Assessment of malaria risk in Southeast Asia: a systematic review

BACKGROUND

Several countries in Southeast Asia are nearing malaria elimination, yet eradication remains elusive. This is largely due to the challenge of focusing elimination efforts, an area where risk prediction can play an essential supporting role. Despite its importance, there is no standard numerical method to quantify the risk of malaria infection. Thus, there is a need for a consolidated view of existing definitions of risk and factors considered in assessing risk to analyse the merits of risk prediction models. This systematic review examines studies of the risk of malaria in Southeast Asia with regard to their suitability in addressing the challenges of malaria elimination in low transmission areas.

METHODS

A search of four electronic databases over 2010-2020 retrieved 1297 articles, of which 25 met the inclusion and exclusion criteria. In each study, examined factors included the definition of the risk and indicators of malaria transmission used, the environmental and climatic factors associated with the risk, the statistical models used, the spatial and temporal granularity, and how the relationship between environment, climate, and risk is quantified.

RESULTS

This review found variation in the definition of risk used, as well as the environmental and climatic factors in the reviewed articles. GLM was widely adopted as the analysis technique relating environmental and climatic factors to malaria risk. Most of the studies were carried out in either a cross-sectional design or case-control studies, and most utilized the odds ratio to report the relationship between exposure to risk and malaria prevalence.

CONCLUSIONS

Adopting a standardized definition of malaria risk would help in comparing and sharing results, as would a clear description of the definition and method of collection of the environmental and climatic variables used. Further issues that need to be more fully addressed include detection of asymptomatic cases and considerations of human mobility. Many of the findings of this study are applicable to other low-transmission settings and could serve as a guideline for further studies of malaria in other regions.

Effects of COVID-19 government travel restrictions on mobility in a rural border area of Northern Thailand: A mobile phone tracking study

BACKGROUND

Thailand is among the top five countries with effective COVID-19 transmission control. This study examines how news of presence of COVID-19 in Thailand, as well as varying levels of government restriction on movement, affected human mobility in a rural Thai population along the border with Myanmar.

METHODS

This study makes use of mobility data collected using a smartphone app. Between November 2019 and June 2020, four major events concerning information dissemination or government intervention give rise to five time intervals of analysis. Radius of gyration is used to analyze movement in each interval, and movement during government-imposed curfew. Human mobility network visualization is used to identify changes in travel patterns between main geographic locations of activity. Cross-border mobility analysis highlights potential for intervillage and intercountry disease transmission.

RESULTS

Inter-village and cross-border movement was common in the pre-COVID-19 period. Radius of gyration and cross-border trips decreased following news of the first imported cases. During the government lockdown period, radius of gyration was reduced by more than 90% and cross-border movement was mostly limited to short-distance trips. Human mobility was nearly back to normal after relaxation of the lockdown.

CONCLUSIONS

This study provides insight into the impact of the government lockdown policy on an area with extremely low socio-economic status, poor healthcare resources, and highly active cross-border movement. The lockdown had a great impact on reducing individual mobility, including cross-border movement. The quick return to normal mobility after relaxation of the lockdown implies that close monitoring of disease should be continued to prevent a second wave.

Differences between Spatial and Visual Mental Representations

This article investigates the relationship between visual mental representations and spatial mental representations in human visuo-spatial processing. By comparing two common theories of visuo-spatial processing – mental model theory and the theory of mental imagery – we identified two open questions: (1) which representations are modality-specific, and (2) what is the role of the two representations in reasoning. Two experiments examining eye movements and preferences for under-specified problems were conducted to investigate these questions. We found that significant spontaneous eye movements along the processed spatial relations occurred only when a visual mental representation is employed, but not with a spatial mental representation. Furthermore, the preferences for the answers of the under-specified problems differed between the two mental representations. The results challenge assumptions made by mental model theory and the theory of mental imagery.

Reports of the AAAI 2010 Spring Symposia

The Association for the Advancement of Artificial Intelligence, in cooperation with Stanford University’s Department of Computer Science, is pleased to present the 2010 Spring Symposium Series, to be held Monday through Wednesday, March 22–24, 2010 at Stanford University. The titles of the seven symposia are Artificial Intelligence for Development; Cognitive Shape Processing; Educational Robotics and Beyond: Design and Evaluation; Embedded Reasoning: Intelligence in Embedded Systems Intelligent Information Privacy Management; It’s All in the Timing: Representing and Reasoning about Time in Interactive Behavior; and Linked Data Meets Artificial Intelligence.