Challenges to mapping the health risk of hepatitis A virus infection

<p>Abstract</p> <p>Background</p> <p>World maps are among the most effective ways to convey public health messages such as recommended vaccinations, but creating a useful and valid map requires careful deliberation. The changing epidemiology of hepatitis A virus (HAV) i...

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Main Authors: Wiersma Steven T, Jacobsen Kathryn H, Mohd Hanafiah Khayriyyah
Format: Article
Language:English
Published: BMC 2011-10-01
Series:International Journal of Health Geographics
Subjects:
Online Access:http://www.ij-healthgeographics.com/content/10/1/57
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author Wiersma Steven T
Jacobsen Kathryn H
Mohd Hanafiah Khayriyyah
author_facet Wiersma Steven T
Jacobsen Kathryn H
Mohd Hanafiah Khayriyyah
author_sort Wiersma Steven T
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>World maps are among the most effective ways to convey public health messages such as recommended vaccinations, but creating a useful and valid map requires careful deliberation. The changing epidemiology of hepatitis A virus (HAV) in many world regions heightens the need for up-to-date risk maps. HAV infection is usually asymptomatic in children, so low-income areas with high incidence rates usually have a low burden of disease. In higher-income areas, many adults remain susceptible to the virus and, if infected, often experience severe disease.</p> <p>Results</p> <p>Several challenges associated with presenting hepatitis A risk using maps were identified, including the need to decide whether prior infection or continued susceptibility more aptly indicates risk, whether to display incidence or prevalence, how to distinguish between different levels of risk, how to display changes in risk over time, how to present complex information to target audiences, and how to handle missing or obsolete data.</p> <p>Conclusion</p> <p>For future maps to be comparable across place and time, we propose the use of the age at midpoint of population susceptibility as a standard indicator for the level of hepatitis A endemicity within a world region. We also call for the creation of an accessible active database for population-based age-specific HAV seroprevalence and incidence studies. Health risk maps for other conditions with rapidly changing epidemiology would benefit from similar strategies.</p>
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spelling doaj.art-349010b846474dccb6815675a15ff6ee2022-12-22T02:48:20ZengBMCInternational Journal of Health Geographics1476-072X2011-10-011015710.1186/1476-072X-10-57Challenges to mapping the health risk of hepatitis A virus infectionWiersma Steven TJacobsen Kathryn HMohd Hanafiah Khayriyyah<p>Abstract</p> <p>Background</p> <p>World maps are among the most effective ways to convey public health messages such as recommended vaccinations, but creating a useful and valid map requires careful deliberation. The changing epidemiology of hepatitis A virus (HAV) in many world regions heightens the need for up-to-date risk maps. HAV infection is usually asymptomatic in children, so low-income areas with high incidence rates usually have a low burden of disease. In higher-income areas, many adults remain susceptible to the virus and, if infected, often experience severe disease.</p> <p>Results</p> <p>Several challenges associated with presenting hepatitis A risk using maps were identified, including the need to decide whether prior infection or continued susceptibility more aptly indicates risk, whether to display incidence or prevalence, how to distinguish between different levels of risk, how to display changes in risk over time, how to present complex information to target audiences, and how to handle missing or obsolete data.</p> <p>Conclusion</p> <p>For future maps to be comparable across place and time, we propose the use of the age at midpoint of population susceptibility as a standard indicator for the level of hepatitis A endemicity within a world region. We also call for the creation of an accessible active database for population-based age-specific HAV seroprevalence and incidence studies. Health risk maps for other conditions with rapidly changing epidemiology would benefit from similar strategies.</p>http://www.ij-healthgeographics.com/content/10/1/57hepatitis Ageographic information systemshealth risk mapsrisk mappingvaccine recommendationsglobal healthtravel health
spellingShingle Wiersma Steven T
Jacobsen Kathryn H
Mohd Hanafiah Khayriyyah
Challenges to mapping the health risk of hepatitis A virus infection
International Journal of Health Geographics
hepatitis A
geographic information systems
health risk maps
risk mapping
vaccine recommendations
global health
travel health
title Challenges to mapping the health risk of hepatitis A virus infection
title_full Challenges to mapping the health risk of hepatitis A virus infection
title_fullStr Challenges to mapping the health risk of hepatitis A virus infection
title_full_unstemmed Challenges to mapping the health risk of hepatitis A virus infection
title_short Challenges to mapping the health risk of hepatitis A virus infection
title_sort challenges to mapping the health risk of hepatitis a virus infection
topic hepatitis A
geographic information systems
health risk maps
risk mapping
vaccine recommendations
global health
travel health
url http://www.ij-healthgeographics.com/content/10/1/57
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