TY - JOUR KW - Infectious Diseases KW - Public Health, Environmental and Occupational Health KW - General Immunology and Microbiology KW - Neurocysticercosis KW - Taenia solium KW - Zoonoses KW - Lao PDR KW - Neglected tropical diseases (NTDs) AU - Larkins A AU - Bruce M AU - Ash A AB -

Background: The World Health Organization has identified Taenia solium mapping tools as an important development for intensifying control in hyperendemic areas. Taenia solium has also been identified as a priority by the Lao PDR government. There is a limited understanding of the distribution of T. solium due to inherent diagnostic challenges.

Method: Global and local autocorrelation statistics were applied to available risk factor data sourced from national censuses to map the risk of Taenia solium in Lao PDR.

Results: Approximately 50% of villages could be considered hot spots for one or more risk factors. Different risk factor hot spots co-occurred in 30% of villages. Twenty per cent of villages were classified as hot spots for the proportion of households owning pigs and another risk factor. Northern Lao PDR was the dominant high-risk area. This is consistent with passive reports, limited surveys, and anecdotal reports. One smaller area in southern Lao PDR was also identified as high-risk. This is of particular interest because T. solium has not previously been investigated in this area.

Conclusions: The methods applied provide a simple, rapid, and versatile approach that allows endemic countries to begin mapping the risk of T. solium at a sub-national level.

BT - Tropical Medicine and Infectious Disease DO - 10.3390/tropicalmed8040221 IS - 4 LA - Eng N2 -

Background: The World Health Organization has identified Taenia solium mapping tools as an important development for intensifying control in hyperendemic areas. Taenia solium has also been identified as a priority by the Lao PDR government. There is a limited understanding of the distribution of T. solium due to inherent diagnostic challenges.

Method: Global and local autocorrelation statistics were applied to available risk factor data sourced from national censuses to map the risk of Taenia solium in Lao PDR.

Results: Approximately 50% of villages could be considered hot spots for one or more risk factors. Different risk factor hot spots co-occurred in 30% of villages. Twenty per cent of villages were classified as hot spots for the proportion of households owning pigs and another risk factor. Northern Lao PDR was the dominant high-risk area. This is consistent with passive reports, limited surveys, and anecdotal reports. One smaller area in southern Lao PDR was also identified as high-risk. This is of particular interest because T. solium has not previously been investigated in this area.

Conclusions: The methods applied provide a simple, rapid, and versatile approach that allows endemic countries to begin mapping the risk of T. solium at a sub-national level.

PB - MDPI AG PY - 2023 SP - 1 EP - 10 T2 - Tropical Medicine and Infectious Disease TI - A Spatial Autocorrelation Method for Taenia solium Risk Mapping: The Case of Lao PDR UR - https://www.mdpi.com/2414-6366/8/4/221/pdf?version=1681451765 VL - 8 SN - 2414-6366 ER -