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Tewari P, Guo P, Dickens B, Ma P, Bansal S, Lim JT. Associations between Dengue Incidence, Ecological Factors, and Anthropogenic Factors in Singapore. Viruses 2023; 15:1917. [PMID: 37766323 PMCID: PMC10535411 DOI: 10.3390/v15091917] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 09/01/2023] [Accepted: 09/09/2023] [Indexed: 09/29/2023] Open
Abstract
Singapore experiences endemic dengue. Vector control remains the primary means to reduce transmission due to the lack of available therapeutics. Resource limitations mean that vector-control tools need to be optimized, which can be achieved by studying risk factors related to disease transmission. We developed a statistical modelling framework which can account for a high-resolution and high-dimensional set of covariates to delineate spatio-temporal characteristics that are associated with dengue transmission from 2014 to 2020 in Singapore. We applied the proposed framework to two distinct datasets, stratified based on the primary type of housing within each spatial unit. Generalized additive models reveal non-linear exposure responses between a large range of ecological and anthropogenic factors as well as dengue incidence rates. At values below their mean, lesser mean total daily rainfall (Incidence rate ratio (IRR): 3.75, 95% CI: 1.00-14.05, Mean: 4.40 mm), decreased mean windspeed (IRR: 3.65, 95% CI: 1.87-7.10, Mean: 4.53 km/h), and lower building heights (IRR: 2.62, 95% CI: 1.44-4.77, Mean: 6.5 m) displayed positive associations, while higher than average annual NO2 concentrations (IRR: 0.35, 95% CI: 0.18-0.66, Mean: 13.8 ppb) were estimated to be negatively associated with dengue incidence rates. Our study provides an understanding of associations between ecological and anthropogenic characteristics with dengue transmission. These findings help us understand high-risk areas of dengue transmission, and allows for land-use planning and formulation of vector control policies.
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Affiliation(s)
- Pranav Tewari
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore; (P.T.); (P.G.); (J.T.L.)
| | - Peihong Guo
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore; (P.T.); (P.G.); (J.T.L.)
| | - Borame Dickens
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (P.M.); (S.B.)
| | - Pei Ma
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (P.M.); (S.B.)
| | - Somya Bansal
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore; (P.M.); (S.B.)
| | - Jue Tao Lim
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore; (P.T.); (P.G.); (J.T.L.)
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Minarti M, Anwar C, Irfannuddin I, Irsan C. Community Knowledge and Attitudes about the Transmission of Dengue Haemorrhagic Fever and Its Relationship to Prevention Behaviour in Palembang, South Sumatra, Indonesia. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: PSN 3 M Plus is a long-running program in Indonesia for the prevention and control of dengue hemorrhagic fever (DHF).
AIM: This study aimed to determine the knowledge, behavior, attitudes, and beliefs of the community toward PSN 3 M Plus in preventing and controlling the spread of DHF.
METHODS: A cluster random sampling method was used to recruit 200 respondents in endemic areas and 100 respondents in sporadic locations of Indonesia from August 2020 to February 2021. The respondents were interviewed directly by interviewers and the relationships between demographics and characteristics with the practice of PSN 3M Plus prevention behavior on the incidence of DHF were analyzed.
RESULTS: Most respondents had good knowledge regarding the cause of DHF. Although respondents recognized and understood the dangers of and how to control DHF, most did not follow PSN 3 M Plus and believed that fogging was the most effective control measure. There was a significant relationship between the characteristics of the respondents in terms of education, occupation, and attitude on vector control practice.
CONCLUSION: Although community environmental modifications can be a cost-effective approach to reduce the incidence of DHF, there is a need to raise public awareness regarding preventive vector control measures as good knowledge does not guarantee good compliance with PSN 3M Plus recommendations.
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Cunha MDCM, Ju Y, Morais MHF, Dronova I, Ribeiro SP, Bruhn FRP, Lima LL, Sales DM, Schultes OL, Rodriguez DA, Caiaffa WT. Disentangling associations between vegetation greenness and dengue in a Latin American city: Findings and challenges. LANDSCAPE AND URBAN PLANNING 2021; 216:None. [PMID: 34675450 PMCID: PMC8519391 DOI: 10.1016/j.landurbplan.2021.104255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 08/11/2021] [Accepted: 09/14/2021] [Indexed: 05/07/2023]
Abstract
Being a Re-Emerging Infectious Disease, dengue causes 390 million cases globally and is prevalent in many urban areas in South America. Understanding the fine-scale relationships between dengue incidence and environmental and socioeconomic factors can guide improved disease prevention strategies. This ecological study examines the association between dengue incidence and satellite-based vegetation greenness in 3826 census tracts nested in 474 neighborhoods in Belo Horizonte, Brazil, during the 2010 dengue epidemic. To reduce potential bias in the estimated dengue-greenness association, we adjusted for socioeconomic vulnerability, population density, building height and density, land cover composition, elevation, weather patterns, and neighborhood random effects. We found that vegetation greenness was negatively associated with dengue incidence in a univariate model, and this association attenuated after controlling for additional covariates. The dengue-greenness association was modified by socioeconomic vulnerability: while a positive association was observed in the least vulnerable census tracts, the association was negative in the most vulnerable areas. Using greenness as a proxy for vegetation quality, our results show the potential of vegetation management in reducing dengue incidence, particularly in socioeconomically vulnerable areas. We also discuss the role of water infrastructure, sanitation services, and tree cover in lowering dengue risk.
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Affiliation(s)
- Maria da Consolação Magalhães Cunha
- Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil
- Pontifical Catholic University of Minas Gerais, Brazil
| | - Yang Ju
- Institute of Urban and Regional Development, University of California, 316 Wurster Hall, University of California, Berkeley, Berkeley, CA 94720, USA
- Corresponding author.
| | | | - Iryna Dronova
- Department of Environmental Science, Policy, and Management, Department of Landscape Architecture and Environmental Planning, University of California, Berkeley, USA
| | - Sérvio Pontes Ribeiro
- Laboratory of Ecology of Diseases and Forests, Nucleous of Biology/NUPEB and Institute of Exact and Biological Sciences, Federal University of Ouro Preto, Brazil
| | | | - Larissa Lopes Lima
- Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil
- Federal Center for Technological Education of Minas Gerais, Brazil
| | - Denise Marques Sales
- Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil
| | - Olivia Lang Schultes
- Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil
| | - Daniel A. Rodriguez
- Department of City and Regional Planning and Institute of Transportation Studies, University of California, Berkeley, USA
| | - Waleska Teixeira Caiaffa
- Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil
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