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        Spatial clustering of Plasmodium falciparum in Bihar (India) from 2007 to 2015

        Gouri Sankar Bhunia,Niyamat Ali Siddiqui,Department of Biostatistics,Nandini Chatterjee,Sanjay Kumar Sinha 대한공간정보학회 2016 Spatial Information Research Vol.24 No.6

        Malaria is the leading cause of morbidity and mortality in Bihar (India), and concomitant with the spatial and temporal discrepancy throughout the region. Present study aims to determine the changes in spatial distribution of Plasmodium falciparum in Bihar from year 2007–2015. We used Moran’s I indices and Getis-Ord Gi* statistics to determine the spatial clustering pattern of malaria. The highest variability of disease distribution was observed in 2009. The maximum spatial autocorrelation value was calculated in 2011 (Moran’s I = 0.62, p\0.00001). Results of cluster-outlier analysis showed significant high– high clustered. Plasmodium falciparum were spread in the western part of the state from 2007 to 2015. Most of the hotspot districts were observed in the south-west corner of the state. Furthermore, temporal disparities in malaria incidence were also observed. There is an intense change in the spatial clustering pattern of P. falciparum malaria within a 9-year period. Malaria hot spots are exhibited as risk maps that are valuable for observing and spatial targeting of deterrence and control actions against the disease.

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