Inferring the regional distribution of Visceral Leishmaniasis incidence from data at different spatial scales.

ABSTRACT:

Background

As cases of visceral leishmaniasis (VL) in India dwindle, there is motivation to monitor elimination progress on a finer geographic scale than sub-district (block). Low-incidence projections across geographically- and demographically- heterogeneous communities are difficult to act upon, and equitable elimination cannot be achieved if local pockets of incidence are overlooked. However, maintaining consistent surveillance at this scale is resource-intensive and not sustainable in the long-term.

Methods

We analysed VL incidence across 45,000 villages in Bihar state, exploring spatial autocorrelation and associations with local environmental conditions in order to assess the feasibility of inference at this scale. We evaluated a statistical disaggregation approach to

SUBMITTER: Nightingale ES 

PROVIDER: S-EPMC11579291 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature