dgkh000686 10.3205/dgkh000686 urn:nbn:de:0183-dgkh0006867 Comment Anthropogene Treiber aktueller Ebola- und hantavirus-Ausbrüche: Eine One-Health-Perspektive Raptopoulos Raptopoulos Zacharias Z BS, MBBS

Family Medicine Department, Limassol General Hospital, State Health Organization Services, Limassol, CyprusFamily Medicine Department, Limassol General Hospital, State Health Organization Services, Limassol, Cyprus

zac51055@gmail.com author Aristodimou Aristodimou Aristos A

Internal Medicine Department, Limassol General Hospital, State Health Organization Services, Limassol, Cyprus

author German Medical Science GMS Publishing House

Düsseldorf

610 ebola virus hantavirus infections ecosystem global health human activities one-health-approach Ebola Virus Hantavirus Infektionen Ökosystem globale Gesundheit menschliche Aktivitäten One-Health-Ansatz 20261029 engl This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). 2196-5226 21 GMS Hygiene and Infection Control GMS Hyg Infect Control 77 Die jüngsten Ausbrüche der Ebola-Virus-Krankheit (EVD) und von Hantavirus-Infektionen haben die Aufmerksamkeit erneut auf die Rolle anthropogener Umweltveränderungen bei der Entstehung zoonotischer Erkrankungen gelenkt. Menschliche Aktivitäten wie Entwaldung, landwirtschaftliche Expansion, Landnutzungsänderungen und die Degradation von Ökosystemen stören zunehmend die Wechselwirkungen zwischen Wildtierreservoiren, Haustieren und dem Menschen und schaffen dadurch günstige Bedingungen für das Überspringen von Krankheitserregern auf den Menschen (Spillover). In diesem Kommentar untersuchen wir die Evidenz für den Zusammenhang zwischen diesen Umweltfaktoren und der Entstehung sowie Übertragung des Ebola-Virus und von Hantaviren, wobei der Schwerpunkt auf den Auswirkungen von Habitatveränderungen auf die Ökologie von Wildtieren, die virale Evolution und die Wirt-Pathogen-Interaktionen liegt. Darüber hinaus erörtern wir prädiktive Modelle, die darauf hindeuten, dass sich das geografische Risiko der Ebola-Virus-Krankheit unter den gegenwärtigen Umwelt- und sozioökonomischen Entwicklungen weiter ausweiten wird. Diese Erkenntnisse verdeutlichen die dringende Notwendigkeit, über reaktive Maßnahmen zur Ausbruchskontrolle hinauszugehen und stattdessen die umweltbedingten Determinanten der Krankheitsentstehung gezielt anzugehen. Wir vertreten die Auffassung, dass der One-Health-Ansatz, der die Gesundheit von Mensch, Tier und Umwelt durch koordinierte sektorübergreifende Maßnahmen integriert, die geeignetste Strategie darstellt, um das Risiko zukünftiger zoonotischer Ausbrüche zu verringern und die globale Sicherheit der Gesundheit zu stärken. Recent outbreaks of Ebola Virus Disease (EVD) and hantavirus infection have redrawn attention to the role of anthropogenic environmental change in the emergence of zoonotic diseases. Human activities, including deforestation, agricultural expansion, land-use modification and ecosystem degradation, have increasingly disrupted the interactions between wildlife reservoirs, domestic animals and humans, creating favourable conditions for pathogen spillover. In this commentary, we examine evidence linking these environmental drivers to the emergence and transmission of Ebola virus and hantaviruses, with particular emphasis on the effects of habitat alteration on wildlife ecology, viral evolution and host-pathogen interactions. We further discuss predictive models suggesting that, under current environmental and socioeconomic trajectories, the geographical risk of EVD will continue to expand. These observations underscore the urgent need to move beyond reactive outbreak response towards prevention by addressing the environmental determinants of disease emergence. We argue that the One Health framework, integrating human, animal and environmental health through coordinated multisectoral action, provides the most appropriate strategy for reducing the risk of future zoonotic outbreaks and strengthening global health security. Graphical abstract IntroductionRecent outbreaks of Ebola virus and hantavirus infections, occurring against the backdrop of accelerating anthropogenic environmental change, have renewed interest in the role of human activities in the emergence and persistence of zoonotic diseases , , . Human-driven environmental changes, including climate change, land-use modification, deforestation, urbanization, and ecosystem degradation, have altered the interactions among humans, animals, and the environment, influencing the ecology and geographic distribution of infectious diseases , , , , , . While outbreak-specific evidence for the most recent Ebola epidemic remains limited, studies of previous outbreaks caused by Zaire Ebola virus have consistently identified recurring anthropogenic and environmental factors—including population expansion, forest encroachment, climate variability, and deficiencies in water and sanitation infrastructure—that may facilitate zoonotic spillover and subsequent disease transmission . Likewise, anthropogenic land-use change and agricultural expansion have been associated with an increased risk of human hantavirus infection through their effects on reservoir host ecology and opportunities for human exposure .Collectively, these observations support the application of the One Health framework, which recognizes the interconnectedness of human, animal, and environmental health. Endorsed by international organizations such as the World Health Organization (WHO), the One Health approach provides a valuable framework for understanding the emergence and spread of zoonotic pathogens, including Ebola virus and hantaviruses . In this commentary, we examine the potential contribution of anthropogenic environmental change to the recent Ebola virus and hantavirus outbreaks through the lens of One Health, drawing upon evidence from previous outbreaks and established ecological principles to discuss mechanisms that may underlie contemporary zoonotic emergence. Anthropogenic drivers of Ebola and hantavirus outbreaksEbola virus disease (EVD) is caused by one of four pathogenic Ebolavirus species—Zaire, Sudan, Taï Forest and Bundibugyo—all associated with high case-fatality rates . Although definitive reservoir identification remains elusive, Old World fruit bats are considered the most likely natural reservoirs or amplifying hosts . Human infections typically result from zoonotic spillover following encroachment into forested habitats or contact with infected bushmeat . Banik and Basu further argue that intensive farming facilitates viral mutation and reassortment, producing highly infective strains capable of efficient human-to-human transmission . Moreover, approximately 31% of emerging zoonotic diseases, including Ebola virus disease, Nipah virus infection and severe acute respiratory syndrome (SARS), have been associated with land-use change driven by a 300% increase in agricultural expansion over the past 50 years . Additional statistical modelling demonstrated that the probability of Ebola virus spillover in West and Central Africa increases significantly with deforestation, with every 5–10% reduction in forest cover approximately doubling the risk of outbreak occurrence , .Hantavirus infection represents another important example of an environmentally driven zoonosis. The virus is maintained in asymptomatic rodent reservoirs and is transmitted to humans primarily through inhalation of aerosolized viral particles from contaminated rodent excreta . Several studies have shown that deforestation and land-use intensification alter reservoir ecology and increase the prevalence of hantavirus infection . Prist et al. describe the “dilution effect”, whereby reductions in non-reservoir species increase the relative abundance of competent reservoir hosts, thereby facilitating viral transmission . Ecosystem-altering human activities not only increase opportunities for viral replication and transmission but may also influence hantavirus evolution. Holmes and Zhang argued that repeated host-switching events, rather than strict virus–host co-divergence, have been a major force shaping hantavirus evolution . Habitat disturbance may further facilitate these evolutionary processes by increasing contact among reservoir species and creating greater opportunities for cross-species transmission .Collectively, these examples demonstrate that anthropogenic environmental change not only increases opportunities for zoonotic spillover but also reshapes host–pathogen interactions, highlighting the need for integrated One Health strategies that address environmental degradation alongside infectious disease surveillance and preparedness. The One Health framework for preventing zoonotic disease emergenceBoth, EVD and hantavirus infection, have a major impact on human health and society. In addition to their high morbidity and mortality, these zoonoses impose a substantial economic burden on healthcare systems and public health infrastructure , . Redding et al. estimated that, under current trajectories of environmental and socioeconomic change, the incidence of EVD will continue to increase . More specifically, the authors predicted that by 2070 the maximum geographical area affected by EVD could expand from 3.45 million km² to 3.80 million km² . These projections emphasize that, unless the underlying anthropogenic drivers of disease emergence are addressed, the burden of zoonotic diseases is likely to escalate in the coming decades.The era in which emerging infectious diseases could be managed solely through clinical and public health interventions has long passed. The One Health framework, endorsed by the Centers for Disease Control and Prevention (CDC), recognizes the intrinsic interdependence of human, animal and environmental health and advocates an integrated, collaborative, multisectoral and transdisciplinary approach at the local, regional, national and global levels to prevent future zoonotic outbreaks , . Importantly, responsibility for preventing emerging zoonoses should not rest exclusively with Ministries of Health but should be shared across the environmental, forestry and agricultural sectors . Given the strong association between land-use change and zoonotic disease emergence, environmental policies should be regarded as an integral component of infectious disease prevention , . Incorporating zoonotic disease risk into environmental impact assessments before large-scale deforestation, agricultural expansion or other ecosystem-altering activities could facilitate the identification of high-risk practices and inform mitigation strategies . Likewise, strengthening surveillance programmes targeting wildlife reservoirs, particularly bats and rodents, together with advances in genomic surveillance, would improve the early detection of pathogens with zoonotic potential before widespread human transmission occurs . Such proactive measures would shift the focus from responding to outbreaks toward preventing them by addressing their underlying anthropogenic drivers. As the recent Ebola and hantavirus outbreaks clearly demonstrate, the prevention of future pandemics depends not only on advances in medicine but also on the protection and sustainable management of the ecosystems upon which human health ultimately depends. ConclusionThe recent Ebola Virus Disease and hantavirus outbreaks provide compelling evidence that anthropogenic environmental change is no longer a peripheral contributor to zoonotic disease emergence but one of its principal drivers. Deforestation, agricultural expansion and unsustainable land-use practices continue to reshape ecosystems, increase contact between humans and wildlife reservoirs, and facilitate pathogen spillover with potentially devastating public health consequences. As climate change and environmental degradation intensify, similar outbreaks are likely to become more frequent unless these upstream drivers are addressed. Future preparedness must therefore extend beyond improvements in diagnostics, therapeutics and outbreak surveillance to include policies that protect ecosystems, promote sustainable land management and integrate zoonotic disease risk into environmental decision-making. The One Health approach offers a scientifically grounded framework through which governments, public health authorities, environmental agencies and agricultural sectors can work collaboratively to mitigate the root causes of emerging infectious diseases. Ultimately, preventing the next pandemic will depend not only on advances in medicine but also on our ability to recognize that safeguarding environmental integrity is inseparable from protecting human health. The question is no longer whether anthropogenic environmental change influences the emergence of zoonotic diseases, but whether global health policy will evolve rapidly enough to address these environmental drivers before the next pandemic emerges. NotesAuthors’ ORCIDs Raptopoulos Z: https://orcid.org/0009-0008-4798-9203Aristodimou A: https://orcid.org/0009-0003-6567-1999FundingNone. Competing interestsThe authors declare that they have no competing interests.AI usage No artificial intelligence (AI) tools or AI-assisted technologies were used in the preparation, writing, editing, analysis, or revision of this manuscript. AI was used exclusively for the creation of the graphical abstract. World Meteorological Organization 2026 Record-breaking heat spreads through Europe World Meteorological Organization. Record-breaking heat spreads through Europe. Geneva: World Meteorological Organization; 2026 Jun 29 [cited 2026 Jul 1]. 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