Ecological Niche Modeling of Cryptococcus gattii in British Columbia, Canada Sunny Mak, MSc August 2007, Department of Geography, The University of British Columbia Introduction: Cryptococcus gattii unexpectedly emerged on Vancouver Island, British Columbia (BC), Canada in 1999 causing human and animal illness1. To date over 170 human cases and 330 animal cases have been reported to public health in BC. This represents the highest rate of C. gattii infection2 and the only documented multi-species outbreak of cryptococcal disease in the world11. Infection can occur simply through environmental exposure, inhalation and successful colonization of the microscopic-sized fungal spores (approximately 1-2 µm in size), which may lead to a potentially fatal infection of the lungs and/or central nervous system. However, it is believed that the majority of people who are exposed to C. gattii do not experience any adverse health effects as their immune systems are able to ward off infection. Environmental sampling for C. gattii in BC has isolated it from native vegetation, soil, air and water on the south and central eastern coast of Vancouver Island, and more recently on the Gulf Islands, Vancouver Lower Mainland and Whatcom County of Washington State1,2. Before its discovery in this temperate rainforest region of northwestern North America, C. gattii had been typically associated with the red gum group of eucalyptus tree species in tropical and sub-tropical regions of the world such as 1 Australia, Africa, India, Italy, Papua New Guinea, South America and southern California3. Natural dispersal of C. gattii by wind and insect vectors3, and anthropogenic transport of C. gattii via wood material (commercial trade of eucalypts in particular), vehicle and foot travel have been documented2,4. The epidemiology, genetic characterization, geographical distribution and environmental sampling for C. gattii in BC have been well described elsewhere1,2,4,5. The purpose of this study was to help public health officials delineate the geographical areas where C. gattii is currently established and forecast areas that could support C. gattii in the future as the organism continues to spread on Vancouver Island and the BC mainland. Residents of and visitors to these areas could also be specifically informed about the public health risk of cryptococcal disease. Since it is not feasible to sample every location in the province for the presence or absence of C. gattii, ecological niche modeling (ENM) was used to predict the spatial distribution of C. gattii by relating the environmental characteristics of field observations to the predictor variables. Geographic Information Systems (GIS) and the Genetic Algorithm for Rule-set Prediction (GARP) were used to model the ecological niche of C. gattii in BC. The utility of ecological niche modeling based on human and animal C. gattii disease surveillance data was also examined. Methods and Data: ENM was used in this study to forecast the ecological niche (the geographical space where physical and biological conditions under which the species can maintain its population without immigration) of C. gattii to identify the “landscape” of human and 2 animal cryptococcocal disease in BC. Landscape epidemiology, which provides the basis for using ENM to identify geographic areas of risk to C. gattii exposure, is an emerging and evolving field of research which explores the relationship between the ecology and epidemiology of infectious diseases to identify geographical areas where disease transmission occurs6. The theory behind landscape epidemiology is that by knowing the environmental conditions (e.g. climate, geology, vegetation) necessary for the maintenance of specific pathogens in nature, one can use the landscape to identify the spatial and temporal distribution of disease risk7. A number of sophisticated ecological niche models have been developed and are available to researchers8. GARP was selected for this study because it has a proven record of accuracy and performance for predicting the ecological niches of a variety of species9-11, the specialized software is freely available12 and is relatively easy to operate on standard desktop computers, software documentation and user support exists12, and datasets in GIS format can easily be imported in and exported out of the software program. GARP has been used extensively to predict the ecological niches of a variety of plant and animal species for conservation biology and applied ecology purposes. Peterson6 has recently encouraged the public health community to use ENM to forecast the distribution of vectorborne and environmental diseases such as Lyme disease13 and cryptococcosis due to C. gattii14 based on the distribution of vectors and environmental reservoirs. 3 GARP uses an iterative, artificial intelligence based approach to ENM9. It employs a “superset” of rules to identify the ecological niche of a species based on the environmental characteristics of known occurrence locations, to search for non-random correlations between species presence, species absence and environmental parameter values12. GARP divides the species occurrence data (model input points) into training and testing data subsets, and then environmental data layers relevant to the ecology of the species in question are added to construct the model. In this study, human and animal cases of cryptococcal disease and C. gattii environmental sampling data were used as input data points to build and test the ecological niche models. Fifteen environmental data layers believed to be relevant to C. gattii biogeography were used in the ENM: elevation, aspect, slope, biogeoclimatic zone, January average, maximum and minimum temperature, July average, maximum and minimum temperature, annual, January and July total precipitation, and soil drainage and development. These environmental data themes have been routinely used to model the ecological niche of a variety of species including plants, animals, insects and fungi. Results and Discussion: “Optimal” ecological niche areas for C. gattii in BC were identified along the central and south eastern coast of Vancouver Island, the Gulf Islands, Sunshine Coast and Vancouver Lower Mainland (Figure 1). Small, isolated geographical areas on the Queen Charlotte Islands, BC central coast, west coast of Vancouver Island and southern BC interior have environmental conditions that could potentially support the establishment of 4 C. gattii in these areas. These forecasted ecological niche areas for C. gattii in BC are characterized by low lying elevations (below 770 m and averaging 100 m above sea level), above freezing daily January average temperatures, and presence within the Coastal Douglas-fir and Coastal Western Hemlock very dry biogeoclimatic zones. The predictive accuracy of the C. gattii ecological niche models was >98% (pvalue <0.001) based on the distribution of human cases, animal cases, and positive environmental sampling locations from permanently established sites. Furthermore, validation of the models using human (8) and animal (11) C. gattii cases without travel to Vancouver Island (the endemic area for C. gattii in BC), and transiently positive C. gattii environmental samples (from 4 unique geographic sites) found that all of these observations were located within or directly adjacent (within 2.5 km proximity) to the forecasted C. gattii ecological niche areas on the BC mainland, thereby validating the usefulness and predictive power of ENM employed in this study. The forecasted ecological niche of C. gattii based on the distribution of human and animal cases corresponded well to the forecasted ecological niche of C. gattii based on the distribution of positive environmental sampling locations from permanently established sites. Similarly, the use of animal surveillance data and C. gattii environmental sampling data were useful and effective in forecasting the geographic distribution of human cryptococcal disease. In particular, animal surveillance data proved to be good indicators for C. gattii presence in an area. This suggests that surveillance for animal cryptococcosis may be useful as an early human disease alert system in BC 5 because new reports of cryptococcal disease in previously non-endemic C. gattii geographical areas have been identified in animals before humans and the number of reported animal cases is approximately 2 times greater than the number of reported human cases. The creation of a comprehensive, province wide animal cryptococcal disease surveillance system to track laboratory confirmed and clinically diagnosed cases of cryptococcal disease is recommended. Conclusion: This study was the first attempt to describe the ecological niche and forecasted geographic range of C. gattii in BC. The investigation into the detection of C. gattii in the environment and identification of human and animal infections has been a model of cooperation between public health, veterinary health and academia15. This study highlights the value and strength of using a multi-disciplinary, landscape epidemiology approach to communicable disease surveillance and research since the health of human and animal populations are in large part determined by their interaction with the environment around them. The findings of this study provide opportunities for possible future studies. The role of climate change on the future geographic expansion of C. gattii in BC should be explored as a warming trend will likely produce larger geographical areas with suitable ecological habitat for C. gattii in BC (e.g. more areas with above freezing daily January average temperatures), and increase the potential for human illness as the landscape of C. gattii in the environment expands. Additional environmental sampling for C. gattii in 6 forecasted “optimal” and “potential” ecological niches should be performed to identify whether C. gattii is present in these areas to further validate the model, and to warn residents of the presence and potential health risks to C. gattii in the local environment. 7 Figure 1. Cryptococcus gattii ecological niche prediction maps based on the distribution of human (A) and animal cases (B) and positive environmental sampling locations from permanently established sites (C). 8 References: 1. Kidd SE, Hagen F, Tscharke RL, Huynh M, Bartlett KH, Fyfe M, MacDougall L, Boekhout T, Kwon-Chung KJ, Meyer W. A rare genotype of Cryptococcus gattii caused the cryptococcosis outbreak on Vancouver Island (British Columbia, Canada). Proceedings of the National Academy of Sciences of the United States of America. 2004;101(49):17258-63. 2. MacDougall L, Kidd SE, Galanis E, Mak S, Leslie MJ, Cieslak PR, Kronstad JW, Morshed M, Bartlett KH. Spread of Cryptococcus gattii in British Columbia, Canada and detection in the Pacific Northwest, USA. Emerging Infectious Diseases. 2007;13(1):42-50. 3. Sorrell TC. Cryptococcus neoformans variety gattii. Medical Mycology. 2001;39(2): 155-68. 4. Bartlett KH, Kidd SE, Kronstad JW. The emergence of Cryptococcus gattii in British Columbia and the Pacific Northwest. Current Fungal Infection Reports. 2007;1(2): 108–115. 5. Fraser JA, Giles SS, Wenink EC, Geunes-Boyer SG, Wright JR, Diezmann S, Allen A, Stajich JE, Dietrich FS, Perfect JR, Heitman J. 2005. Same-sex mating and the origin of the Vancouver Island Cryptococcus gattii outbreak. Nature. Oct 27;437 (7063):1360-4. 6. Peterson AT. 2006. Ecologic niche modeling and spatial patterns of disease transmission. Emerging Infectious Diseases. Dec;12(12):1822-6. 7. National Aeronautics and Space Administration, Center for Health Applications of Aerospace Related Technologies. 2006. Landscape epidemiology and RS/GIS. Accessed 5 January 2007. http://geo.arc.nasa.gov/sge/health/landepi.html 8. Guisan A, Thuiller W. 2005. Predicting species distributions: offering more than simple habitat models. Ecology Letters. 8(9):993–1009. 9. Peterson AT. 2001. Predicting species' geographic distributions based on ecological niche modeling. The Condor. Feb;103(3):599-605. 10. Soberon J, Peterson AT. 2005. Interpretation of models of fundamental ecological niches and species' distributional areas. Biodiversity Informatics. 2:1-10. 11. Stockwell D, Peters D. 1999. The GARP modelling system: problems and solutions to automated spatial prediction. International Journal of Geographic Information Science. Mar;13(2):143-58. 9 12. University of Kansas Center for Research. 2002. Desktop GARP. Accessed 12 September 2006. http://www.nhm.ku.edu/desktopgarp/ 13. Mak S, Morshed M, Henry B. Ecological niche modeling of Lyme disease in British Columbia, Canada. 1st Canadian Public Health Geomatics Conference: Geographic Information Systems (GIS) in Public Health. Ottawa, ON. 16-19 September 2007. 14. Mak S, Klinkenberg B, Fyfe M, Bartlett K. Ecological niche modeling of Cryptococcus gattii in British Columbia, Canada. 27th Annual ESRI International User Conference, San Diego, CA. 21 June 2007. Accessed 19 August 2007. http://gis.esri.com/library/userconf/proc07/papers/abstracts/a1204.html 15. Galanis E, MacDougall L, Kidd S, Duncan C, Mithani S, Mak S, Stephen C, Bartlett K. 2006. Investigation of the emergence and spread of Cryptococcus gattii in BC: a collaboration between public health and academic professionals. Canadian Public Health Association 97th Annual Conference. May 28-31, 2006. Vancouver, BC. Accessed 23 October 2006. http://www.conference.cpha.ca/english/documents/06_FINAL-program_e2.pdf http://www.conference.cpha.ca/english/documents/Abstracts_Monday1030.doc 10