The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study

BackgroundTraditionally, dengue prevention and control rely on vector control programs and reporting of symptomatic cases to a central health agency. However, case reporting is often delayed, and the true burden of dengue disease is often underestimated. Moreover, some countr...

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Main Authors: Emmanuelle Sylvestre, Elsa Cécilia-Joseph, Guillaume Bouzillé, Fatiha Najioullah, Manuel Etienne, Fabrice Malouines, Jacques Rosine, Sandrine Julié, André Cabié, Marc Cuggia
Format: Article
Language:English
Published: JMIR Publications 2022-12-01
Series:JMIR Public Health and Surveillance
Online Access:https://publichealth.jmir.org/2022/12/e37122
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author Emmanuelle Sylvestre
Elsa Cécilia-Joseph
Guillaume Bouzillé
Fatiha Najioullah
Manuel Etienne
Fabrice Malouines
Jacques Rosine
Sandrine Julié
André Cabié
Marc Cuggia
author_facet Emmanuelle Sylvestre
Elsa Cécilia-Joseph
Guillaume Bouzillé
Fatiha Najioullah
Manuel Etienne
Fabrice Malouines
Jacques Rosine
Sandrine Julié
André Cabié
Marc Cuggia
author_sort Emmanuelle Sylvestre
collection DOAJ
description BackgroundTraditionally, dengue prevention and control rely on vector control programs and reporting of symptomatic cases to a central health agency. However, case reporting is often delayed, and the true burden of dengue disease is often underestimated. Moreover, some countries do not have routine control measures for vector control. Therefore, researchers are constantly assessing novel data sources to improve traditional surveillance systems. These studies are mostly carried out in big territories and rarely in smaller endemic regions, such as Martinique and the Lesser Antilles. ObjectiveThe aim of this study was to determine whether heterogeneous real-world data sources could help reduce reporting delays and improve dengue monitoring in Martinique island, a small endemic region. MethodsHeterogenous data sources (hospitalization data, entomological data, and Google Trends) and dengue surveillance reports for the last 14 years (January 2007 to February 2021) were analyzed to identify associations with dengue outbreaks and their time lags. ResultsThe dengue hospitalization rate was the variable most strongly correlated with the increase in dengue positivity rate by real-time reverse transcription polymerase chain reaction (Pearson correlation coefficient=0.70) with a time lag of −3 weeks. Weekly entomological interventions were also correlated with the increase in dengue positivity rate by real-time reverse transcription polymerase chain reaction (Pearson correlation coefficient=0.59) with a time lag of −2 weeks. The most correlated query from Google Trends was the “Dengue” topic restricted to the Martinique region (Pearson correlation coefficient=0.637) with a time lag of −3 weeks. ConclusionsReal-word data are valuable data sources for dengue surveillance in smaller territories. Many of these sources precede the increase in dengue cases by several weeks, and therefore can help to improve the ability of traditional surveillance systems to provide an early response in dengue outbreaks. All these sources should be better integrated to improve the early response to dengue outbreaks and vector-borne diseases in smaller endemic territories.
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spelling doaj.art-a0b1835da1e84d4ba1571c2dd04ca9382023-08-28T23:28:56ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602022-12-01812e3712210.2196/37122The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective StudyEmmanuelle Sylvestrehttps://orcid.org/0000-0002-0593-1408Elsa Cécilia-Josephhttps://orcid.org/0000-0002-7901-5517Guillaume Bouzilléhttps://orcid.org/0000-0002-3637-6558Fatiha Najioullahhttps://orcid.org/0000-0002-2922-1400Manuel Etiennehttps://orcid.org/0000-0003-2671-2463Fabrice Malouineshttps://orcid.org/0000-0002-8379-8606Jacques Rosinehttps://orcid.org/0000-0002-2854-9324Sandrine Juliéhttps://orcid.org/0000-0001-8771-1937André Cabiéhttps://orcid.org/0000-0003-0117-3061Marc Cuggiahttps://orcid.org/0000-0001-6943-3937 BackgroundTraditionally, dengue prevention and control rely on vector control programs and reporting of symptomatic cases to a central health agency. However, case reporting is often delayed, and the true burden of dengue disease is often underestimated. Moreover, some countries do not have routine control measures for vector control. Therefore, researchers are constantly assessing novel data sources to improve traditional surveillance systems. These studies are mostly carried out in big territories and rarely in smaller endemic regions, such as Martinique and the Lesser Antilles. ObjectiveThe aim of this study was to determine whether heterogeneous real-world data sources could help reduce reporting delays and improve dengue monitoring in Martinique island, a small endemic region. MethodsHeterogenous data sources (hospitalization data, entomological data, and Google Trends) and dengue surveillance reports for the last 14 years (January 2007 to February 2021) were analyzed to identify associations with dengue outbreaks and their time lags. ResultsThe dengue hospitalization rate was the variable most strongly correlated with the increase in dengue positivity rate by real-time reverse transcription polymerase chain reaction (Pearson correlation coefficient=0.70) with a time lag of −3 weeks. Weekly entomological interventions were also correlated with the increase in dengue positivity rate by real-time reverse transcription polymerase chain reaction (Pearson correlation coefficient=0.59) with a time lag of −2 weeks. The most correlated query from Google Trends was the “Dengue” topic restricted to the Martinique region (Pearson correlation coefficient=0.637) with a time lag of −3 weeks. ConclusionsReal-word data are valuable data sources for dengue surveillance in smaller territories. Many of these sources precede the increase in dengue cases by several weeks, and therefore can help to improve the ability of traditional surveillance systems to provide an early response in dengue outbreaks. All these sources should be better integrated to improve the early response to dengue outbreaks and vector-borne diseases in smaller endemic territories.https://publichealth.jmir.org/2022/12/e37122
spellingShingle Emmanuelle Sylvestre
Elsa Cécilia-Joseph
Guillaume Bouzillé
Fatiha Najioullah
Manuel Etienne
Fabrice Malouines
Jacques Rosine
Sandrine Julié
André Cabié
Marc Cuggia
The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
JMIR Public Health and Surveillance
title The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
title_full The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
title_fullStr The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
title_full_unstemmed The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
title_short The Role of Heterogenous Real-world Data for Dengue Surveillance in Martinique: Observational Retrospective Study
title_sort role of heterogenous real world data for dengue surveillance in martinique observational retrospective study
url https://publichealth.jmir.org/2022/12/e37122
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