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Geospatial Health
Article . 2007 . Peer-reviewed
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Geospatial Health
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Geospatial Health
Article . 2007
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Bayesian risk maps for Schistosoma mansoni and hookworm mono-infections in a setting where both parasites co-exist

Authors: Raso, G.; Vounatsou, P.; McManus, D. P.; Utzinger, J.;

Bayesian risk maps for Schistosoma mansoni and hookworm mono-infections in a setting where both parasites co-exist

Abstract

There is growing interest in the use of Bayesian geostatistical models for predicting the spatial distribution of parasitic infections, including hookworm, Schistosoma mansoni and co-infections with both parasites. The aim of this study was to predict the spatial distribution of mono-infections with either hookworm or S. mansoni in a setting where both parasites co-exist. School-based cross-sectional parasitological and questionnaire surveys were carried out in 57 rural schools in the Man region, western Côte d'Ivoire. A single stool specimen was obtained from each schoolchild attending grades 3-5. Stool specimens were processed by the Kato-Katz technique and an ether concentration method and examined for the presence of hookworm and S. mansoni eggs. The combined results from the two diagnostic approaches were considered for the infection status of each child. Demographic data (i.e. age and sex) were obtained from readily available school registries. Each child's socio-economic status was estimated, using the questionnaire data following a household-based asset approach. Environmental data were extracted from satellite imagery. The different data sources were incorporated into a geographical information system. Finally, a Bayesian spatial multinomial regression model was constructed and the spatial patterns of S. mansoni and hookworm mono-infections were investigated using Bayesian kriging. Our approach facilitated the production of smooth risk maps for hookworm and S. mansoni mono-infections that can be utilized for targeting control interventions. We argue that in settings where S. mansoni and hookworm co-exist and control efforts are under way, there is a need for both mono- and co-infection risk maps to enhance the cost-effectiveness of control programmes.

Keywords

Ancylostomatoidea, Male, Adolescent, 910, Risk Assessment, i rilevamenti sanitari), Cohort Studies, Hookworm Infections, C1, 321202 Epidemiology, Animals, Humans, Child, la Geografia medica, Geography (General), Geography, Hookworm, schistosomiasis, Schistosoma mansoni, geographical information system, risk mapping, coinfection, Bayesian geostatistics, Côte d’Ivoire., 910.285 Geographic information systems, Bayes Theorem, Schistosoma mansoni, Schistosomiasis mansoni, l'Epidemiologia spaziale, 614.42 Incidenza delle malattie, Cote d'Ivoire, e misure pubbliche per prevenirle. Incidenza (classificare qui la prevalenza, G1-922, Female, 730101 Infectious diseases, Maps as Topic

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    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    impulse
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
33
Average
Top 10%
Top 10%
gold