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Valles-Morera A, Murillo T, Lizano-Bolaños J, Gutierrez-Roche S, Alvarado M, Alfaro-Alvarado J, Calvo-Salas GA, Prado-Hidalgo G, Ortega J, Corrales-Aguilar E. Exposure to non-endemic arboviruses (alphaviruses) in Costa Rica assessed from human samples collected in areas with contrasting levels of dengue endemicity. Front Public Health 2025; 13:1537019. [PMID: 40046122 PMCID: PMC11879952 DOI: 10.3389/fpubh.2025.1537019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2024] [Accepted: 02/04/2025] [Indexed: 03/09/2025] Open
Abstract
Arboviruses represent a global public health challenge. The lack of diagnostic protocols and the presence of asymptomatic infections complicate confirmatory diagnostics. Alphaviruses, such as the equine encephalitis viruses, can cause severe outbreaks and are usually misdiagnosed as dengue. Thus, evidence for their circulation was assessed here. Plaque reduction neutralization test (PRNT) was used to compare sera collected during 2022-2023 from an area with high dengue endemicity (Hone Creek) with another with low endemicity (Great Metropolitan Area, GMA) to elucidate the putative alphavirus circulation and determine whether there were differences between the two areas. The screening results of PRNT50% against the Venezuelan equine encephalitis virus (VEEV) and the Eastern equine encephalitis virus showed that 20.5% of sera collected from Hone Creek were positive for VEEV, with 15.4% (n = 40) showing real neutralizing titers. In the GMA, only 0.8% tested positive for VEEV during the screening, with only 0.3% (n = 1) showing a true neutralizing titer. No sample was positive for the Eastern equine encephalitis virus or Mayaro (MAYV) and one serum sample from Hone Creek was chikungunya positive. This study underscores the global health challenge posed by arboviruses with their similar clinical presentation and antibody cross-reactivity, particularly in tropical regions where flaviviruses and alphaviruses prevail and co-circulate. The comparison of PRNT results between high and low dengue-endemic areas in Costa Rica shed light on the potential circulation of the VEEV and the fact that there is no circulation of Eastern equine encephalitis virus or Mayaro yet. These findings indicate a higher prevalence of VEEV in the high-endemic area, emphasizing the importance of targeted surveillance, control measures, and better diagnostics.
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Affiliation(s)
- Andrea Valles-Morera
- Virology-Research Center for Tropical Diseases (CIET), Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
| | - Tatiana Murillo
- Virology-Research Center for Tropical Diseases (CIET), Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
| | - Jose Lizano-Bolaños
- Virology-Research Center for Tropical Diseases (CIET), Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
| | | | - Margarita Alvarado
- Blood Bank and Clinic Laboratory, University of Costa Rica, San José, Costa Rica
| | | | | | - Grace Prado-Hidalgo
- Talamanca Healthcare Center, Costa Rican Social Security Fund, Limón, Costa Rica
| | - Johis Ortega
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, United States
| | - Eugenia Corrales-Aguilar
- Virology-Research Center for Tropical Diseases (CIET), Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
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Farner JE, Howard ME, Smith JR, Anderson CB, Mordecai EA. Local tree cover predicts mosquito species richness and disease vector presence in a tropical countryside landscape. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2025:2023.12.05.570170. [PMID: 38105954 PMCID: PMC10723306 DOI: 10.1101/2023.12.05.570170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Abstract
CONTEXT Land use change and deforestation drive both biodiversity loss and zoonotic disease transmission in tropical countrysides. For mosquito communities that can include disease vectors, forest loss has been linked to reduced biodiversity and increased vector presence. The spatial scales at which land use and tree cover shape mosquito communities present a knowledge gap relevant to both biodiversity and public health. OBJECTIVES We investigated the responses of mosquito species richness and Aedes albopictus disease vector presence to land use and to tree cover surrounding survey sites at different spatial scales. We also investigated species compositional turnover across land uses and along environmental gradients. METHODS We paired a field survey of mosquito communities in agricultural, residential, and forested lands in rural southern Costa Rica with remotely sensed tree cover data. We compared mosquito richness and vector presence responses to tree cover measured across scales from 30m to 1000m, and across land uses. We analyzed compositional turnover between land uses and along environmental gradients of tree cover, temperature, elevation, and geographic distance. RESULTS Tree cover was both positively correlated with mosquito species richness and negatively correlated with the presence of the common invasive dengue vector Ae. albopictus at small spatial scales of 90 - 250m. Land use predicted community composition and Ae. albopictus presence. CONCLUSIONS The results suggest that local tree cover preservation and expansion can support mosquito species richness and reduce disease vector presence. The identified spatial range at which tree cover shapes mosquito communities can inform the development of land management practices to protect both ecosystem and public health.
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Guidez A, Tirera S, Talaga S, Lacour G, Carinci R, Darcissac E, Donato D, Gaborit P, Clervil E, Epelboin Y, de Thoisy B, Dusfour I, Duchemin JB, Lavergne A. Mosquito Feeding Habits in Coastal French Guiana: Mammals in the Crosshairs? INSECTS 2024; 15:718. [PMID: 39336686 PMCID: PMC11432726 DOI: 10.3390/insects15090718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2024] [Revised: 09/03/2024] [Accepted: 09/05/2024] [Indexed: 09/30/2024]
Abstract
Pathogens transmitted by mosquitoes (Diptera, Culicidae) in sylvatic or urban cycles involve wild or domestic animals and humans, driven by various mosquito species with distinct host preferences. Understanding mosquito-host associations is crucial for ecological insights and pathogen surveillance. In this study, we analyzed mosquito blood meals from coastal French Guiana by amplifying and sequencing host DNA from blood-fed females. Using the 12S ribosomal RNA gene and Sanger sequencing, we identified blood meals from 26 mosquito species across six genera, with 59% belonging to the Culex genus. Nanopore sequencing of selected samples showed 12 mosquito species with one to three mixed blood-meal sources. Mammals were the primary hosts (88%), followed by birds (7%), squamates (3%), and amphibians (2%), indicating a strong preference for mammalian hosts. A total of 46 vertebrate host species were identified, demonstrating high host diversity. This research provides insights into mosquito host usage and highlights the complexities of monitoring arboviruses of public health concern.
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Affiliation(s)
- Amandine Guidez
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Sourakhata Tirera
- Laboratoire des Interactions Virus-Hôtes, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Stanislas Talaga
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Guillaume Lacour
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Romuald Carinci
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Edith Darcissac
- Laboratoire des Interactions Virus-Hôtes, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Damien Donato
- Laboratoire des Interactions Virus-Hôtes, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Pascal Gaborit
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Emmanuelle Clervil
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Yanouk Epelboin
- Microbiota of Insect Vectors Group, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Benoit de Thoisy
- Laboratoire des Interactions Virus-Hôtes, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | - Isabelle Dusfour
- Unité d'Entomologie Médicale, Institut Pasteur de la Guyane, 97354 Cayenne, France
| | | | - Anne Lavergne
- Laboratoire des Interactions Virus-Hôtes, Institut Pasteur de la Guyane, 97354 Cayenne, France
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Liu MD, Zhang HD, Huang Y, Cheng JX, Li CX, Zhao TY. Spatial distribution of Japanese encephalitis cases and correlated geo-environmental factors in southern and northern counties of China. Acta Trop 2024; 255:107246. [PMID: 38729328 DOI: 10.1016/j.actatropica.2024.107246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 05/07/2024] [Accepted: 05/07/2024] [Indexed: 05/12/2024]
Abstract
Japanese encephalitis (JE) is a mosquito-borne disease with a spatial distribution that is linked to geo-environmental factors. The spatial distribution of JE cases and correlated geo-environmental factors were investigated in two critical counties in southern and northern China. Based on maps, enhanced thematic mapper (ETM) remote sensing datasets from Landsat and spatial datasets of JE cases, spatial distribution and spatial cluster analyses of JE cases at the village scale were performed by using the standard deviational ellipse and Ripleys K-function. Global and regional spatial cluster analyses of JE cases were also performed by using Moran's index. Regression analysis was used to analyze the relationships between geo-environmental characteristics and the risk of JE cases. At the study sites, the JE cases were not spatially clustered at the village or district (global) level, whereas there was a spatial cluster at the district (local) level. Diversity-related features for JE patients at the district and village levels were detected at two sites. In the southern counties, the distance of a village from a road was related to the village-level JE risk (OR: 0.530, 95 CI: 0.297-0.947, P = 0.032), and the number of township-level JE cases was linked to the distance of the district center from the road (R =-0.467, P = 0.025) and road length (R = 0.516, P = 0.012) in the administrative area. In northern China, the modified normalized difference water index (MNDWI) in the 5 km buffer around the village was related to village-level JE risk (OR: 0.702, 95% CI: 0.524-0.940, P = 0.018), and the number of township-level JE cases was related to the MNDWI in the administrative region (R =-0.522, P = 0.038). This study elucidates the spatial distribution patterns of JE cases and risk, as well as correlated geo-environmental features, at various spatial scales. This study will significantly assist the JE control efforts of the local Centers for Disease Control and Prevention (CDC), which is the base-level CDC, particularly concerning the allocation of medicine and medical staff, the development of immunological plans, and the allocation of pesticides and other control measures for the mosquito vectors of JE.
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Affiliation(s)
- Mei-De Liu
- State Key Laboratory of Pathogens and Biosecurity, Beijing 100071, China
| | - Heng-Duan Zhang
- State Key Laboratory of Pathogens and Biosecurity, Beijing 100071, China
| | - Yi Huang
- Hunan Center for Disease Control and Prevention, Changsha 410005, China
| | - Jing-Xia Cheng
- Shanxi Center for Disease Control and Prevention, Taiyuan 030012, China
| | - Chun-Xiao Li
- State Key Laboratory of Pathogens and Biosecurity, Beijing 100071, China
| | - Tong-Yan Zhao
- State Key Laboratory of Pathogens and Biosecurity, Beijing 100071, China.
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Soto-Garita C, Murillo T, Chávez-Peraza I, Campos-Ávila J, Prado-Hidalgo G, Drexler JF, Moreira-Soto A, Corrales-Aguilar E. Epidemiological, virological and clinical characterization of a Dengue/Zika outbreak in the Caribbean region of Costa Rica 2017-2018. Front Cell Infect Microbiol 2024; 14:1421744. [PMID: 38988809 PMCID: PMC11233455 DOI: 10.3389/fcimb.2024.1421744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 06/11/2024] [Indexed: 07/12/2024] Open
Abstract
The increase in incidence and geographical expansion of viruses transmitted by the Aedes mosquitoes, such as dengue (DENV) and zika (ZIKV) in the Americas, represents a burden for healthcare systems in tropical and subtropical regions. These and other under-detected arboviruses co-circulate in Costa Rica, adding additional complexity to their management due to their shared epidemiological behavior and similarity of symptoms in early stages. Since diagnostics of febrile illness is mostly based on clinical symptoms alone, we gathered acute-phase serum and urine from 399 samples of acute dengue-like cases from two healthcare facilities of Costa Rica, during an outbreak of arboviruses from July 2017 to May 2018, and tested them using molecular and serological methods. The analyses showed that of the clinically presumptive arbovirus cases that were reported, only 39.4% (n=153) of the samples were confirmed positive by RT-PCR to be DENV (DENV (10.3%), CHIKV (0.2%), ZIKV (27.3%), or mixed infections (1.5%). RT-PCR for other alphaviruses and flaviviruses, and PCR for Leptospira sp were negative. Furthermore, to assess flavivirus positivity in post-acute patients, the negative sera were tested against Dengue-IgM. 20% of sera were found positive, confounding even more the definitive number of cases, and emphasizing the need of several distinct diagnostic tools for accurate diagnostics. Molecular characterization of the prM and E genes from isolated viruses revealed that the American/Asian genotype of DENV-2 and the Asian lineage of ZIKV were circulating during this outbreak. Two different clades of DENV-2 American/Asian genotype were identified to co-circulate in the same region and a difference in the platelet and leukocyte count was noted between people infected with each clade, suggesting a putative distinct virulence. Our study sheds light on the necessity for healthcare strategies in managing arbovirus outbreaks, emphasizing the importance of comprehensive molecular and serological diagnostic approaches, as well as molecular characterization. This approach aids in enhancing our understanding of the clinical and epidemiological aspects of arboviral diseases during outbreaks. Our research highlights the need to strengthen training programs for health professionals and the need to increase research-based on laboratory evidence for diagnostic accuracy, guidance, development and implementation of public health interventions and epidemiological surveillance.
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Affiliation(s)
- Claudio Soto-Garita
- Research Center for Tropical Diseases (CIET) and Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
- National Reference Centre for Virology, Costa Rican Institute for Research and Education on Nutrition and Health (INCIENSA), San José, Costa Rica
| | - Tatiana Murillo
- Research Center for Tropical Diseases (CIET) and Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
| | - Ileana Chávez-Peraza
- Siquirres Integral Healthcare Center (CAIS), Costa Rican Social Security Fund (CCSS), Limón, Costa Rica
| | - Josué Campos-Ávila
- Siquirres Integral Healthcare Center (CAIS), Costa Rican Social Security Fund (CCSS), Limón, Costa Rica
| | - Grace Prado-Hidalgo
- Talamanca Healthcare Center, Costa Rican Social Security Fund (CCSS), Limón, Costa Rica
| | - Jan Felix Drexler
- Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Institute of Virology, Berlin, Germany
- German Centre for Infection Research (DZIF), Associated Partner Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Andres Moreira-Soto
- Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Institute of Virology, Berlin, Germany
| | - Eugenia Corrales-Aguilar
- Research Center for Tropical Diseases (CIET) and Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
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Farner JE, Howard M, Smith JR, Anderson CB, Mordecai EA. Local tree cover predicts mosquito species richness and disease vector presence in a tropical countryside landscape. RESEARCH SQUARE 2024:rs.3.rs-3954302. [PMID: 38464276 PMCID: PMC10925468 DOI: 10.21203/rs.3.rs-3954302/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Context Land use change drives both biodiversity loss and zoonotic disease transmission in tropical countryside landscapes. Developing solutions for protecting countryside biodiversity, public health, and livelihoods requires understanding the scales at which habitat characteristics such as land cover shape biodiversity, especially for arthropods that transmit pathogens. Evidence increasingly shows that species richness for many taxa correlates with local tree cover. Objectives We investigated whether mosquito species richness, community composition, and presence of disease vector species responded to land use and tree cover - and if so, whether at spatial scales similar to other taxa. Methods We paired a field survey of mosquito communities in agricultural, residential, and forested lands in rural southern Costa Rica with remotely sensed tree cover data. We compared mosquito community responses to tree cover surrounding survey sites measured across scales, and analyzed community responses to land use and environmental gradients. Results Tree cover was positively correlated with mosquito species richness, and negatively correlated with the presence of the common invasive dengue vector Aedes albopictus, particularly at small spatial scales of 80 - 200m. Land use predicted community composition and Ae. albopictus presence. Environmental gradients of tree cover, temperature, and elevation explained 7% of species turnover among survey sites. Conclusions The results suggest that preservation and expansion of tree cover at local scales can protect biodiversity for a wide range of taxa, including arthropods, and also confer protection against disease vector occurrence. The identified spatial range of tree cover benefits can inform land management for conservation and public health protection.
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Wang W, Weng F, Zhu J, Li Q, Wu X. An Analytical Approach for Temporal Infection Mapping and Composite Index Development. MATHEMATICS 2023; 11:4358. [DOI: 10.3390/math11204358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2025]
Abstract
Significant and composite indices for infectious disease can have implications for developing interventions and public health. This paper presents an investment for developing access to further analysis of the incidence of individual and multiple diseases. This research mainly comprises two steps: first, an automatic and reproducible procedure based on functional data analysis techniques was proposed for analyzing the dynamic properties of each disease; second, orthogonal transformation was adopted for the development of composite indices. Between 2000 and 2019, nineteen class B notifiable diseases in China were collected for this study from the National Bureau of Statistics of China. The study facilitates the probing of underlying information about the dynamics from discrete incidence rates of each disease through the procedure, and it is also possible to obtain similarities and differences about diseases in detail by combining the derivative features. There has been great success in intervening in the majority of notifiable diseases in China, like bacterial or amebic dysentery and epidemic cerebrospinal meningitis, while more efforts are required for some diseases, like AIDS and virus hepatitis. The composite indices were able to reflect a more complex concept by combining individual incidences into a single value, providing a simultaneous reflection for multiple objects, and facilitating disease comparisons accordingly. For the notifiable diseases included in this study, there was superior management of gastro-intestinal infectious diseases and respiratory infectious diseases from the perspective of composite indices. This study developed a methodology for exploring the prevalent properties of infectious diseases. The development of effective and reliable analytical methods provides special insight into infectious diseases’ common dynamics and properties and has implications for the effective intervention of infectious diseases.
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Affiliation(s)
- Weiwei Wang
- School of Medicine, Xiamen University, Xiamen 361005, China
- National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China
- Data Mining Research Center, Xiamen University, Xiamen 361005, China
| | - Futian Weng
- School of Medicine, Xiamen University, Xiamen 361005, China
- National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China
- Data Mining Research Center, Xiamen University, Xiamen 361005, China
| | - Jianping Zhu
- National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China
- Data Mining Research Center, Xiamen University, Xiamen 361005, China
- School of Management, Xiamen University, Xiamen 361005, China
| | - Qiyuan Li
- School of Medicine, Xiamen University, Xiamen 361005, China
- National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China
| | - Xiaolong Wu
- School of Medicine, Xiamen University, Xiamen 361005, China
- National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China
- Data Mining Research Center, Xiamen University, Xiamen 361005, China
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Mohamed Ali S, Rakotonirina A, Heng K, Jacquemet E, Volant S, Temmam S, Boyer S, Eloit M. Longitudinal Study of Viral Diversity Associated with Mosquito Species Circulating in Cambodia. Viruses 2023; 15:1831. [PMID: 37766237 PMCID: PMC10535147 DOI: 10.3390/v15091831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 08/24/2023] [Accepted: 08/25/2023] [Indexed: 09/29/2023] Open
Abstract
Arthropod-borne viruses (arboviruses) pose a significant global health threat and are primarily transmitted by mosquitoes. In Cambodia, there are currently 290 recorded mosquito species, with at least 17 of them considered potential vectors of arboviruses to humans. Effective surveillance of virome profiles in mosquitoes from Cambodia is vital, as it could help prevent and control arbovirus diseases in a country where epidemics occur frequently. The objective of this study was to identify and characterize the viral diversity in mosquitoes collected during a one-year longitudinal study conducted in various habitats across Cambodia. For this purpose, we used a metatranscriptomics approach and detected the presence of chikungunya virus in the collected mosquitoes. Additionally, we identified viruses categorized into 26 taxa, including those known to harbor arboviruses such as Flaviviridae and Orthomyxoviridae, along with a group of viruses not yet taxonomically identified and provisionally named "unclassified viruses". Interestingly, the taxa detected varied in abundance and composition depending on the mosquito genus, with no significant influence of the collection season. Furthermore, most of the identified viruses were either closely related to viruses found exclusively in insects or represented new viruses belonging to the Rhabdoviridae and Birnaviridae families. The transmission capabilities of these novel viruses to vertebrates remain unknown.
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Affiliation(s)
- Souand Mohamed Ali
- Pathogen Discovery Laboratory, Institut Pasteur, Université de Paris, 75015 Paris, France; (S.M.A.); (S.T.)
| | - Antsa Rakotonirina
- Medical and Veterinary Entomology Unit, Institut Pasteur du Cambodge, Phnom Penh 12201, Cambodia; (A.R.); (S.B.)
| | - Kimly Heng
- Medical and Veterinary Entomology Unit, Institut Pasteur du Cambodge, Phnom Penh 12201, Cambodia; (A.R.); (S.B.)
| | - Elise Jacquemet
- Bioinformatics and Biostatistics Hub, Institut Pasteur, Université Paris Cité, 75015 Paris, France (S.V.)
| | - Stevenn Volant
- Bioinformatics and Biostatistics Hub, Institut Pasteur, Université Paris Cité, 75015 Paris, France (S.V.)
| | - Sarah Temmam
- Pathogen Discovery Laboratory, Institut Pasteur, Université de Paris, 75015 Paris, France; (S.M.A.); (S.T.)
| | - Sebastien Boyer
- Medical and Veterinary Entomology Unit, Institut Pasteur du Cambodge, Phnom Penh 12201, Cambodia; (A.R.); (S.B.)
- Ecology and Emergence of Arthropod-Borne Diseases, Institut Pasteur, 75015 Paris, France
| | - Marc Eloit
- Pathogen Discovery Laboratory, Institut Pasteur, Université de Paris, 75015 Paris, France; (S.M.A.); (S.T.)
- Ecole Nationale Vétérinaire d’Alfort, University of Paris-Est, 94704 Maisons-Alfort, France
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Yang H, Nguyen TN, Chuang TW. An Integrative Explainable Artificial Intelligence Approach to Analyze Fine-Scale Land-Cover and Land-Use Factors Associated with Spatial Distributions of Place of Residence of Reported Dengue Cases. Trop Med Infect Dis 2023; 8:tropicalmed8040238. [PMID: 37104363 PMCID: PMC10142856 DOI: 10.3390/tropicalmed8040238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 04/06/2023] [Accepted: 04/18/2023] [Indexed: 04/28/2023] Open
Abstract
Dengue fever is a prevalent mosquito-borne disease that burdens communities in subtropical and tropical regions. Dengue transmission is ecologically complex; several environmental conditions are critical for the spatial and temporal distribution of dengue. Interannual variability and spatial distribution of dengue transmission are well-studied; however, the effects of land cover and use are yet to be investigated. Therefore, we applied an explainable artificial intelligence (AI) approach to integrate the EXtreme Gradient Boosting and Shapley Additive Explanation (SHAP) methods to evaluate spatial patterns of the residences of reported dengue cases based on various fine-scale land-cover land-use types, Shannon's diversity index, and household density in Kaohsiung City, Taiwan, between 2014 and 2015. We found that the proportions of general roads and residential areas play essential roles in dengue case residences with nonlinear patterns. Agriculture-related features were negatively associated with dengue incidence. Additionally, Shannon's diversity index showed a U-shaped relationship with dengue infection, and SHAP dependence plots showed different relationships between various land-use types and dengue incidence. Finally, landscape-based prediction maps were generated from the best-fit model and highlighted high-risk zones within the metropolitan region. The explainable AI approach delineated precise associations between spatial patterns of the residences of dengue cases and diverse land-use characteristics. This information is beneficial for resource allocation and control strategy modification.
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Affiliation(s)
- Hsiu Yang
- Department of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Thi-Nhung Nguyen
- International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Ting-Wu Chuang
- Department of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
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