Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.

BACKGROUND:To-date, Rift Valley fever (RVF) outbreaks have occurred in 38 of the 69 administrative districts in Kenya. Using surveillance records collected between 1951 and 2007, we determined the risk of exposure and outcome of an RVF outbreak, examined the ecological and climatic factors associate...

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Main Authors: Peninah M Munyua, R Mbabu Murithi, Peter Ithondeka, Allen Hightower, Samuel M Thumbi, Samuel A Anyangu, Jusper Kiplimo, Bernard Bett, Anton Vrieling, Robert F Breiman, M Kariuki Njenga
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4726791?pdf=render
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author Peninah M Munyua
R Mbabu Murithi
Peter Ithondeka
Allen Hightower
Samuel M Thumbi
Samuel A Anyangu
Jusper Kiplimo
Bernard Bett
Anton Vrieling
Robert F Breiman
M Kariuki Njenga
author_facet Peninah M Munyua
R Mbabu Murithi
Peter Ithondeka
Allen Hightower
Samuel M Thumbi
Samuel A Anyangu
Jusper Kiplimo
Bernard Bett
Anton Vrieling
Robert F Breiman
M Kariuki Njenga
author_sort Peninah M Munyua
collection DOAJ
description BACKGROUND:To-date, Rift Valley fever (RVF) outbreaks have occurred in 38 of the 69 administrative districts in Kenya. Using surveillance records collected between 1951 and 2007, we determined the risk of exposure and outcome of an RVF outbreak, examined the ecological and climatic factors associated with the outbreaks, and used these data to develop an RVF risk map for Kenya. METHODS:Exposure to RVF was evaluated as the proportion of the total outbreak years that each district was involved in prior epizootics, whereas risk of outcome was assessed as severity of observed disease in humans and animals for each district. A probability-impact weighted score (1 to 9) of the combined exposure and outcome risks was used to classify a district as high (score ≥ 5) or medium (score ≥2 - <5) risk, a classification that was subsequently subjected to expert group analysis for final risk level determination at the division levels (total = 391 divisions). Divisions that never reported RVF disease (score < 2) were classified as low risk. Using data from the 2006/07 RVF outbreak, the predictive risk factors for an RVF outbreak were identified. The predictive probabilities from the model were further used to develop an RVF risk map for Kenya. RESULTS:The final output was a RVF risk map that classified 101 of 391 divisions (26%) located in 21 districts as high risk, and 100 of 391 divisions (26%) located in 35 districts as medium risk and 190 divisions (48%) as low risk, including all 97 divisions in Nyanza and Western provinces. The risk of RVF was positively associated with Normalized Difference Vegetation Index (NDVI), low altitude below 1000m and high precipitation in areas with solonertz, luvisols and vertisols soil types (p <0.05). CONCLUSION:RVF risk map serves as an important tool for developing and deploying prevention and control measures against the disease.
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spelling doaj.art-2646cadb6c2a4958aaf69e240dc0ddaf2022-12-21T23:51:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01111e014457010.1371/journal.pone.0144570Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.Peninah M MunyuaR Mbabu MurithiPeter IthondekaAllen HightowerSamuel M ThumbiSamuel A AnyanguJusper KiplimoBernard BettAnton VrielingRobert F BreimanM Kariuki NjengaBACKGROUND:To-date, Rift Valley fever (RVF) outbreaks have occurred in 38 of the 69 administrative districts in Kenya. Using surveillance records collected between 1951 and 2007, we determined the risk of exposure and outcome of an RVF outbreak, examined the ecological and climatic factors associated with the outbreaks, and used these data to develop an RVF risk map for Kenya. METHODS:Exposure to RVF was evaluated as the proportion of the total outbreak years that each district was involved in prior epizootics, whereas risk of outcome was assessed as severity of observed disease in humans and animals for each district. A probability-impact weighted score (1 to 9) of the combined exposure and outcome risks was used to classify a district as high (score ≥ 5) or medium (score ≥2 - <5) risk, a classification that was subsequently subjected to expert group analysis for final risk level determination at the division levels (total = 391 divisions). Divisions that never reported RVF disease (score < 2) were classified as low risk. Using data from the 2006/07 RVF outbreak, the predictive risk factors for an RVF outbreak were identified. The predictive probabilities from the model were further used to develop an RVF risk map for Kenya. RESULTS:The final output was a RVF risk map that classified 101 of 391 divisions (26%) located in 21 districts as high risk, and 100 of 391 divisions (26%) located in 35 districts as medium risk and 190 divisions (48%) as low risk, including all 97 divisions in Nyanza and Western provinces. The risk of RVF was positively associated with Normalized Difference Vegetation Index (NDVI), low altitude below 1000m and high precipitation in areas with solonertz, luvisols and vertisols soil types (p <0.05). CONCLUSION:RVF risk map serves as an important tool for developing and deploying prevention and control measures against the disease.http://europepmc.org/articles/PMC4726791?pdf=render
spellingShingle Peninah M Munyua
R Mbabu Murithi
Peter Ithondeka
Allen Hightower
Samuel M Thumbi
Samuel A Anyangu
Jusper Kiplimo
Bernard Bett
Anton Vrieling
Robert F Breiman
M Kariuki Njenga
Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
PLoS ONE
title Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
title_full Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
title_fullStr Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
title_full_unstemmed Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
title_short Predictive Factors and Risk Mapping for Rift Valley Fever Epidemics in Kenya.
title_sort predictive factors and risk mapping for rift valley fever epidemics in kenya
url http://europepmc.org/articles/PMC4726791?pdf=render
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