scholarly journals Analysis of Malaria Incidence in Banyumas Using Spacial-Temporal Approach

2017 ◽  
Vol 13 (1) ◽  
pp. 1-6
Author(s):  
Supriyanto Supriyanto ◽  
Nunung Nurhayati ◽  
Dwi Sarwani Sri Rejeki

Malaria still becomes a public health problem in Indonesia although has declined the last decades. The incidences of malaria in Banyumas shows unstable transmission and still risk of epidemic . Thus, the spatial and temporal distribution is required as part of efforts towards the elimination of malaria in Banyumas. Temporal spatial statistical methods is used to identify a group of malaria incidence at the district level. Purely spatial clusters of malaria incidence from 2004 to 2015 shows that the disease is not distributed randomly in the study area. A total of nine districts of high risk is determined by analysis of Morans I. The analysis showed that by the Morans I test, there is spatial autocorrelation found in the percentage malaria incidence from 2004 to 2015 in Banyumas. The use of the model can provide a means to detect the spatial distribution, temporal, and spatiotemporal malaria, as well as to identify areas of high risk of malaria. This research may help in prioritizing resources on high-risk areas for malaria control in the future and towards the elimination of malaria in Banyumas.

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Margaret Loughnan ◽  
Nigel Tapper ◽  
Thu Phan

Building healthy societies is a key step towards climate resilient communities. Ill health is related to increased risk during heat events and is disproportionally distributed within and between communities. To understand the differences in the spatial distribution of climate related health risks and how this will change in the future we have undertaken a spatiotemporal analysis of heatwave risks in urban populations in Brisbane, Australia. The aim of this was to advise emergency managers and public health authorities of high-risk areas during extreme heat events (EHEs). The spatial distribution of heat related morbidity identified areas of high healthcare service demand during EHEs. An index of risk was developed based on social and environmental determinants of vulnerability. Regression analysis was used to determine the key drivers of heat related morbidity from the index. A weighted map of population vulnerability was produced which identified the high risk areas and provided key information to target public health interventions and heat stress prevention policy. The predicted changes in high risk populations such as the proportion of elderly people living in urban areas were also mapped to support longer term adaptation and develop health care infrastructure and health promotion strategies.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045544
Author(s):  
Samuel Hailegebreal ◽  
Araya Mesfin Nigatu ◽  
Zeleke Abebaw Mekonnen ◽  
Berhanu Fikadie Endehabtu

ObjectivesAnaemia is a global public health problem with major health and socioeconomic consequences. Though childhood anaemia is a major public health problem in Ethiopia, there is limited evidence on the spatio-temporal variability of childhood anaemia over time in the country. Therefore, this study aimed to assess the spatio-temporal distribution and associated factors of childhood anaemia using the Ethiopian Demographic and Health Survey (EDHS) data from 2005 to 2016.DesignSurvey-based cross-sectional study design was employed for the EDHS.SettingData were collected in all nine regions and two city administrations of Ethiopia in 2005, 2011 and 2016.ParticipantsThe source population for this study was all children in Ethiopia aged 6–59 months. A total of 21 302 children aged 6–59 months were included in this study.Outcome measureThe outcome variable was child anaemia status.ResultsThe prevalence of anaemia declined from 53.9% in 2005 to 44.6% in 2011, but it showed an increase in 2016 to 57.6%. The spatial analysis revealed that the spatial distribution of anaemia varied across the regions. The spatial scan statistics analysis indicated a total of 22 clusters (relative risk (RR)=1.5, p<0.01) in 2005, 180 clusters (RR=1.4, p<0.01) in 2011 and 219 clusters (RR=1.4, p<0. 0.01) in 2016, significant primary clusters were identified. The child’s age, mother’s age, maternal anaemia status, wealth index, birth order, fever, stunting, wasting status and region were significant predictors of childhood anaemia.ConclusionsIn this study, childhood anaemia remains a public health problem. The spatial distribution of childhood anaemia varied significantly across the country. Individual-level and community-level factors were associated with childhood anaemia. Therefore, in regions with a high risk of childhood anaemia, individual-level and community-level factors should be intensified by allocating additional resources and providing appropriate and tailored strategies.


2019 ◽  
Author(s):  
Adia Pilav ◽  
Emira Tanović-Mikulec ◽  
Suada Branković ◽  
Vedran Đido

Aim. The aim of this paper is to present public health importance of hypertension in population as one of the major CVD risk factor as well as a model of integrated approach to hypertension control at community level. Background. In spite of wide knowledge of pathophysiology and epidemiology in development of hypertension, ability to easily diagnose it, availability of efficient medications, hypertension continues to have high prevalence and setting up hypertension controls poses significant public health challenge. High prevalence of hypertension exists in all countries of the world, regardless of socioeconomic status of the country. It is estimated that the number of people with hypertension by 2025 will rise by 15-20%, and the number of sick people will increase up to 1.5 billion people worldwide. Methods. A review of the relevant literature which discusses the importance of defining clear strategies and interventions in the control of hypertension in countries, with particular emphasis on integrated hypertension management that has the greatest impact. Discussion. Effective and efficient hypertension control requires two approaches: population approach and individual approach to high-risk individuals. The balanced combination of population approach and an approach to access high-risk individuals is vital for the effective control of hypertension and cardiovascular diseases. Conclusions. Health systems in every country must be flexible and ready to provide adequate model of integrated approach to hypertension control at community level understanding their own local needs.


2019 ◽  
Author(s):  
Marwa Maweya Abdelbagi Elbasheer ◽  
Ayah Galal Abdelrahman Alkhidir ◽  
Siham Mohammed Awad Mohammed ◽  
Areej Abuelgasim Hassan Abbas ◽  
Aisha Osman Mohamed ◽  
...  

AbstractBackgroundBreast cancer is the most prevalent cancer among females worldwide including Sudan. The aim of this study was to determine the spatial distribution of breast cancer in Sudan.Materials and methodsA facility based cross-sectional study was implemented in eighteen histopathology laboratories distributed in the three localities of Khartoum State on a sample of 4630 Breast Cancer cases diagnosed during the period 2010-2016. A master database was developed through Epi Info™ 7.1.5.2 for computerizing the data collected: the facility name, type (public or private), and its geo- location (latitude and longitude). Personal data on patients were extracted from their respective medical records (name, age, marital status, ethnic group, State, locality, administrative unit, permanent address and phone number, histopathology diagnosis). The data was summarized through SPSS to generate frequency tables for estimating prevalence and the geographical information system (ArcGIS 10.3) was used to generate the epidemiological distribution maps. ArcGIS 10.3 spatial analysis features were used to develop risk maps based on the kriging method.ResultsBreast cancer prevalence was 3.9 cases per 100,000 female populations. Of the 4423 cases of breast cancer, invasive breast carcinoma of no special type (NST) was the most frequent (79.5%, 3517/4423) histopathological diagnosis. The spatial analysis indicated as high risk areas for breast cancer in Sudan the States of Nile River, Northern, Red Sea, White Nile, Northern and Southern Kordofan.ConclusionsThe attempt to develop a predictive map of breast cancer in Sudan revealed three levels of risk areas (risk, intermediate and high risk areas); regardless the risk level, appropriate preventive and curative health interventions with full support from decision makers are urgently needed.


Author(s):  
Ta-Chien Chan ◽  
Bo-Cheng Lin ◽  
Chiao-Ling Kuo ◽  
Li-hsiang Chiang

Objective: In this paper we designed one cross-platform surveillance system to assist dengue fever surveillance, outbreak investigation and risk management of dengue fever.Introduction:In the 2015 dengue outbreak in Taiwan, 43,784 people were infected and 228 died, making it the nation’s largest outbreak ever. Facing the increasing threat of dengue, the integration of health information for prevention and control of outbreaks becomes very important. Based on past epidemics, the areas with higher incidence of dengue fever are located in southern Taiwan. Without a smart and integrated surveillance system, the information on case distribution, high risk areas, mosquito surveillance, flooding areas and so on is fragmented. The first-line public health workers need to check all this information through different systems manually. When outbreaks occurred, paper-based outbreak investigation forms had to be prepared and filled in by public health workers. Then, they needed to enter part of this information into Taiwan CDC’s system. Duplicated work occurred and cost lots of labor time during the epidemic period. Therefore, we choose one rural county, Pingtung County, with scarce financial resources, to set up a new dengue surveillance system.Methods: We designed a web-based cross-platform system based on an open geographical information system (GIS) framework including Openlayers, Javascript, PHP, MySQL and open data from government open data in Taiwan. There were seven epidemiological intelligence functions within the system including risk management, outbreak investigation, planning controlled areas, intelligent detection of high-risk areas, useful tools for decision making, historical epidemics, and system management. The website was developed by responsive web design which can let public health workers check information and fill in the investigation form by any devices.Results: The system was promptly set up in June 2016. With first-line public health workers’ efforts and the help of the surveillance system, there were no indigenous dengue fever cases after the system was implemented. There were sporadic imported cases from south-east Asia. The dengue surveillance system achieved three major improvements: integration of all decision support information; digitalization and automation of outbreak investigation; and planning the control areas. The results on outbreak investigation and mosquito surveillance can directly transfer to Taiwan CDC’s database by Web Application Programming Interface (API). It can avoid duplicated work for disease surveillance.Conclusions: Through introducing the new dengue surveillance system into local health departments, first-line public health workers can update all epidemic information at the same time. During epidemic periods, it can provide demographic, epidemiological, environmental, and entomological information for decision making. During non-epidemic periods, it can highlight the high risk areas for enhanced surveillance to reduce the risk of outbreaks.


2016 ◽  
Vol 77 (2) ◽  
pp. 289-298 ◽  
Author(s):  
A. R. Domingos ◽  
M. S. Arcifa

Abstract Predator-prey interactions involving an aquatic insect and zooplanktonic prey of different sizes were investigated to quantify prey mortality exposed to predators. Laboratory experiments were undertaken with the young and adult gerrid Rheumatobates crassifemur to test predation and size selectivity on the cladocerans Daphnia gessneri, Ceriodaphnia richardi, and Bosmina tubicen. Population fluctuations and spatial distribution of the gerrid were also evaluated in a small and shallow Brazilian lake throughout 12 months in fortnightly samples. The insects were more abundant in the littoral (mean density 7.0 ± 1.2 ind.m–2) compared to the limnetic zone. The period with the highest densities was late January to June, in both zones. Predation by young instars on Daphnia and Ceriodaphnia was significant (mean ingestion rate of 1.3 ± 0.1 D. gessneri and 0.7 ± 0.1 C. richardi per predator per hour). Adult insect fed only the large-sized prey (mean ingestion rate of 1.0 ± 0.1 D. gessneri per predator per hour). Young gerrids have greater potential to prey on cladocerans than adults, and size selectivity occurred for both predators. Preference of adults by the larger prey is probably related to difficulties in manipulating smaller planktonic prey, such as Ceriodaphnia. Due to higher densities of insects in the littoral, higher predation on zooplankton in this zone is expected. This study does contribute to a better understanding of trophic interactions in tropical shallow lakes and is the first to investigate predation of a gerrid on cladocerans in laboratory experiments.


2016 ◽  
Vol 66 (1) ◽  
pp. 65-80 ◽  
Author(s):  
Tore Christian Michaelsen

Most bat species show plasticity in their choice of habitat and landscape. This study focuses on the distribution and activity of bats along the hillsides and onto the shores of a low salinity marine Norwegian fiord at 62°N. Ultrasound was recorded using D500 detectors in June and July at 42 different sites from the shoreline and up the hillsides to around 200 m. Detectors were placed in well-preserved woodlands. OnlyPipistrellussp., northern batsEptesicus nilssoniiand bats of theMyotisgenus were common. There was a clear non-linear spatial distribution pattern along these slopes, with a pronounced increase in the number of recorded bats at short distances from the shore. On all six nights, the detector closest to the shore had the highest number of recorded bats. A pattern was also seen in bat distribution over time.Pipistrellussp., northern bats andMyotisspecies all had a peak near the shore during the darkest part of the night, which is around 01.35 h in mid-summer at this latitude. At greater distances,Pipistrellussp. and northern bats had a peak around 40 minutes to one hour before the darkest part of the night, respectively. Here,Myotisspp. peaked about an hour after 01.35.


2016 ◽  
Vol 144 (10) ◽  
pp. 2217-2229 ◽  
Author(s):  
A. MOLLALO ◽  
E. KHODABANDEHLOO

SUMMARYZoonotic cutaneous leishmaniasis (ZCL) constitutes a serious public health problem in many parts of the world including Iran. This study was carried out to assess the risk of the disease in an endemic province by developing spatial environmentally based models in yearly intervals. To fill the gap of underestimated true burden of ZCL and short study period, analytical hierarchy process (AHP) and fuzzy AHP decision-making methods were used to determine the ZCL risk zones in a Geographic Information System platform. Generated risk maps showed that high-risk areas were predominantly located at the northern and northeastern parts in each of the three study years. Comparison of the generated risk maps with geocoded ZCL cases at the village level demonstrated that in both methods more than 90%, 70% and 80% of the cases occurred in high and very high risk areas for the years 2010, 2011, and 2012, respectively. Moreover, comparison of the risk categories with spatially averaged normalized difference vegetation index (NDVI) images and a digital elevation model of the study region indicated persistent strong negative relationships between these environmental variables and ZCL risk degrees. These findings identified more susceptible areas of ZCL and will help the monitoring of this zoonosis to be more targeted.


2021 ◽  
Author(s):  
João Paulo Silva de Paiva ◽  
Mônica Avelar Figueiredo Mafra Magalhães ◽  
Thiago Cavalcanti Leal ◽  
Leonardo Feitosa da Silva ◽  
Lucas Gomes da Silva ◽  
...  

ABSTRACTINTRODUCTIONTuberculosis is one of the ten leading causes of death and the leading infectious cause worldwide. The disease represents a challenge to health systems around the world. In 2018, it is estimated that 10 million people were affected by tuberculosis, and approximately 1.5 million people died due to the disease worldwide, including 251,000 patients coinfected with HIV. In Brazil, the disease caused 4,490 deaths, with rate of 2.2 deaths per 100,000 inhabitants. The objective of this study was to analyze the time behavior, spatial distribution, and the effects of social vulnerability on the incidence of TB in Brazil during the period from 2001 to 2017.METHODSA spatial-temporal ecological study was conducted, including all new cases of tuberculosis registered in Brazil during the period from 2001 to 2017. The following variables were analyzed: incidence rate of tuberculosis, the Social Vulnerability Index, its subindices, its 16 indicators, and an additional 14 variables available on the Atlas of Social Vulnerability. The statistical treatment of the data consisted of the following three stages: a) time trend analysis with a joinpoint regression model; b) spatial analysis and identification of risk areas based on smoothing of the incidence rate by local empirical Bayesian model, application of global and local Moran statistics, and, finally, spatial-temporal scan statistics; and c) analysis of association between the incidence rate and the indicators of social vulnerability.RESULTSBrazil reduced the incidence of tuberculosis from 42.8 per 100,000 to 35.2 per 100,000 between 2001 and 2017. Only the state of Minas Gerais showed an increasing trend, whereas nine other states showed a stationary trend. A total of 326 Brazilian municipalities were classified as high priority, and 22 high-risk spatial clusters were identified. The overall Social Vulnerability Index and the subindices of Human Capital and Income and Work were associated with the incidence of tuberculosis. It was also observed that the incidence rates were greater in municipalities with greater social vulnerability.CONCLUSIONSThis study identified spatial clusters with high risk of TB in Brazil. A significant association was observed between the incidence rate of TB and the indices of social vulnerability.


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