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Int. J. Environ. Res. Public Health 2018, 15(12), 2784; https://doi.org/10.3390/ijerph15122784

Spatiotemporal Variation and Hot Spot Detection of Visceral Leishmaniasis Disease in Kashi Prefecture, China

1
Chinese Center for Disease Control and Prevention (China CDC), Beijing 102206, China
2
State Key Laboratory of Resources and Environmental Information System, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing 100101, China
3
College of Resources and Environment, University of Chinese Academy of Sciences, Beijing 100049, China
4
College of Geoscience and Surveying Engineering, China University of Mining & Technology (Beijing), Beijing 100083, China
5
National Institute for Parasitic Diseases, Chinese Center for Disease Control and Prevention (China CDC), Shanghai 200025, China
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Received: 4 November 2018 / Revised: 5 December 2018 / Accepted: 6 December 2018 / Published: 8 December 2018
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Abstract

Visceral leishmaniasis (VL) remains a serious public health problem in China. To explore the temporal, spatial, and spatiotemporal characteristics of visceral leishmaniasis (VL), the spatial and spatiotemporal clustering distribution and their relationships with the surrounding geographic environmental factors were analyzed. In this study, the average nearest-neighbor distance (ANN), Ripley’s K-function and Moran’s I statistics were used to evaluate spatial autocorrelation in the VL distribution of the existing case patterns. Getis–Ord Gi* was used to identify the hot-spot and cold-spot areas based on Geographic Information System (GIS), and spatiotemporal retrospective permutation scan statistics was used to detect the spatiotemporal clusters. The results indicated that VL continues to be a serious public health problem in Kashi Prefecture, China, particularly in the north-central region of Jiashi County, which is a relatively high-risk area in which hot spots are distributed. Autumn and winter months were the outbreak season for VL cases. The detection of spatial and spatiotemporal patterns can provide epidemiologists and local governments with significant information for prevention measures and control strategies. View Full-Text
Keywords: GIS; hot spots; spatiotemporal clusters; Kashi Prefecture GIS; hot spots; spatiotemporal clusters; Kashi Prefecture
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Zheng, C.; Fu, J.; Li, Z.; Lin, G.; Jiang, D.; Zhou, X.-N. Spatiotemporal Variation and Hot Spot Detection of Visceral Leishmaniasis Disease in Kashi Prefecture, China. Int. J. Environ. Res. Public Health 2018, 15, 2784.

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