Climate Change and Infectious Diseases: Heightened Concerns Regarding H. pylori.

This article was exclusively written for The European Sting by Ms. Sadia Khalid, early-stage researcher (ESRs), medical writer and research engineer at Tallinn University of Technology (TalTech), Estonia. She is affiliated with the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.

Climate change profoundly affects human health, extending its impact to conditions like chronic gastritis and H. pylori infections.While the exact consequences may differ based on location and individual factors, it highlights the urgent need to recognize climate change as a global public health crisis. Proactive measures are essential to mitigate its potential effects on human well-being. Although the intricate relationship between climate change and H. pylori infections presents challenges in making precise predictions, various factors indicate a possible increase in H. pylori infections due to climate change. This underscores the significance of addressing climate change’s multifaceted health implications. 

1. Shifting Disease Vectors: Climate change exerts a profound influence on the distribution and incidence of infectious diseases by impacting the habitats and behaviours of disease vectors, including water sources, animals, and insects. Alterations in temperature, humidity, and weather patterns can significantly affect the survival, persistence, and spread of H. pylori in the environment. For instance, elevated temperatures and heightened rainfall or flooding resulting from climate change can create more favourable environments for the proliferation of H. pylori in water sources and food. These environmental shifts have the potential to elevate the prevalence of H. pylori in such vectors, consequently raising the risk of infection. Effective surveillance systems that monitor the prevalence of H. pylori infections and associated diseases in regions susceptible to climate change can yield valuable data. This data, in turn, can inform strategic public health planning and intervention efforts.

2. Food Safety Concerns: Climate change-related events such as extreme weather events, flooding, and temperature fluctuations can lead to contaminated water and food supplies which can affect food safety and sanitation. Extreme weather events and altered agricultural conditions may disrupt food supply chains and food storage. Contaminated food and water sources are potential vectors for H. pylori transmission, posing an increased risk to individuals with chronic gastritis who may be more susceptible to infections. Inadequate sanitation and food safety measures can contribute to the transmission of H. pylori, particularly in areas where these infections are prevalent. Implementing stringent water and food safety measures, ensuring proper sanitation practices, especially in areas susceptible to climate change-induced contamination, can help reduce the transmission of H. pylori and related infections.

3. Impact on Vulnerable Populations: Climate change disproportionately affects vulnerable populations, including those in low-income areas with limited access to clean water and sanitation facilities. These communities are more susceptible to both H. pylori infections and waterborne diseases like cholera. Raising awareness about hygiene, safe food preparation, and the risks of H. pylori infections, waterborne diseases, and climate change in such communities can help mitigate infection rates.

4. Weakened Immune Responses: Climate change can lead to the spread of infectious diseases and increased exposure to pathogens. It may put additional stress on the immune systems of individuals, including young children. For individuals with chronic gastritis, this continuous stress on the immune system could potentially weaken their ability to combat H. pylori infections, making them more susceptible to chronic or recurrent infections and may result in prolonged battles with the other infections as well.

5. Shifts in Microbiome: Climate changes can influence the composition of the gut microbiome, which plays a role in maintaining digestive health. Alterations in the gut microbiome may affect the balance of bacteria in the stomach, potentially exacerbating gastritis symptoms and impacting the body’s ability to manage H. pylori.

 6. Antibiotic Resistance: Climate change can influence the development and spread of antibiotic resistance in bacteria, including H. pylori. This can complicate the treatment of H. pylori infections, making them more challenging to manage.

7. Access to Healthcare: Climate change-induced disasters can disrupt healthcare systems and access to medical services, potentially delaying diagnosis, and treatment for H. pylori infections. This delay could lead to more severe and persistent infections. People with chronic gastritis and H. pylori infections may face challenges in obtaining timely medical care and treatment during such events. Maintaining access to healthcare services and early diagnosis and treatment of H. pylori infections is crucial in preventing complications.

In conclusion, the intricate interplay between climate change, H. pylori infections, and their potential impact on public health underscores the necessity for a comprehensive approach. Climate adaptation strategies must prioritize potential health consequences, particularly the shifting patterns of infectious diseases. These proactive measures can serve as a bulwark against the adverse effects of climate change on disease dynamics.

Individuals grappling with chronic gastritis must maintain an unwavering vigilance over food safety, hygiene practices, and their overall well-being. This diligence becomes even more critical in regions where climate change may elevate the susceptibility to H. pylori infections. Healthcare providers, too, bear a vital responsibility in staying well-informed about the conceivable repercussions of climate change on gastrointestinal health. By adapting their care strategies to evolving circumstances, they can better serve their patients.

It is crucial to recognize that the specific burden of climate change on stomach ailments, such as chronic gastritis and H. pylori infections, can exhibit variations contingent on geographical locations and individual situations. Nevertheless, this complexity underscores the imperative nature of addressing climate change as a global public health priority. By taking pre-emptive actions and embracing a holistic perspective that encompasses environmental factors, socioeconomic conditions, and healthcare infrastructure, we can effectively confront the evolving landscape of these diseases within the context of a changing climate.

About the author

Sadia Khalid, early-stage researcher (ESRs), medical writer and research engineer at Tallinn University of Technology (TalTech), Estonia. She has been working on her PhD research project  “The role of Helicobacter pylori intestinal microbiota in the development of liver diseases. under supervision of Dr. Pirjo Spuul at Faculty of Science, Institute of Chemistry and Biotechnology.,TalTech. Her current research interests include Molecular Medicine, cell biology, infectious diseases, bacteriology, hepatology, and gastroenterology. I believe in the mission of public health, safety, and awareness.