Spatial and temporal trends of dengue infections in Curaçao: A 21-year analysis

IF 2 Q3 INFECTIOUS DISEASES Parasite Epidemiology and Control Pub Date : 2024-02-01 DOI:10.1016/j.parepi.2024.e00338
Bart Roelofs , Daniella Vos , Yaskara Halabi , Izzy Gerstenbluth , Ashley Duits , Maria E. Grillet , Adriana Tami , Maria F. Vincenti-Gonzalez
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Abstract

Dengue viruses are a significant global health concern, causing millions of infections annually and putting approximately half of the world's population at risk, as reported by the World Health Organization (WHO). Understanding the spatial and temporal patterns of dengue virus spread is crucial for effective prevention of future outbreaks. By investigating these patterns, targeted dengue surveillance and control measures can be improved, aiding in the management of outbreaks in dengue-affected regions. Curaçao, where dengue is endemic, has experienced frequent outbreaks over the past 25 years. To examine the spatial and temporal trends of dengue outbreaks in Curaçao, this study employs an interdisciplinary and multi-method approach. Data on >6500 cases of dengue infections in Curaçao between the years 1995 and 2016 were used. Temporal and spatial statistics were applied. The Moran's I index identified the presence of spatial autocorrelation for incident locations, allowing us to reject the null hypothesis of spatial randomness. The majority of cases were recorded in highly populated areas and a relationship was observed between population density and dengue cases. Temporal analysis demonstrated that cases mostly occurred from October to January, during the rainy season. Lower average temperatures, higher precipitation and a lower sea surface temperature appear to be related to an increase in dengue cases. This effect has a direct link to La Niña episodes, which is the cooling phase of El Niño Southern Oscillation. The spatial and temporal analyses conducted in this study are fundamental to understanding the timing and locations of outbreaks, and ultimately improving dengue outbreak management.

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库拉索岛登革热感染的时空趋势:21 年分析
根据世界卫生组织(WHO)的报告,登革热病毒是一个重大的全球健康问题,每年造成数百万人感染,使世界上大约一半的人口处于危险之中。了解登革热病毒传播的时空模式对于有效预防未来疫情爆发至关重要。通过调查这些模式,可以改进有针对性的登革热监测和控制措施,帮助管理登革热疫区的疫情。库拉索岛是登革热的流行区,在过去 25 年里频繁爆发登革热疫情。为了研究登革热在库拉索岛爆发的空间和时间趋势,本研究采用了跨学科和多方法的方法。研究使用了 1995 年至 2016 年库拉索岛 6500 例登革热感染病例的数据。采用了时间和空间统计方法。莫兰 I 指数确定了事件发生地点存在空间自相关性,使我们能够拒绝空间随机性的零假设。大多数病例都发生在人口稠密地区,而且人口密度与登革热病例之间存在一定的关系。时间分析表明,登革热病例主要发生在 10 月至次年 1 月的雨季。平均气温降低、降水量增加和海面温度降低似乎与登革热病例增加有关。这种影响与拉尼娜现象直接相关,拉尼娜现象是厄尔尼诺南方涛动的降温阶段。这项研究中进行的时空分析对于了解登革热爆发的时间和地点以及最终改善登革热爆发管理至关重要。
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来源期刊
Parasite Epidemiology and Control
Parasite Epidemiology and Control Medicine-Infectious Diseases
CiteScore
5.70
自引率
3.10%
发文量
44
审稿时长
17 weeks
期刊介绍: Parasite Epidemiology and Control is an Open Access journal. There is an increasing amount of research in the parasitology area that analyses the patterns, causes, and effects of health and disease conditions in defined populations. This epidemiology of parasite infectious diseases is predominantly studied in human populations but also spans other major hosts of parasitic infections and as such this journal will have a broad remit. We will focus on the major areas of epidemiological study including disease etiology, disease surveillance, drug resistance and geographical spread and screening, biomonitoring, and comparisons of treatment effects in clinical trials for both human and other animals. We will also look at the epidemiology and control of vector insects. The journal will also cover the use of geographic information systems (Epi-GIS) for epidemiological surveillance which is a rapidly growing area of research in infectious diseases. Molecular epidemiological approaches are also particularly encouraged.
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