Evidence map›Paper›PMID 30307936›Full record

ArticlePLoS neglected tropical diseases2018

Predictive risk mapping of an environmentally-driven infectious disease using spatial Bayesian networks: A case study of leptospirosis in Fiji.

Helen J Mayfield, Carl S Smith, John H Lowry, Conall H Watson, Michael G Baker, Mike Kama, Eric J Nilles, Colleen L Lau

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Improved Transferability of Data-Driven Damage Models Through Sample Selection Bias Correction.Risk analysis : an official publication of the Society for Risk Analysis · 2021
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 5 countries.

Helen J MayfieldResearch School of Population Health, The Australian National University, Canberra, Australia.ORCID 0000-0003-3462-4324
Carl S SmithSchool of Business, University of Queensland, Brisbane, Australia.
John H LowrySchool of People, Environment and Planning, Massey University, Palmerston North, New Zealand.
Conall H WatsonDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Michael G BakerDepartment of Public Health, University of Otago, Wellington, New Zealand.
Mike KamaFiji Ministry of Health and Medical Services, Suva, Fiji.
Eric J NillesDivision of Pacific Technical Support, World Health Organization, Suva, Fiji.
Colleen L LauResearch School of Population Health, The Australian National University, Canberra, Australia.
Australian National University · AUDana-Farber/Harvard Cancer Center · USLondon School of Hygiene & Tropical Medicine · GBMassey University · NZMinistry Of Health · FJThe University of Queensland · AUUniversity of Otago · NZ

Funding

Medical Research Council MR/J003999/1World Health Organization 001
6 · The paper itself

Abstract

introductionLeptospirosis is a zoonotic disease responsible for over 1 million severe cases and 60,000 deaths annually. The wide range of animal hosts and complex environmental drivers of transmission make targeted interventions challenging, particularly when restricted to regression-based analyses which have limited ability to deal with complexity. In Fiji, important environmental and socio-demographic factors include living in rural areas, poverty, and livestock exposure. This study aims to examine drivers of transmission under different scenarios of environmental and livestock exposures.

methodsSpatial Bayesian networks (SBN) were used to analyse the influence of livestock and poverty on the risk of leptospirosis infection in urban compared to rural areas. The SBN models used a combination of spatially-explicit field data from previous work and publically available census information. Predictive risk maps were produced for overall risk, and for scenarios related to poverty, livestock, and urban/rural setting.

resultsWhile high, rather than low, commercial dairy farm density similarly increased the risk of infection in both urban (12% to 18%) and rural areas (70% to 79%), the presence of pigs in a village had different impact in rural (43% to 84%) compared with urban areas (4% to 24%). Areas with high poverty rates were predicted to have 26.6% and 18.0% higher probability of above average seroprevalence in rural and urban areas, respectively. In urban areas, this represents >300% difference between areas of low and high poverty, compared to 43% difference in rural areas.

conclusionsOur study demonstrates the use of SBN to provide valuable insights into the drivers of leptospirosis transmission under complex scenarios. By estimating the risk of leptospirosis infection under different scenarios, such as urban versus rural areas, these subgroups or areas can be targeted with more precise interventions that focus on the most relevant key drivers of infection.

Indexed as

Environmental ExposureAnimal HusbandryAnimalsBayes TheoremFijiHumansLeptospirosisLivestockPovertyRisk AssessmentRural PopulationSeroepidemiologic StudiesSpatial AnalysisUrban PopulationZoonoses

Identifiers

PMID30307936
PMCPMC6198991
OpenAlexW2896205018

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.