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. 2014 Mar 1:48:1-7.
doi: 10.1016/j.apgeog.2014.01.002.

Participatory Risk Mapping of Malaria Vector Exposure in Northern South America using Environmental and Population Data

D O Fuller  1 , A Troyo  2 , T O Alimi  3 , J C Beier  4
Affiliations

Participatory Risk Mapping of Malaria Vector Exposure in Northern South America using Environmental and Population Data

D O Fuller et al. Appl Geogr. .

Abstract

Malaria elimination remains a major public health challenge in many tropical regions, including large areas of northern South America. In this study, we present a new high spatial resolution (90 × 90 m) risk map for Colombia and surrounding areas based on environmental and human population data. The map was created through a participatory multi-criteria decision analysis in which expert opinion was solicited to determine key environmental and population risk factors, different fuzzy functions to standardize risk factor inputs, and variable factor weights to combine risk factors in a geographic information system. The new risk map was compared to a map of malaria cases in which cases were aggregated to the municipio (municipality) level. The relationship between mean municipio risk scores and total cases by muncípio showed a weak correlation. However, the relationship between pixel-level risk scores and vector occurrence points for two dominant vector species, Anopheles albimanus and An. darlingi, was significantly different (p < 0.05) from a random point distribution, as was a pooled point distribution for these two vector species and An. nuneztovari. Thus, we conclude that the new risk map derived based on expert opinion provides an accurate spatial representation of risk of potential vector exposure rather than malaria transmission as shown by the pattern of malaria cases, and therefore it may be used to inform public health authorities as to where vector control measures should be prioritized to limit human-vector contact in future malaria outbreaks.

Keywords: Anopheles species; Participatory GIS; malaria; multi-criteria decision analysis; risk mapping.

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Figures

Fig. 1
Fig. 1
a. Malaria cases by municipio for Colombia averaged by year for 2000-2009. b. Map of vector occurrence points found in northern South America.
Fig. 2
Fig. 2
Risk map of malaria vector exposure derived from multi-criteria decision analysis (MCDA) guided by expert opinion (EO).
Fig. 3
Fig. 3. Scatterplot showing no relationship between mean risk score and mean annual cases by municipio
Fig. 4
Fig. 4
Bar chart showing the mean risk values for vector vs. random points.
See this image and copyright information in PMC

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