Modeling to predict cases of hantavirus pulmonary syndrome in Chile.

<h4>Background</h4>Hantavirus pulmonary syndrome (HPS) is a life threatening disease transmitted by the rodent Oligoryzomys longicaudatus in Chile. Hantavirus outbreaks are typically small and geographically confined. Several studies have estimated risk based on spatial and temporal dist...

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Main Authors: Elaine O Nsoesie, Sumiko R Mekaru, Naren Ramakrishnan, Madhav V Marathe, John S Brownstein
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-04-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0002779&type=printable
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author Elaine O Nsoesie
Sumiko R Mekaru
Naren Ramakrishnan
Madhav V Marathe
John S Brownstein
author_facet Elaine O Nsoesie
Sumiko R Mekaru
Naren Ramakrishnan
Madhav V Marathe
John S Brownstein
author_sort Elaine O Nsoesie
collection DOAJ
description <h4>Background</h4>Hantavirus pulmonary syndrome (HPS) is a life threatening disease transmitted by the rodent Oligoryzomys longicaudatus in Chile. Hantavirus outbreaks are typically small and geographically confined. Several studies have estimated risk based on spatial and temporal distribution of cases in relation to climate and environmental variables, but few have considered climatological modeling of HPS incidence for monitoring and forecasting purposes.<h4>Methodology</h4>Monthly counts of confirmed HPS cases were obtained from the Chilean Ministry of Health for 2001-2012. There were an estimated 667 confirmed HPS cases. The data suggested a seasonal trend, which appeared to correlate with changes in climatological variables such as temperature, precipitation, and humidity. We considered several Auto Regressive Integrated Moving Average (ARIMA) time-series models and regression models with ARIMA errors with one or a combination of these climate variables as covariates. We adopted an information-theoretic approach to model ranking and selection. Data from 2001-2009 were used in fitting and data from January 2010 to December 2012 were used for one-step-ahead predictions.<h4>Results</h4>We focused on six models. In a baseline model, future HPS cases were forecasted from previous incidence; the other models included climate variables as covariates. The baseline model had a Corrected Akaike Information Criterion (AICc) of 444.98, and the top ranked model, which included precipitation, had an AICc of 437.62. Although the AICc of the top ranked model only provided a 1.65% improvement to the baseline AICc, the empirical support was 39 times stronger relative to the baseline model.<h4>Conclusions</h4>Instead of choosing a single model, we present a set of candidate models that can be used in modeling and forecasting confirmed HPS cases in Chile. The models can be improved by using data at the regional level and easily extended to other countries with seasonal incidence of HPS.
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spelling doaj-art-e2c89214da0748e5b74ab650ad2885f32025-08-20T03:00:33ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352014-04-0184e277910.1371/journal.pntd.0002779Modeling to predict cases of hantavirus pulmonary syndrome in Chile.Elaine O NsoesieSumiko R MekaruNaren RamakrishnanMadhav V MaratheJohn S Brownstein<h4>Background</h4>Hantavirus pulmonary syndrome (HPS) is a life threatening disease transmitted by the rodent Oligoryzomys longicaudatus in Chile. Hantavirus outbreaks are typically small and geographically confined. Several studies have estimated risk based on spatial and temporal distribution of cases in relation to climate and environmental variables, but few have considered climatological modeling of HPS incidence for monitoring and forecasting purposes.<h4>Methodology</h4>Monthly counts of confirmed HPS cases were obtained from the Chilean Ministry of Health for 2001-2012. There were an estimated 667 confirmed HPS cases. The data suggested a seasonal trend, which appeared to correlate with changes in climatological variables such as temperature, precipitation, and humidity. We considered several Auto Regressive Integrated Moving Average (ARIMA) time-series models and regression models with ARIMA errors with one or a combination of these climate variables as covariates. We adopted an information-theoretic approach to model ranking and selection. Data from 2001-2009 were used in fitting and data from January 2010 to December 2012 were used for one-step-ahead predictions.<h4>Results</h4>We focused on six models. In a baseline model, future HPS cases were forecasted from previous incidence; the other models included climate variables as covariates. The baseline model had a Corrected Akaike Information Criterion (AICc) of 444.98, and the top ranked model, which included precipitation, had an AICc of 437.62. Although the AICc of the top ranked model only provided a 1.65% improvement to the baseline AICc, the empirical support was 39 times stronger relative to the baseline model.<h4>Conclusions</h4>Instead of choosing a single model, we present a set of candidate models that can be used in modeling and forecasting confirmed HPS cases in Chile. The models can be improved by using data at the regional level and easily extended to other countries with seasonal incidence of HPS.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0002779&type=printable
spellingShingle Elaine O Nsoesie
Sumiko R Mekaru
Naren Ramakrishnan
Madhav V Marathe
John S Brownstein
Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
PLoS Neglected Tropical Diseases
title Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
title_full Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
title_fullStr Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
title_full_unstemmed Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
title_short Modeling to predict cases of hantavirus pulmonary syndrome in Chile.
title_sort modeling to predict cases of hantavirus pulmonary syndrome in chile
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0002779&type=printable
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AT narenramakrishnan modelingtopredictcasesofhantaviruspulmonarysyndromeinchile
AT madhavvmarathe modelingtopredictcasesofhantaviruspulmonarysyndromeinchile
AT johnsbrownstein modelingtopredictcasesofhantaviruspulmonarysyndromeinchile