Climate variability, socio-economic conditions and vulnerability to malaria infections in Mozambique 2016–2018: a spatial temporal analysis

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Climate variability, socio-economic conditions and vulnerability to malaria infections in Mozambique 2016–2018 : a spatial temporal analysis

Armando, Chaibo Jose (author): Umeå universitet,Avdelningen för hållbar hälsa

Rocklöv, Joacim, Professor, 1979- (author): Umeå universitet,Avdelningen för hållbar hälsa,Heidelberg Institute of Global Health and Interdisciplinary Centre for Scientific Computing, Heidelberg University, Heidelberg, Germany

Sidat, Mohsin (author): Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique

Tozan, Yesim (author): School of Global Public Health, New York University, NY, New York, United States

Mavume, Alberto Francisco (author): Faculty of Science, Eduardo Mondlane University, Maputo, Mozambique

Bunker, Aditi (author): Center for Climate, Health, and the Global Environment, Harvard T.H. Chan School of Public Health, MA, Boston, United States; Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany

Sewe, Maquins Odhiambo (author): Umeå universitet,Avdelningen för hållbar hälsa,Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany

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Frontiers Media S.A. 2023
2023
English.
In: Frontiers In Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 11

Related links:: https://doi.org/10.3...; show more...; https://umu.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.3...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Temperature, precipitation, relative humidity (RH), and Normalized Different Vegetation Index (NDVI), influence malaria transmission dynamics. However, an understanding of interactions between socioeconomic indicators, environmental factors and malaria incidence can help design interventions to alleviate the high burden of malaria infections on vulnerable populations. Our study thus aimed to investigate the socioeconomic and climatological factors influencing spatial and temporal variability of malaria infections in Mozambique.Methods: We used monthly malaria cases from 2016 to 2018 at the district level. We developed an hierarchical spatial–temporal model in a Bayesian framework. Monthly malaria cases were assumed to follow a negative binomial distribution. We used integrated nested Laplace approximation (INLA) in R for Bayesian inference and distributed lag nonlinear modeling (DLNM) framework to explore exposure-response relationships between climate variables and risk of malaria infection in Mozambique, while adjusting for socioeconomic factors.Results: A total of 19,948,295 malaria cases were reported between 2016 and 2018 in Mozambique. Malaria risk increased with higher monthly mean temperatures between 20 and 29°C, at mean temperature of 25°C, the risk of malaria was 3.45 times higher (RR 3.45 [95%CI: 2.37–5.03]). Malaria risk was greatest for NDVI above 0.22. The risk of malaria was 1.34 times higher (1.34 [1.01–1.79]) at monthly RH of 55%. Malaria risk reduced by 26.1%, for total monthly precipitation of 480 mm (0.739 [95%CI: 0.61–0.90]) at lag 2 months, while for lower total monthly precipitation of 10 mm, the risk of malaria was 1.87 times higher (1.87 [1.30–2.69]). After adjusting for climate variables, having lower level of education significantly increased malaria risk (1.034 [1.014–1.054]) and having electricity (0.979 [0.967–0.992]) and sharing toilet facilities (0.957 [0.924–0.991]) significantly reduced malaria risk.Conclusion: Our current study identified lag patterns and association between climate variables and malaria incidence in Mozambique. Extremes in climate variables were associated with an increased risk of malaria transmission, peaks in transmission were varied. Our findings provide insights for designing early warning, prevention, and control strategies to minimize seasonal malaria surges and associated infections in Mozambique a region where Malaria causes substantial burden from illness and deaths.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)

Keyword

Bayesian
climate variability
DHS
DLNM
INLA
malaria vulnerability
Mozambique
spatio-temporal
climate change
klimatförändringar
Infectious Diseases
infektionssjukdomar

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ref (subject category)
art (subject category)

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