The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.

<h4>Background</h4>Dengue is a major mosquito-borne viral disease and an important public health problem. Identifying which factors are important determinants in the risk of dengue infection is critical in supporting and guiding preventive measures. In South-East Asia, half of all report...

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Main Authors: Siwi P M Wijayanti, Thibaud Porphyre, Margo Chase-Topping, Stephanie M Rainey, Melanie McFarlane, Esther Schnettler, Roman Biek, Alain Kohl
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-09-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0004964
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author Siwi P M Wijayanti
Thibaud Porphyre
Margo Chase-Topping
Stephanie M Rainey
Melanie McFarlane
Esther Schnettler
Roman Biek
Alain Kohl
author_facet Siwi P M Wijayanti
Thibaud Porphyre
Margo Chase-Topping
Stephanie M Rainey
Melanie McFarlane
Esther Schnettler
Roman Biek
Alain Kohl
author_sort Siwi P M Wijayanti
collection DOAJ
description <h4>Background</h4>Dengue is a major mosquito-borne viral disease and an important public health problem. Identifying which factors are important determinants in the risk of dengue infection is critical in supporting and guiding preventive measures. In South-East Asia, half of all reported fatal infections are recorded in Indonesia, yet little is known about the epidemiology of dengue in this country.<h4>Methodology/principal findings</h4>Hospital-reported dengue cases in Banyumas regency, Central Java were examined to build Bayesian spatial and spatio-temporal models assessing the influence of climatic, demographic and socio-economic factors on the risk of dengue infection. A socio-economic factor linking employment type and economic status was the most influential on the risk of dengue infection in the Regency. Other factors such as access to healthcare facilities and night-time temperature were also found to be associated with higher risk of reported dengue infection but had limited explanatory power.<h4>Conclusions/significance</h4>Our data suggest that dengue infections are triggered by indoor transmission events linked to socio-economic factors (employment type, economic status). Preventive measures in this area should therefore target also specific environments such as schools and work areas to attempt and reduce dengue burden in this community. Although our analysis did not account for factors such as variations in immunity which need further investigation, this study can advise preventive measures in areas with similar patterns of reported dengue cases and environment.
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spelling doaj.art-8752aa3868a04101bd76c1cd24707b6e2022-12-22T04:06:47ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352016-09-01109e000496410.1371/journal.pntd.0004964The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.Siwi P M WijayantiThibaud PorphyreMargo Chase-ToppingStephanie M RaineyMelanie McFarlaneEsther SchnettlerRoman BiekAlain Kohl<h4>Background</h4>Dengue is a major mosquito-borne viral disease and an important public health problem. Identifying which factors are important determinants in the risk of dengue infection is critical in supporting and guiding preventive measures. In South-East Asia, half of all reported fatal infections are recorded in Indonesia, yet little is known about the epidemiology of dengue in this country.<h4>Methodology/principal findings</h4>Hospital-reported dengue cases in Banyumas regency, Central Java were examined to build Bayesian spatial and spatio-temporal models assessing the influence of climatic, demographic and socio-economic factors on the risk of dengue infection. A socio-economic factor linking employment type and economic status was the most influential on the risk of dengue infection in the Regency. Other factors such as access to healthcare facilities and night-time temperature were also found to be associated with higher risk of reported dengue infection but had limited explanatory power.<h4>Conclusions/significance</h4>Our data suggest that dengue infections are triggered by indoor transmission events linked to socio-economic factors (employment type, economic status). Preventive measures in this area should therefore target also specific environments such as schools and work areas to attempt and reduce dengue burden in this community. Although our analysis did not account for factors such as variations in immunity which need further investigation, this study can advise preventive measures in areas with similar patterns of reported dengue cases and environment.https://doi.org/10.1371/journal.pntd.0004964
spellingShingle Siwi P M Wijayanti
Thibaud Porphyre
Margo Chase-Topping
Stephanie M Rainey
Melanie McFarlane
Esther Schnettler
Roman Biek
Alain Kohl
The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
PLoS Neglected Tropical Diseases
title The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
title_full The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
title_fullStr The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
title_full_unstemmed The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
title_short The Importance of Socio-Economic Versus Environmental Risk Factors for Reported Dengue Cases in Java, Indonesia.
title_sort importance of socio economic versus environmental risk factors for reported dengue cases in java indonesia
url https://doi.org/10.1371/journal.pntd.0004964
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