Spatio-temporal dynamic of malaria incidence: A comparison of two ecological zones in Mali

François Freddy Ateba, Issaka Sagara, Nafomon Sogoba, Mahamoudou Touré, Drissa Konaté, Sory Ibrahim Diawara, Séidina Aboubacar Samba Diakité, Ayouba Diarra, Mamadou D. Coulibaly, Mathias Dolo, Amagana Dolo, Aissata Sacko, Sidibe M’Baye Thiam, Aliou Sissako, Lansana Sangaré, Mahamadou Diakité, Ousmane A. Koita, Mady Cissoko, Sékou Fantamady Traore, Peter John WinchManuel Febrero-Bande, Jeffrey G. Shaffer, Donald J. Krogtad, Hannah Catherine Marker, Seydou Doumbia, Jean Gaudart

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Malaria transmission largely depends on environmental, climatic, and hydrological conditions. In Mali, malaria epidemiological patterns are nested within three ecological zones. This study aimed at assessing the relationship between those conditions and the incidence of malaria in Dangassa and Koila, Mali. Malaria data was collected through passive case detection at community health facilities of each study site from June 2015 to January 2017. Climate and environmental data were obtained over the same time period from the Goddard Earth Sciences (Giovanni) platform and hydrological data from Mali hydraulic services. A generalized additive model was used to determine the lagged time between each principal component analysis derived component and the incidence of malaria cases, and also used to analyze the relationship between malaria and the lagged components in a multivariate approach. Malaria transmission patterns were bimodal at both sites, but peak and lull periods were longer lasting for Koila study site. Temperatures were associated with malaria incidence in both sites. In Dangassa, the wind speed (p = 0.005) and river heights (p = 0.010) contributed to increasing malaria incidence, in contrast to Koila, where it was humidity (p < 0.001) and vegetation (p = 0.004). The relationships between environmental factors and malaria incidence differed between the two settings, implying different malaria dynamics and adjustments in the conception and plan of interventions.

Original languageEnglish (US)
Article number4698
Pages (from-to)1-21
Number of pages21
JournalInternational journal of environmental research and public health
Volume17
Issue number13
DOIs
StatePublished - Jul 2020

Keywords

  • Generalized additive models
  • Geo-epidemiology
  • Lag
  • Malaria
  • Normalized differencevegetation index
  • Passive case detection
  • Plasmodium falciparum
  • Principal components analysis

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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