Remote sensing of environmental risk factors for malaria in different geographic contexts
Abstract Background Despite global intervention efforts, malaria remains a major public health concern in many parts of the world. Understanding geographic variation in malaria patterns and their environmental determinants can support targeting of malaria control and development of elimination strategies. We used multiple sources of remotely-sensed environmental data to analyze the influences of environmental risk factors on malaria cases caused by Plasmodium falciparum and Plasmodium vivax in two geographic settings in Ethiopia. Results We found considerable spatial variation in malaria proportion and the distribution of malaria hot spots. Spectral indices were related to land cover greenness (NDVI) and moisture (NDWI) showed an association between malaria and dry landscapes. Climatic factors, including precipitation and land surface temperature, had positive associations with malaria occurrence. Settlement structure also played an important role, with opposing relationships between settlement density and malaria for the two study areas. Variables related to land surface water, such as irrigated agriculture, wetlands, seasonally flooded waterbodies and height above nearest drainage did not influence malaria proportion. Conclusion We found different relationships between malaria and environmental conditions in two geographically distinctive areas. These results emphasize that studies of malaria-environmental relationships and predictive models of malaria occurence should be context specific to account for such differences.