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        Characterizing malaria spatial distribution in the province of Palawan, Philippines

        Nicole Faith D. Blanco,Arnold R. Salvacion,Ma. Catriona E. Devanadera,Edwin R. Abucay,Ricardo A. Sandalo 대한공간정보학회 2022 Spatial Information Research Vol.30 No.2

        Palawan, an island province in the Philippines, accounts for ninety percent of the country’s malaria cases. A total of 18 of 23 municipalities and one city in Palawan remain malaria-endemic, placing the population at risk of infection despite continuous preventive measures. This study describes trends and analyzes the spatial distribution of confirmed malaria cases in Palawan during eleven-year period (2005–2015). The reported monthly positive malaria cases per municipality from 2005 to 2015 were obtained from the Provincial Health Office, which was aggregated and used in trend and spatial analysis. High malaria risk areas were determined using the Moran’s I and Getis-Ord Gi*. The Mann–Kendall test results revealed that there had been a significant downward trend of confirmed positive cases from 2005 to 2015, with transmission peaks in 2007 and 2010. Among the three districts in the province, district 2 reported the highest total cases comprising 65 percent of the province’s total reported malaria cases, followed by district 3 with 20 percent, and 15 percent were from district 1. High malaria concentration was observed in municipalities located in the southern part of the province, including Rizal, Narra, Brooke’s Point, Sofronio Espan˜ola, and Bataraza (in district 2). Puerto Princesa City (in District 3) was among the municipalities with high malaria transmission during 2005–2011. The results of this study could help in determining targeted malaria control interventions and prioritizing resource allocation for areas with high malaria transmission for future public health planning. This would also contribute to efforts of the public and private sectors to eliminate malaria in Palawan Province by 2030.

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