Evidence map›Paper›PMID 32342853›Full record

ArticleThe American journal of tropical medicine and hygiene2020

Spatiotemporal Tools for Emerging and Endemic Disease Hotspots in Small Areas: An Analysis of Dengue and Chikungunya in Barbados, 2013-2016.

Catherine A Lippi, Anna M Stewart-Ibarra, Moory Romero, Rachel Lowe, Roché Mahon, Cedric J Van Meerbeeck, Leslie Rollock, Marquita Gittens-St Hilaire, Adrian R Trotman, Dale Holligan and 3 more

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

13 authors.

Catherine A Lippi1Department of Geography, Quantitative Disease Ecology and Conservation (QDEC) Lab Group, University of Florida, Gainesville, Florida.
Anna M Stewart-Ibarra3InterAmerican Institute for Global Change Research (IAI), Montevideo, Uruguay.
Moory Romero4Department of Environmental Studies, State University of New York College of Environmental Science and Forestry (SUNY ESF), Syracuse, New York.
Rachel Lowe5Department of Infectious Disease Epidemiology, Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Roché Mahon7The Caribbean Institute for Meteorology and Hydrology, St. James, Barbados.
Cedric J Van Meerbeeck7The Caribbean Institute for Meteorology and Hydrology, St. James, Barbados.
Leslie Rollock8Ministry of Health and Wellness, St. Michael, Barbados.
Marquita Gittens-St Hilaire9Faculty of Medical Sciences, University of the West Indies at Cave Hill, Bridgetown, Barbados.
Adrian R Trotman7The Caribbean Institute for Meteorology and Hydrology, St. James, Barbados.
Dale Holligan8Ministry of Health and Wellness, St. Michael, Barbados.
Shane Kirton8Ministry of Health and Wellness, St. Michael, Barbados.
Mercy J Borbor-Cordova10Facultad de Ingeniería Marítima y Ciencias del Mar, Escuela Superior Politécnica del Litoral (ESPOL), Guayaquil, Ecuador.
Sadie J Ryan1Department of Geography, Quantitative Disease Ecology and Conservation (QDEC) Lab Group, University of Florida, Gainesville, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dengue fever and other febrile mosquito-borne diseases place considerable health and economic burdens on small island nations in the Caribbean. Here, we used two methods of cluster detection to find potential hotspots of transmission of dengue and chikungunya in Barbados, and to assess the impact of input surveillance data and methodology on observed patterns of risk. Using Moran's I and spatial scan statistics, we analyzed the geospatial and temporal distribution of disease cases and rates across Barbados for dengue fever in 2013-2016, and a chikungunya outbreak in 2014. During years with high numbers of dengue cases, hotspots for cases were found with Moran's I in the south and central regions in 2013 and 2016, respectively. Using smoothed disease rates, clustering was detected in all years for dengue. Hotspots suggesting higher rates were not detected via spatial scan statistics, but coldspots suggesting lower than expected rates of disease activity were found in southwestern Barbados during high case years of dengue. No significant spatiotemporal structure was found in cases during the chikungunya outbreak. Spatial analysis of surveillance data is useful in identifying outbreak hotspots, potentially complementing existing early warning systems. We caution that these methods should be used in a manner appropriate to available data and reflecting explicit public health goals-managing for overall case numbers or targeting anomalous rates for further investigation.

Indexed as

Disease OutbreaksSpatio-Temporal AnalysisAedesAnimalsBarbadosChikungunya FeverChikungunya virusCluster AnalysisDengueDengue VirusEndemic DiseasesEpidemiological MonitoringHumansIncidenceMosquito VectorsPublic Health

Identifiers

PMID32342853
PMCPMC7356414

What OpenQuestion holds

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Registered trials

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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.