2017
DOI: 10.1371/journal.pone.0178836
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A spatial predictive model for malaria resurgence in central Greece integrating entomological, environmental and social data

Abstract: Malaria constitutes an important cause of human mortality. After 2009 Greece experienced a resurgence of malaria. Here, we develop a model-based framework that integrates entomological, geographical, social and environmental evidence in order to guide the mosquito control efforts and apply this framework to data from an entomological survey study conducted in Central Greece. Our results indicate that malaria transmission risk in Greece is potentially substantial. In addition, specific districts such as seaside… Show more

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Cited by 17 publications
(24 citation statements)
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“…The most common approach to the assessment of possible malaria re-introduction is the analysis of distribution of vectors and changes in their bionomics [68,69]. Climatic and social factors are often added [70,71], but they are first considered from the point of view of their possible effect on vectors. However, in recent post-eradication outbreaks in Europe, Russia included, changes in vector factors have never been the trigger for the resumption of transmission, and re-appearance of autochthonous malaria was due to either intensification of its importation, or meteorological factors favouring the parasite maturation, or a combination thereof [72].…”
Section: Discussionmentioning
confidence: 99%
“…The most common approach to the assessment of possible malaria re-introduction is the analysis of distribution of vectors and changes in their bionomics [68,69]. Climatic and social factors are often added [70,71], but they are first considered from the point of view of their possible effect on vectors. However, in recent post-eradication outbreaks in Europe, Russia included, changes in vector factors have never been the trigger for the resumption of transmission, and re-appearance of autochthonous malaria was due to either intensification of its importation, or meteorological factors favouring the parasite maturation, or a combination thereof [72].…”
Section: Discussionmentioning
confidence: 99%
“…In (1) and 2 [20], which are currently represented by monthly means of temperature [11]. An analytical description of parameters and relevant distributions utilized for the calculations of risk measures is included in Table A3 in Appendix A.…”
Section: The Spatial Predictive Modelmentioning
confidence: 99%
“…In 3  , is then multiplied by a pre-specified incidence rate. A deterministic sensitivity analysis was conducted [11] and the overall qualitative picture remained unchanged although the quantitative scale varied somewhat.…”
Section: The Spatial Predictive Modelmentioning
confidence: 99%
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“…For example, some process-based models consider the impact of temperature [141,142,143,144,145,146,147,148] or rainfall [147,149,150,151] on mosquito lifespan and development rates without explicitly considering the nonlinear response of mosquito habitat to weather (i.e., formation and persistence of standing water in the landscape). Recent modeling studies (e.g., malaria [24,152,153] and Rift Valley fever [154]) have begun to consider the linkage to hydrology and climate. But they are either limited to small scales (e.g., watersheds or small regions) [153,154] or are based on a simple calculation of water balance without considering real land surface characteristics [152].…”
Section: Epidemiological Modeling Of Vector-borne Infectious Diseasesmentioning
confidence: 99%