2018
DOI: 10.17269/s41997-018-0074-1
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Predictors of pertussis outbreak in urban and rural municipalities of Saskatchewan, Canada

Abstract: Pertussis is a cyclical disease with outbreaks occurring every 3 to 5 years. Teenagers have increased risk of disease compared to younger children, likely due to waning immunity. Rural residents had a higher incidence of disease, possibly due to clusters of conscientious objectors. Control efforts require recognition of waning immunity and unvaccinated susceptibles.

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Cited by 5 publications
(4 citation statements)
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“…These contradictory findings may be the result of distortion effects of percent females in the model. However, our finding that rurality is a predictor of higher county-level pertussis risk is consistent with reports of a geospatial analysis of pertussis in Saskatchewan, Canada, that rural areas had higher pertussis risk than non-rural areas (Medu et al, 2018). There is a clear need to explore the relationship between population density, rurality, and risk of pertussis more deeply, as there is conflict not only in this study but also in the literature.…”
Section: Predictors Of Pertussis Risksupporting
confidence: 90%
“…These contradictory findings may be the result of distortion effects of percent females in the model. However, our finding that rurality is a predictor of higher county-level pertussis risk is consistent with reports of a geospatial analysis of pertussis in Saskatchewan, Canada, that rural areas had higher pertussis risk than non-rural areas (Medu et al, 2018). There is a clear need to explore the relationship between population density, rurality, and risk of pertussis more deeply, as there is conflict not only in this study but also in the literature.…”
Section: Predictors Of Pertussis Risksupporting
confidence: 90%
“…Pertussis or whooping cough is a vaccine-preventable respiratory disease that is mainly caused by Bordetella pertussis (1,2). This infection may present with mild symptoms to fatal complication especially in under 3-month infants (3) and it is one of the main causes of morbidity and mortality among neonates and infants (4).…”
Section: Introductionmentioning
confidence: 99%
“…Epidemiology (or non-epidemic) models are based on different statistical mathematical models, such as (i) regression, mainly used to detect outbreaks [31], as well as (ii) the autoregressive integrated moving average model, ARIMA, and seasonal SARIMA, both used to predict outbreaks and risk factors [32,33]. Currently, more complex models are gainging popularity, including [34] (iii) models based on a time series, which are more useful in antimicrobial studies to unravel trends [35], (iv) methods including cumulative sum and an exponentially weighted moving average (for example, in the ARIBACA project, were this model was implemented to detect and forecast selected Caribbean diseases, such as dengue [36]), and (v) spatial models, which are more sophisticated, including place-specific models requiring multivariate techniques to model the spatial heterogeneity of all the infection´s covariates [37] (Table A1).…”
Section: Overview Of Mathematical Models To Predict Infectious Diseasesmentioning
confidence: 99%