Baseline spatial distribution of malaria prior to an elimination programme in Vanuatu

Malaria Journal

Research

Ivor Harris¹  Andrew J Tatem²  George Taleo³  Iata Henri³  Sam Iamaher³  Heidi Reid⁴  Ian Riley⁴  Andrew Vallely⁴  Gerard Kelly⁴  Archie CA Clements⁵ 

[1] Australian Army Malaria Research Institute, Department of Defence, Government of Australia, Queensland, Australia;Emerging Pathogens Institute and Department of Geography, University of Florida, Gainesville, USA;National Vector Borne Disease Control Program (VBDCP), Ministry of Health, Port Vila, Vanuatu;Pacific Malaria Initiative Support Centre (PacMISC), Australian Centre for International and Tropical Health (ACITH), School of Population Health, University of Queensland, Queensland, Australia;Pacific Malaria Initiative Support Centre (PacMISC), Australian Centre for International and Tropical Health (ACITH), School of Population Health, University of Queensland, Queensland, Australia;Australian Centre for Tropical and International Health, Queensland Institute of Medical Research, Brisbane, Queensland, Australia;

关键词: Malaria;    Normalize Difference Vegetation Index;    Indoor Residual Spray;    Malaria Elimination;    Malaria Risk;   

DOI  :  10.1186/1475-2875-9-150

 received in 2009-12-02, accepted in 2010-06-02,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe Ministry of Health in the Republic of Vanuatu has implemented a malaria elimination programme in Tafea Province, the most southern and eastern limit of malaria transmission in the South West Pacific. Tafea Province is comprised of five islands with malaria elimination achieved on one of these islands (Aneityum) in 1998. The current study aimed to establish the baseline distribution of malaria on the most malarious of the province's islands, Tanna Island, to guide the implementation of elimination activities.MethodsA parasitological survey was conducted in Tafea Province in 2008. On Tanna Island there were 4,716 participants from 220 villages, geo-referenced using a global position system. Spatial autocorrelation in observed prevalence values was assessed using a semivariogram. Backwards step-wise regression analysis was conducted to determine the inclusion of environmental and climatic variables into a prediction model. The Bayesian geostatistical logistic regression model was used to predict malaria risk, and associated uncertainty across the island.ResultsOverall, prevalence on Tanna was 1.0% for Plasmodium falciparum (accounting for 32% of infections) and 2.2% for Plasmodium vivax (accounting for 68% of infections). Regression analysis showed significant association with elevation and distance to coastline for P. vivax and P. falciparum, but no significant association with NDVI or TIR. Colinearity was observed between elevation and distance to coastline with the later variable included in the final Bayesian geostatistical model for P. vivax and the former included in the final model for P. falciparum. Model validation statistics revealed that the final Bayesian geostatistical model had good predictive ability.ConclusionMalaria in Tanna Island, Vanuatu, has a focal and predominantly coastal distribution. As Vanuatu refines its elimination strategy, malaria risk maps represent an invaluable resource in the strategic planning of all levels of malaria interventions for the island.

【 授权许可】

CC BY   
© Reid et al; licensee BioMed Central Ltd. 2010