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Artificial Lighting as a Vector Attractant and Cause of Disease Diffusion
Background: Traditionally, epidemiologists have considered electrification to be a positive factor. In fact, electrification as well as plumbing are typical initiatives that represent the integration of an isolated population into modern society, ensuring the control of pathogens and promoting public health. Nonetheless, electrification is always accompanied by night lighting, which attracts insect vectors and changes people’s behavior. Although this may lead to new modes of infection and increased transmission of insect-borne diseases, the role of night lighting is rarely considered in epidemiological surveys.
Objectives: This paper reviews evidence concerning the role of lighting in the spread of diseases as documented in epidemiological literature, in order to encourage other researchers to consider this element in future studies.
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Conclusion: Despite a surprising lack of studies, we conclude that existing evidence supports our hypothesis that artificial lighting leads to a higher risk of infection with vector-borne diseases. We believe that this is not only related to the simple attraction of traditional vectors to light sources, but also to changes in the behavior of both humans and insects that result in new modes of disease transmission. Considering the ongoing expansion of night lighting in developing countries, additional research on this subject is urgently needed.