This is speculative, but for the specific question of why malaria cases haven’t declined since 2015 I find it hard to believe climate change is a leading factor given the other evidence you present. Here are some reasons:
Climate change could expand the geographic range of malaria transmission, which could compensate for declines within traditional malaria hotspots, but you show that most countries show the same pattern of decline then stagnation. So this doesn’t seem to be an important effect (though maybe it explains the increase in Madagascar?) (I guess it could also work at the country-level?)
Climate change might cause more extreme events which lead to more malaria transmissions. E.g., the WHO report you linked to shows that reported malaria cases spiked after the 2023 floods in Pakistan. Again, this has trouble explaining why the same pattern is seen in most places, and we’d also expect “spikier” records, rather than the generally smooth curves in most of your plots.
Warming was relatively flat between about 2015 and 2022, before spiking over the last two years. See for example some of the plots in this Carbon Brief piece. The past 10 years have been very warm, but there hasn’t been a strong warming trend which would counteract what would otherwise be a downward trend in malaria cases.
The only counterargument I can think of is if warming is causing a longer malaria season and people are slow to adjust. This should be detectable in the data, assuming we have seasonal malaria case numbers. On the other hand, this argument still suffers from the uniformity of the pattern, as seasonal temperature and humidity cycles are very region specific and they are unlikely to all lengthen at the same time.
This is a great post, I learned a lot, thank you!
This is speculative, but for the specific question of why malaria cases haven’t declined since 2015 I find it hard to believe climate change is a leading factor given the other evidence you present. Here are some reasons:
Climate change could expand the geographic range of malaria transmission, which could compensate for declines within traditional malaria hotspots, but you show that most countries show the same pattern of decline then stagnation. So this doesn’t seem to be an important effect (though maybe it explains the increase in Madagascar?) (I guess it could also work at the country-level?)
Climate change might cause more extreme events which lead to more malaria transmissions. E.g., the WHO report you linked to shows that reported malaria cases spiked after the 2023 floods in Pakistan. Again, this has trouble explaining why the same pattern is seen in most places, and we’d also expect “spikier” records, rather than the generally smooth curves in most of your plots.
Warming was relatively flat between about 2015 and 2022, before spiking over the last two years. See for example some of the plots in this Carbon Brief piece. The past 10 years have been very warm, but there hasn’t been a strong warming trend which would counteract what would otherwise be a downward trend in malaria cases.
The only counterargument I can think of is if warming is causing a longer malaria season and people are slow to adjust. This should be detectable in the data, assuming we have seasonal malaria case numbers. On the other hand, this argument still suffers from the uniformity of the pattern, as seasonal temperature and humidity cycles are very region specific and they are unlikely to all lengthen at the same time.