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The significance of water scarcity to crop production and food security has been globally recognized as a pivotal sustainability challenge in the UN Sustainable Development Goals (86). The critical link between water scarcity and sustainability is adaptation. Various changes in water use practices have been employed to alleviate production constraints. However, the potential for these changes to influence crop diseases has received relatively little attention, despite the circumglobal importance of diseases to agricultural sustainability. This article reviews what is known about the realized effects of scarcity-driven alterations in water use practices on diseases in the field in order to raise awareness of the potential for both increased disease risk and possible beneficial effects on crop disease management. This is followed by consideration of the primary mechanistic drivers underlying disease outcomes under various water use adaptation scenarios, concluding with a vision for disease–water co-management options and future research needs.
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