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AbstractLand cover is a critical variable in epidemiology and can be characterised remotely. A framework is used to describe both the links between land cover and radiation recorded by a remotely sensed image and the links between land cover and the disease carried by vectors. The framework is then used to explore the issues involved when moving from remotely sensed imagery to land cover and then to vector density/disease risk.This exploration highlights the rôle of land cover; the need to develop a sound knowledge of each link in the predictive sequence; the problematic mismatch between the spatial units of the remotely sensed and epidemiological data and the challenges and opportunities posed by adding a temporal mismatch between the remotely sensed and epidemiological data. The paper concludes with a call for both greater understanding of the physical components of the proposed framework and the utilisation of optimised statistical tools as prerequisites to progress in this field.4
IntroductionThe application of remote sensing to epidemiology is based on the development of a logical sequence that links measures of radiation made by a sensor on board an aircraft, or more usually a satellite, to measures of a disease and its vector (e.g ., Crombie et al., 1999). At its most general, a sequence could be: (i) remotely sensed data can be used to provide information on land cover (e.g., different vegetation types or classes of vegetation amount) and thereby habitat (Innes and Koch, 1998), (ii) the spatial distribution of vector-borne disease z is related to the habitat of that vector (Pavlovsky, 1966) and (iii) therefore, remotely sensed data can be used to provide information on the spatial distribution of vector-borne disease z (Hay et al., 1997).In certain circumstances the first two propositions can be well-founded. For example, where remotely sensed data and disease data are both related to climate (Hugh-Jones, 1991a;Thomson et al., 1996;Hay et al., 1996;1998a). When this is the case researchers have sought to use remote sensing as a direct and instrumental tool (Curran, 1987) to predict and map the location of some of the major diseases affecting human health (Bailey and Linthicum, 1989;Hay et al., 1997;1998b;Malone et al., 1997;Connor, 1999)."Satellite (sensor) images can pinpoint the breeding grounds of the mosquitoes that cause malaria, pick out the tsetse fly's favourite haunts and perhaps even identify places where there is a risk of cholera" (K. Kleiner, 1995, p.9).In support of such predictions research has been undertaken in different environments, for different diseases and vectors and with various combinations of imagery and ancillary data (Hugh-Jones and O'Neil, 1986;Hay et al., 1997;Estrada-Peña, 1998). Some thirty years of experience (Cline, 1970) have shown that while the remote sensing of disease is certainly viable (Linthicum et al., 1987;Hugh-Jones, 1991a;Rogers and Williams, 1993) it will not be a robust and reliable epidemiological technique unt...