Mapping the ecoepidemiology of Zika virus infection in urban and rural areas of Pereira, Risaralda, Colombia, 2015-2016: Implications for public health and travel medicine

Travel Med Infect Dis. 2017 Jul-Aug:18:57-66. doi: 10.1016/j.tmaid.2017.05.004. Epub 2017 May 6.

Abstract

Objective: Geographical information systems (GIS) have been demonstrated earlier to be of great use to inform public health action against vector-borne infectious diseases.

Methods: Using surveillance data on the ongoing ZIKV outbreak from Pereira, Colombia (2015-2016), we estimated incidence rates (cases/100,000 population), and developed maps correlating with the ecoepidemiology of the area.

Results: Up to October 8, 2016, 439 cases of ZIKV were reported in Pereira (93 cases/100,000 pop.), with highest rates in the South-West area. At the corregiments (sub-municipalities) of Pereira, Caimalito presented the highest rate. An urban area, Cuba, has 169 cases/100,000 pop., with a low economical level and the highest Aedic index (9.1%). Entomological indexes were associated with ZIKV incidence at simple and multiple non-linear regressions (r2 > 0.25; p < 0.05).

Conclusions: Combining entomological, environmental, human population density, travel patterns and case data of vector-borne infections, such as ZIKV, leads to a valuable tool that can be used to pinpoint hotspots also for infections such as dengue, chikungunya and malaria. Such a tool is key to planning mosquito control and the prevention of mosquito-borne diseases in local populations. Such data also enable microepidemiology and the prediction of risk for travelers who visit specific areas in a destination country.

Keywords: Colombia; Geographical information systems (GIS); Latin America; Public health; Travelers; Zika virus (ZIKV).

MeSH terms

  • Animals
  • Colombia / epidemiology
  • Culicidae / virology
  • Disease Outbreaks* / prevention & control
  • Disease Outbreaks* / statistics & numerical data
  • Geographic Information Systems
  • Humans
  • Incidence
  • Larva / virology
  • Public Health
  • Rural Population / statistics & numerical data*
  • Travel Medicine
  • Travel*
  • Urban Population / statistics & numerical data*
  • Zika Virus Infection* / epidemiology
  • Zika Virus Infection* / prevention & control
  • Zika Virus Infection* / transmission