title: GIS-based spatial statistical analysis of risk areas for liver flukes in Surin Province of Thailand.
abstract: It is urgently necessary to be aware of the distribution and risk areas of liver fluke, Opisthorchis viverrini, for proper allocation of prevention and control measures. This study aimed to investigate the human behavior, and environmental factors influencing the distribution in Surin Province of Thailand, and to build a model using stepwise multiple regression analysis with a geographic information system (GIS) on environment and climate data. The relationship between the human behavior, attitudes (<50%; X111), environmental factors like population density (148-169 pop/km2; X73), and land use as wetland (X64), were correlated with the liver fluke disease distribution at 0.000, 0.034, and 0.006 levels, respectively. Multiple regression analysis, by equations OV=-0.599+0.005(population density (148-169 pop/km2); X73)+0.040 (human attitude (<50%); X111)+0.022 (land used (wetland; X64), was used to predict the distribution of liver fluke. OV is the patients of liver fluke infection, R Square=0.878, and, Adjust R Square=0.849. By GIS analysis, we found Si Narong, Sangkha, Phanom Dong Rak, Mueang Surin, Non Narai, Samrong Thap, Chumphon Buri, and Rattanaburi to have the highest distributions in Surin province. In conclusion, the combination of GIS and statistical analysis can help simulate the spatial distribution and risk areas of liver fluke, and thus may be an important tool for future planning of prevention and control measures.
authors.affiliation: Parasitic Infectious Disease Unit, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand E-mail : natthawut.k@hotmail.com, natthawut_kae@vu.ac.th.
authors.forename: Ratana
authors.initials: R
authors.lastname: Rujirakul
authors.forename: Naporn
authors.initials: N
authors.lastname: Ueng-arporn
authors.forename: Soraya
authors.initials: S
authors.lastname: Kaewpitoon
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Loyd
authors.forename: Sarochinee
authors.initials: S
authors.lastname: Kaewthani
authors.forename: Natthawut
authors.initials: N
authors.lastname: Kaewpitoon
mesh_terms: D000818:Animals; D004777:Environment; D005210:Fasciola hepatica / Q000302:isolation & purification*; D005211:Fascioliasis / Q000453:epidemiology* / Q000469:parasitology / Q000517:prevention & control; D005500:Follow-Up Studies; D040362:Geographic Information Systems; D006801:Humans; D009889:Opisthorchiasis / Q000453:epidemiology* / Q000469:parasitology / Q000517:prevention & control; D009891:Opisthorchis / Q000302:isolation & purification*; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D062206:Spatial Analysis; D013785:Thailand / Q000453:epidemiology