi (Krauss) at constant high temperatures</article-title>. <source>Afr. Zool.</source> <volume>21</volume> (<issue>1</issue>), <fpage>85</fpage>&#x2013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.1080/02541858.1986.11447963</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kaky</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Nolan</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Alatawi</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Gilbert</surname>
<given-names>F.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>A comparison between Ensemble and MaxEnt species distribution modelling approaches for conservation: a case study with Egyptian medicinal plants</article-title>. <source>Ecol. Inf.</source> <volume>60</volume>, <fpage>101150</fpage>. <pub-id pub-id-type="doi">10.1016/j.ecoinf.2020.101150</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kalinda</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mukaratirwa</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Implications of changing temperatures on the growth, fecundity and survival of intermediate host snails of schistosomiasis: a systematic review</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>14</volume> (<issue>1</issue>), <fpage>80</fpage>. <pub-id pub-id-type="doi">10.3390/ijerph14010080</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Khumalo</surname>
<given-names>G. E.</given-names>
</name>
<name>
<surname>Ntuli</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Lutge</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Mashamba-Thompson</surname>
<given-names>T. P.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Geo-analysis: the distribution of community health workers in relation to the HIV prevalence in KwaZulu-Natal province, South Africa</article-title>. <source>BMC Health Serv. Res.</source> <volume>22</volume> (<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1186/s12913-022-07707-x</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Le Roux</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Mans</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>van Huyssteen</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>van Niekerk</surname>
<given-names>W.</given-names>
</name>
</person-group> (<year>2017</year>). <source>Profiling the vulnerabilities and risks of South African settlements</source>, <fpage>26</fpage>&#x2013;<lpage>35</lpage>.</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Effects of climate change on the potential habitat distribution of swimming crab Portunus trituberculatus under the species distribution model</article-title>. <source>J. Oceanol. Limnol.</source> <volume>40</volume>, <fpage>1556</fpage>&#x2013;<lpage>1565</lpage>. <pub-id pub-id-type="doi">10.1007/s00343-021-1082-1</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Magaisa</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Taylor</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kjetland</surname>
<given-names>E. F.</given-names>
</name>
<name>
<surname>Naidoo</surname>
<given-names>P. J.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>A review of the control of schistosomiasis in South Africa</article-title>. <source>South Afr. J. Sci.</source> <volume>111</volume> (<issue>11-12</issue>), <fpage>1</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.17159/sajs.2015/20140427</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mahmoud</surname>
<given-names>M. M.</given-names>
</name>
<name>
<surname>Younes</surname>
<given-names>A. A.</given-names>
</name>
<name>
<surname>El-Sherif</surname>
<given-names>H. A.</given-names>
</name>
<name>
<surname>Gawish</surname>
<given-names>F. A.</given-names>
</name>
<name>
<surname>Habib</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Kamel</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Predicting the habitat suitability of Schistosoma intermediate host Bulinus truncatus, its predatory aquatic insect Odonata nymph, and the associated aquatic plant Ceratophyllum demersum using MaxEnt</article-title>. <source>Parasitol. Res.</source> <volume>121</volume> (<issue>1</issue>), <fpage>205</fpage>&#x2013;<lpage>216</lpage>. <pub-id pub-id-type="doi">10.1007/s00436-021-07392-5</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Manyangadze</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Gebreslasie</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Ceccato</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Mukaratirwa</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Modelling the spatial and seasonal distribution of suitable habitats of schistosomiasis intermediate host snails using Maxent in Ndumo area, KwaZulu-Natal Province, South Africa</article-title>. <source>Parasites vectors</source> <volume>9</volume> (<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1186/s13071-016-1834-5</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Manyangadze</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Rubaba</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Soko</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Mukaratirwa</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Spatial and seasonal distribution of Bulinus globosus and Biomphalaria pfeifferi in Ingwavuma, uMkhanyakude district, KwaZulu-Natal, South Africa: implications for schistosomiasis transmission at micro-geographical scale</article-title>. <source>Parasites vectors</source> <volume>14</volume> (<issue>1</issue>), <fpage>222</fpage>&#x2013;<lpage>229</lpage>. <pub-id pub-id-type="doi">10.1186/s13071-021-04720-7</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McCreesh</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Arinaitwe</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Arineitwe</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Tukahebwa</surname>
<given-names>E. M.</given-names>
</name>
<name>
<surname>Booth</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Effect of water temperature and population density on the population dynamics of Schistosoma mansoni intermediate host snails</article-title>. <source>Parasites Vectors</source> <volume>7</volume>, <fpage>503</fpage>&#x2013;<lpage>509</lpage>. <pub-id pub-id-type="doi">10.1186/s13071-014-0503-9</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McCreesh</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Booth</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Challenges in predicting the effects of climate change on Schistosoma mansoni and Schistosoma haematobium transmission potential</article-title>. <source>Trends Parasitol.</source> <volume>29</volume> (<issue>11</issue>), <fpage>548</fpage>&#x2013;<lpage>555</lpage>. <pub-id pub-id-type="doi">10.1016/j.pt.2013.08.007</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McCreesh</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Nikulin</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Booth</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Predicting the effects of climate change on Schistosoma mansoni transmission in eastern Africa</article-title>. <source>Parasites vectors</source> <volume>8</volume>, <fpage>4</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1186/s13071-014-0617-0</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moodley</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Kleinschmidt</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Sharp</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Craig</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Appleton</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Temperature-suitability maps for schistosomiasis in South Africa</article-title>. <source>Ann. Trop. Med. Parasitol.</source> <volume>97</volume> (<issue>6</issue>), <fpage>617</fpage>&#x2013;<lpage>627</lpage>. <pub-id pub-id-type="doi">10.1179/000349803225001445</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nandy</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Aditya</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Temperature dependent variations of life history traits of the land snail Allopeas gracile (Hutton, 1834)(Gastropoda: subulinidae)</article-title>. <source>J. Therm. Biol.</source> <volume>108</volume>, <fpage>103297</fpage>. <pub-id pub-id-type="doi">10.1016/j.jtherbio.2022.103297</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Ndlovu</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2013</year>). <source>Analysis of the geographical patterns of malaria transmission in KwaZulu-Natal, South Africa using Bayesian spatio-temporal modelling</source>.</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nemungadi</surname>
<given-names>T. G.</given-names>
</name>
<name>
<surname>Furumele</surname>
<given-names>T. E.</given-names>
</name>
<name>
<surname>Gugerty</surname>
<given-names>M. K.</given-names>
</name>
<name>
<surname>Djirmay</surname>
<given-names>A. G.</given-names>
</name>
<name>
<surname>Naidoo</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Kjetland</surname>
<given-names>E. F.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Establishing and integrating a female genital schistosomiasis control Programme into the existing health care system</article-title>. <source>Trop. Med. Infect. Dis.</source> <volume>7</volume> (<issue>11</issue>), <fpage>382</fpage>. <pub-id pub-id-type="doi">10.3390/tropicalmed7110382</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nwoko</surname>
<given-names>O. E.</given-names>
</name>
<name>
<surname>Kalinda</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M. J.</given-names>
</name>
</person-group> (<year>2022a</year>). <article-title>Systematic review and meta-analysis on the infection rates of schistosome transmitting snails in Southern Africa</article-title>. <source>Trop. Med. Infect. Dis.</source> <volume>7</volume> (<issue>5</issue>), <fpage>72</fpage>. <pub-id pub-id-type="doi">10.3390/tropicalmed7050072</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Nwoko</surname>
<given-names>O. E.</given-names>
</name>
<name>
<surname>Manyangadze</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M. J.</given-names>
</name>
</person-group> (<year>2022b</year>). <source>Spatial distribution, abundance, and infection rates of human schistosome-transmitting snails and related physicochemical parameters in KwaZulu-Natal (KZN) province</source>. <publisher-loc>South Africa</publisher-loc>: <publisher-name>Heliyon</publisher-name>.<fpage>e12463</fpage>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nwoko</surname>
<given-names>O. E.</given-names>
</name>
<name>
<surname>Manyangadze</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M. J.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Spatial and seasonal distribution of human schistosomiasis intermediate host snails and their interactions with other freshwater snails in 7 districts of KwaZulu-Natal province, South Africa</article-title>. <source>Sci. Rep.</source> <volume>13</volume> (<issue>1</issue>), <fpage>7845</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-023-34122-x</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ofulla</surname>
<given-names>A. V.</given-names>
</name>
<name>
<surname>Adoka</surname>
<given-names>S. O.</given-names>
</name>
<name>
<surname>Anyona</surname>
<given-names>D. N.</given-names>
</name>
<name>
<surname>Abuom</surname>
<given-names>P. O.</given-names>
</name>
<name>
<surname>Karanja</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Vulule</surname>
<given-names>J. M.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>Spatial distribution and habitat characterization of schistosomiasis host snails in lake and land habitats of western K enya</article-title>. <source>Lakes Reservoirs Res. Manag.</source> <volume>18</volume> (<issue>2</issue>), <fpage>197</fpage>&#x2013;<lpage>215</lpage>. <pub-id pub-id-type="doi">10.1111/lre.12032</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ogongo</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Nyakundi</surname>
<given-names>R. K.</given-names>
</name>
<name>
<surname>Chege</surname>
<given-names>G. K.</given-names>
</name>
<name>
<surname>Ochola</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>The road to elimination: current state of schistosomiasis research and progress towards the end game</article-title>. <source>Front. Immunol.</source> <volume>13</volume>, <fpage>1618</fpage>. <pub-id pub-id-type="doi">10.3389/fimmu.2022.846108</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Opisa</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Odiere</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Jura</surname>
<given-names>W. G.</given-names>
</name>
<name>
<surname>Karanja</surname>
<given-names>D. M.</given-names>
</name>
<name>
<surname>Mwinzi</surname>
<given-names>P. N.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Malacological survey and geographical distribution of vector snails for schistosomiasis within informal settlements of Kisumu City, western Kenya</article-title>. <source>Parasites vectors</source> <volume>4</volume> (<issue>1</issue>), <fpage>226</fpage>&#x2013;<lpage>229</lpage>. <pub-id pub-id-type="doi">10.1186/1756-3305-4-226</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Oso</surname>
<given-names>O. G.</given-names>
</name>
<name>
<surname>Odaibo</surname>
<given-names>A. B.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Land use/land cover change, physico-chemical parameters and freshwater snails in Yewa North, Southwestern Nigeria</article-title>. <source>Plos one</source> <volume>16</volume> (<issue>2</issue>), <fpage>e0246566</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0246566</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pedersen</surname>
<given-names>U. B.</given-names>
</name>
<name>
<surname>Midzi</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Mduluza</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Soko</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Stensgaard</surname>
<given-names>A. S.</given-names>
</name>
<name>
<surname>Vennervald</surname>
<given-names>B. J.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Modelling spatial distribution of snails transmitting parasitic worms with importance to human and animal health and analysis of distributional changes in relation to climate</article-title>. <source>Geospatial Health</source> <volume>8</volume> (<issue>2</issue>), <fpage>335</fpage>&#x2013;<lpage>343</lpage>. <pub-id pub-id-type="doi">10.4081/gh.2014.23</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Phillips</surname>
<given-names>S. J.</given-names>
</name>
</person-group>, <article-title>Transferability, sample selection bias and background data in presence-only modelling: a response to Peterson et al</article-title>.(<year>2007</year>). <source>Ecography</source>. <volume>31</volume>(<issue>2</issue>): p. <fpage>272</fpage>&#x2013;<lpage>278</lpage>. <pub-id pub-id-type="doi">10.1111/j.0906-7590.2008.5378.x</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Phillips</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Anderson</surname>
<given-names>R. P.</given-names>
</name>
<name>
<surname>Schapire</surname>
<given-names>R. E.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Maximum entropy modeling of species geographic distributions</article-title>. <source>Ecol. Model.</source> <volume>190</volume> (<issue>3-4</issue>), <fpage>231</fpage>&#x2013;<lpage>259</lpage>. <pub-id pub-id-type="doi">10.1016/j.ecolmodel.2005.03.026</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Phillips</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Dud&#xed;k</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>Modeling of species distributions with Maxent: new extensions and a comprehensive evaluation</article-title>. <source>Ecography</source> <volume>31</volume> (<issue>2</issue>), <fpage>161</fpage>&#x2013;<lpage>175</lpage>. <pub-id pub-id-type="doi">10.1111/j.0906-7590.2008.5203.x</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Platts</surname>
<given-names>P. J.</given-names>
</name>
<name>
<surname>Omeny</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Marchant</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>AFRICLIM: high-resolution climate projections for ecological applications in Africa</article-title>. <source>Afr. J. Ecol.</source> <volume>53</volume>, <fpage>103</fpage>&#x2013;<lpage>108</lpage>. <pub-id pub-id-type="doi">10.1111/aje.12180</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>P&#xf6;rtner</surname>
<given-names>H.-O.</given-names>
</name>
<name>
<surname>Roberts</surname>
<given-names>D. C.</given-names>
</name>
<name>
<surname>Adams</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Adler</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Aldunce</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Ali</surname>
<given-names>E.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <source>Climate change 2022: impacts, adaptation and vulnerability</source>. <publisher-loc>USA</publisher-loc>: <publisher-name>IPCC Sixth Assessment Report</publisher-name>.</citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rabone</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Wiethase</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Allan</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Gouvras</surname>
<given-names>A. N.</given-names>
</name>
<name>
<surname>Pennance</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Hamidou</surname>
<given-names>A. A.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Freshwater snails of biomedical importance in the Niger River Valley: evidence of temporal and spatial patterns in abundance, distribution and infection with Schistosoma spp</article-title>. <source>Parasites vectors</source> <volume>12</volume>, <fpage>1</fpage>&#x2013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1186/s13071-019-3745-8</pub-id>
</citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rubaba</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Chimbari</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mukaratirwa</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>The role of snail aestivation in transmission of schistosomiasis in changing climatic conditions</article-title>. <source>Afr. J. Aquatic Sci.</source> <volume>41</volume> (<issue>2</issue>), <fpage>143</fpage>&#x2013;<lpage>150</lpage>. <pub-id pub-id-type="doi">10.2989/16085914.2016.1145103</pub-id>
</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sokolow</surname>
<given-names>S. H.</given-names>
</name>
<name>
<surname>Wood</surname>
<given-names>C. L.</given-names>
</name>
<name>
<surname>Jones</surname>
<given-names>I. J.</given-names>
</name>
<name>
<surname>Swartz</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Lopez</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hsieh</surname>
<given-names>M. H.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Global assessment of schistosomiasis control over the past century shows targeting the snail intermediate host works best</article-title>. <source>PLoS neglected Trop. Dis.</source> <volume>10</volume> (<issue>7</issue>), <fpage>e0004794</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pntd.0004794</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stensgaard</surname>
<given-names>A.-S.</given-names>
</name>
<name>
<surname>Booth</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Nikulin</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>McCreesh</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Combining process-based and correlative models improves predictions of climate change effects on Schistosoma mansoni transmission in eastern Africa</article-title>. <source>Geospatial Health</source> <volume>11</volume>, <fpage>94</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.4081/gh.2016.406</pub-id>
</citation>
</ref>
<ref id="B53">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stensgaard</surname>
<given-names>A.-S.</given-names>
</name>
<name>
<surname>Utzinger</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Vounatsou</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>H&#xfc;rlimann</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Schur</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Saarnak</surname>
<given-names>C. F.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>Large-scale determinants of intestinal schistosomiasis and intermediate host snail distribution across Africa: does climate matter?</article-title> <source>Acta trop.</source> <volume>128</volume> (<issue>2</issue>), <fpage>378</fpage>&#x2013;<lpage>390</lpage>. <pub-id pub-id-type="doi">10.1016/j.actatropica.2011.11.010</pub-id>
</citation>
</ref>
<ref id="B54">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stensgaard</surname>
<given-names>A.-S.</given-names>
</name>
<name>
<surname>Vounatsou</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Sengupta</surname>
<given-names>M. E.</given-names>
</name>
<name>
<surname>Utzinger</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Schistosomes, snails and climate change: current trends and future expectations</article-title>. <source>Acta trop.</source> <volume>190</volume>, <fpage>257</fpage>&#x2013;<lpage>268</lpage>. <pub-id pub-id-type="doi">10.1016/j.actatropica.2018.09.013</pub-id>
</citation>
</ref>
<ref id="B55">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Walz</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wegmann</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Dech</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Vounatsou</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Poda</surname>
<given-names>J. N.</given-names>
</name>
<name>
<surname>N&#x27;Goran</surname>
<given-names>E. K.</given-names>
</name>
<etal/>
</person-group> (<year>2015</year>). <article-title>Modeling and validation of environmental suitability for schistosomiasis transmission using remote sensing</article-title>. <source>PLoS neglected Trop. Dis.</source> <volume>9</volume> (<issue>11</issue>), <fpage>e0004217</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pntd.0004217</pub-id>
</citation>
</ref>
<ref id="B56">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname>
<given-names>H.-S.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>Y.-L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.-G.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Maxent modeling for predicting the potential distribution of Sanghuang, an important group of medicinal fungi in China</article-title>. <source>Fungal Ecol.</source> <volume>17</volume>, <fpage>140</fpage>&#x2013;<lpage>145</lpage>. <pub-id pub-id-type="doi">10.1016/j.funeco.2015.06.001</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>