02139nas a2200205 4500000000100000008004100001260002500042653002800067653002200095653002400117653002100141100001200162700001400174700001600188700001700204245012200221490000800343520156800351022001401919 2026 d c08/2026bElsevier BV10aCutaneous leishmaniasis10aensemble learning10aRemote sensing data10aSpatial modeling1 aAmiri F1 aSamany NN1 aAl-Hemoud A1 aBoloorani AD00aMapping the potential occurrence of Cutaneous Leishmaniasis using machine learning algorithms and remote sensing data0 v2833 a

Cutaneous Leishmaniasis (CL) is a vector-borne parasitic disease closely linked to environmental conditions. This study aimed to model and map the spatial occurrence potential of CL across multiple study years in Golestan Province, Iran, using machine learning, ensemble learning approaches, and remote sensing data. A geospatial database was developed from CL case records aggregated at the level of cities and rural settlements during 2011–2013 and nine environmental variables, including precipitation, temperature, evapotranspiration, wind speed, drought conditions, vegetation cover, population density, elevation, and slope. Three machine learning algorithms—Random Forest (RF), Support Vector Regression (SVR), and Artificial Neural Network (ANN)—were applied. The outputs of the machine learning models were combined using majority voting and weighted voting techniques. Model performance was evaluated based on the Area Under the ROC Curve (AUC). Among individual models, ANN showed the highest performance (AUC = 0.843), while SVR had the lowest (AUC = 0.748). Ensemble approaches improved overall discriminatory performance, with weighted voting achieving the best overall performance (AUC = 0.911). Spatial results indicated that the northern and central areas had the highest CL occurrence potential, whereas the southern and southeastern regions had the lowest occurrence potential. These findings highlight the potential of integrating remote sensing data, machine learning algorithms, and ensemble methods for CL occurrence mapping.

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