Host-pathogen interactions under pressure: a review and meta-analysis of
stress-mediated effects on disease dynamics
Abstract
Human activities have increased the intensity and frequency of natural
stressors and created novel stressors, altering host-pathogen
interactions, and changing the risk of emerging infectious diseases.
Despite the ubiquity of such anthropogenic impacts, predicting the
directionality of outcomes has proven challenging. Here, we conduct a
review and meta-analysis to determine the primary mechanisms through
which stressors affect host-pathogen interactions and to evaluate the
impacts stress has on host fitness (survival and fecundity) and pathogen
infectivity (prevalence and intensity). We assessed 891 effect sizes
from 71 host species (representing seven taxonomic groups) and 78
parasite taxa from 98 studies. We found that infected and uninfected
hosts had similar sensitivity to stressors and that responses varied
according to stressor type. Specifically, limited resources compromised
host fecundity and decreased pathogen intensity, while abiotic
environmental stressors (e.g., temperature and salinity) decreased host
survivorship and increased pathogen intensity, and pollution increased
mortality but decreased pathogen prevalence. We then used our
meta-analysis results to develop Susceptible-Infected theoretical models
to illustrate scenarios where infection rates are expected to increase
or decrease in response to resource limitation or environmental stress
gradients. Our results carry implications for conservation and disease
emergence and reveal areas for future work.