AbstractEnvironmental and socioeconomic risk factors associated with West Nile Virus cases were investigated in the Northern San Joaquin Valley region of California, a largely rural area. The study included human West Nile Virus (WNV) cases from the years 2011-2015 in the three county area of San Joaquin, Stanislaus and Merced Counties, and examined whether factors were associated with WNV using census tracts as the unit of analysis. Environmental factors included temperature, precipitation, mosquitoes positive for WNV, and habitat. Socioeconomic variables included age, education, housing age, home vacancies, median income, population density, ethnicity, and language spoken. Chi-squared independence tests were used to examine whether each variable was associated with WNV in each county, and then also used for the three counties combined. Logistic regression was used for a three-county combined analysis, to examine which environmental and socioeconomic variables were most likely associated with WNV cases. The chi-squared tests found that the variables associated with WNV varied in each of the three counties. The chi-squared tests for data combined from the three counties found that WNV cases were significantly associated with mosquitoes positive for WNV, urban habitat, higher home vacancies, higher population density, higher education, and ethnicity. Logistic regression analysis revealed that overall, the environmental factors precipitation, mean temperature, and WNV positive mosquitoes were the strongest predictors of WNV cases. Results support efforts of mosquito control districts, which aim for source reduction of mosquito breeding sites. In addition, findings suggest that residents with higher income and education may be more aware of WNV and its symptoms, and more likely to request testing from physicians. Lower income and education residents may not be aware of WNV. Public health education might increase its prevention messages about vector-borne disease in the various languages of the region, which would contribute overall to public health in the region.
Climatic, ecological, and socioeconomic factors associated with West Nile virus incidence in Atlanta, Georgia, U.S.A.
