Landscape, demographic and climatic associations with human West Nile virus occurrence regionally in 2012 in the United States of America

After several years of low West Nile virus (WNV) occurrence in the United States of America (USA), 2012 witnessed large outbreaks in several parts of the country. In order to understand the outbreak dynamics, spatial clustering and landscape, demographic and climatic associations with WNV occurrence were investigated at a regional level in the USA. Previous research has demonstrated that there are a handful of prominent WNV mosquito vectors with varying ecological requirements responsible for WNV transmission in the USA. Published range maps of these important vectors were georeferenced and used to define eight functional ecological regions in the coterminous USA. The number of human WNV cases and human populations by county were attained in order to calculate a WNV rate for each county in 2012. Additionally, a binary value (high/low) was calculated for each county based on whether the county WNV rate was above or below the rate for the region it fell in. Global Moran's I and Anselin Local Moran's I statistics of spatial association were used per region to examine and visualize clustering of the WNV rate and the high/low rating. Spatial data on landscape, demographic and climatic variables were compiled and derived from a variety of sources and then investigated in relation to human WNV using both Spearman rho correlation coefficients and Poisson regression models. Findings demonstrated significant spatial clustering of WNV and substantial inter-regional differences in relationships between WNV occurrence and landscape, demographic and climatically related variables. The regional associations were consistent with the ecologies of the dominant vectors for those regions. The large outbreak in the Southeast region was preceded by higher than normal winter and spring precipitation followed by dry and hot conditions in the summer.

National and regional associations between human West Nile virus incidence and demographic, landscape, and land use conditions in the coterminous United States

The incidence of human West Nile virus (WNV) varies spatially and temporally and is influenced by a wide range of biotic and abiotic factors. There are numerous important vector species, with variable geographic ranges and ecologies, considered crucial to the transmission of WNV in the coterminous United States. To date there has been a lack of a systematic investigation in the United States, at a regional scale, of the wide variety of landscape, land use, and demographic influences on WNV incidence. In this study, we use published vector species distribution maps, as well as prominent landscape features, to define six distinct regions of the coterminous United States. We relate data on demographic, landscape, and land use conditions to the incidence of human WNV by region recorded at county level in the coterminous United States from 2002-2009. The observed relationships varied by region with the Great Plains, Northwest, and Southwest regions showing high WNV incidence associated with rural irrigated landscapes, indicating the importance of Culex tarsalis as the primary vector. In the Southeast, the percent of the population in poverty was positively associated with high WNV incidence, potentially indicating the quality of housing in relation to the vector Culex quinquefasciatus, a mosquito that often feeds indoors. The Northeast region human WNV incidence was positively associated with agricultural landscapes, potentially implying the importance of Culex restuans in a region generally thought of as being dominated by Culex pipiens transmission. There was strong spatial autocorrelation in most of the regions, but with a spatial autologistic term accounted for in binary logistic regression models, there were significant landscape, land use, and demographic covariates for each region.

Ecological niche modeling of potential West Nile virus vector mosquito species in Iowa

Ecological niche modeling (ENM) algorithms, Maximum Entropy Species Distribution Modeling (Maxent) and Genetic Algorithm for Rule-set Prediction (GARP), were used to develop models in Iowa for three species of mosquito - two significant, extant West Nile virus (WNV) vectors (Culex pipiens L and Culex tarsalis Coquillett (Diptera: Culicidae)), and the nuisance mosquito, Aedes vexans Meigen (Diptera: Culicidae), a potential WNV bridge vector. Occurrence data for the three mosquito species from a state-wide arbovirus surveillance program were used in combination with climatic and landscape layers. Maxent successfully created more appropriate niche models with greater accuracy than GARP. The three Maxent species' models were combined and the average values were statistically compared to human WNV incidence at the census block group level. The results showed that the Maxent-modeled species' niches averaged together were a useful indicator of WNV human incidence in the state of Iowa. This simple method for creating probability distribution maps proved useful for understanding WNV dynamics and could be applied to the study of other vector-borne diseases.

Landscape, demographic, entomological, and climatic associations with human disease incidence of West Nile virus in the state of Iowa, USA

Background

West Nile virus (WNV) emerged as a threat to public and veterinary health in the Midwest United States in 2001 and continues to cause significant morbidity and mortality annually. To investigate biotic and abiotic factors associated with disease incidence, cases of reported human disease caused by West Nile virus (WNV) in the state of Iowa were aggregated by census block groups in Iowa for the years 2002–2006. Spatially explicit data on landscape, demographic, and climatic conditions were collated and analyzed by census block groups. Statistical tests of differences between means and distributions of landscape, demographic, and climatic variables for census block groups with and without WNV disease incidence were carried out. Entomological data from Iowa were considered at the state level to add context to the potential ecological events taking place.

Results

Numerous statistically significant differences were shown in the means and distributions of various landscape and demographic variables for census block groups with and without WNV disease incidence. Census block groups with WNV disease incidence had significantly lower population densities than those without. Landscape variables showing differences included stream density, road density, land cover compositions, presence of irrigation, and presence of animal feeding operations. Statistically significant differences in the annual means of precipitations, dew point, and minimum temperature for both the year of WNV disease incidence and the prior year, were detected in at least one year of the analysis for each parameter. However, the differences were not consistent between years.

Conclusion

The analysis of human WNV disease incidence by census block groups in Iowa demonstrated unique landscape, demographic, and climatic associations. Our results indicate that multiple ecological WNV transmission dynamics are most likely taking place in Iowa. In 2003 and 2006, drier conditions were associated with WNV disease incidence. In a significant novel finding, rural agricultural settings were shown to be strongly associated with human WNV disease incidence in Iowa.