title: Participatory Risk Mapping of Malaria Vector Exposure in Northern South America using Environmental and Population Data.
abstract: Malaria elimination remains a major public health challenge in many tropical regions, including large areas of northern South America. In this study, we present a new high spatial resolution (90 × 90 m) risk map for Colombia and surrounding areas based on environmental and human population data. The map was created through a participatory multi-criteria decision analysis in which expert opinion was solicited to determine key environmental and population risk factors, different fuzzy functions to standardize risk factor inputs, and variable factor weights to combine risk factors in a geographic information system. The new risk map was compared to a map of malaria cases in which cases were aggregated to the municipio (municipality) level. The relationship between mean municipio risk scores and total cases by muncípio showed a weak correlation. However, the relationship between pixel-level risk scores and vector occurrence points for two dominant vector species,Anopheles albimanusandAn. darlingi, was significantly different (p < 0.05) from a random point distribution, as was a pooled point distribution for these two vector species andAn. nuneztovari. Thus, we conclude that the new risk map derived based on expert opinion provides an accurate spatial representation of risk of potential vector exposure rather than malaria transmission as shown by the pattern of malaria cases, and therefore it may be used to inform public health authorities as to where vector control measures should be prioritized to limit human-vector contact in future malaria outbreaks.
authors: Department of Geography and Regional Studies, University of Miami, Coral Gables, FL USA.
authors: D O
authors: DO
authors: Fuller
authors: Centro de Investigación en Enfermedades Tropicales, Facultad de Microbiología, Universidad de Costa Rica, SanJosé, Costa Rica.
authors: A
authors: A
authors: Troyo
authors: Abess Center for Ecosystem Science and Policy, University of Miami, Coral Gables, FL USA.
authors: T O
authors: TO
authors: Alimi
authors: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL USA.
authors: J C
authors: JC
authors: Beier
keywords: Anopheles species; Participatory GIS; malaria; multi-criteria decision analysis; risk mapping