Geography

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    A Disease Control-Oriented Land Cover Land Use Map for Myanmar
    (MDPI, 2021-06-13) Chen, Dong; Shevade, Varada; Baer, Allison; He, Jiaying; Hoffman-Hall, Amanda; Ying, Qing; Li, Yao; Loboda, Tatiana V.
    Malaria is a serious infectious disease that leads to massive casualties globally. Myanmar is a key battleground for the global fight against malaria because it is where the emergence of drug-resistant malaria parasites has been documented. Controlling the spread of malaria in Myanmar thus carries global significance, because the failure to do so would lead to devastating consequences in vast areas where malaria is prevalent in tropical/subtropical regions around the world. Thanks to its wide and consistent spatial coverage, remote sensing has become increasingly used in the public health domain. Specifically, remote sensing-based land cover/land use (LCLU) maps present a powerful tool that provides critical information on population distribution and on the potential human-vector interactions interfaces on a large spatial scale. Here, we present a 30-meter LCLU map that was created specifically for the malaria control and eradication efforts in Myanmar. This bottom-up approach can be modified and customized to other vector-borne infectious diseases in Myanmar or other Southeastern Asian countries.
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    Understanding work-related travel and its relation to malaria occurrence in Thailand using geospatial maximum entropy modelling
    (Springer Nature, 2023-02-13) Memarsadeghi, Natalie; Stewart, Kathleen; Li, Yao; Sornsakrin, Siriporn; Uthaimongkol, Nichaphat; Kuntawunginn, Worachet; Pidtana, Kingkan; Raseebut, Chatree; Wojnarski, Mariusz; Jongsakul, Krisada; Jearakul, Danai; Waters, Norman; Spring, Michele; Takala-Harrison, Shannon
    Estimating malaria risk associated with work locations and travel across a region provides local health officials with information useful to mitigate possible transmission paths of malaria as well as understand the risk of exposure for local populations. This study investigates malaria exposure risk by analysing the spatial pattern of malaria cases (primarily Plasmodium vivax) in Ubon Ratchathani and Sisaket provinces of Thailand, using an ecological niche model and machine learning to estimate the species distribution of P. vivax malaria and compare the resulting niche areas with occupation type, work locations, and work-related travel routes. A maximum entropy model was trained to estimate the distribution of P. vivax malaria for a period between January 2019 and April 2020, capturing estimated malaria occurrence for these provinces. A random simulation workflow was developed to make region-based case data usable for the machine learning approach. This workflow was used to generate a probability surface for the ecological niche regions. The resulting niche regions were analysed by occupation type, home and work locations, and work-related travel routes to determine the relationship between these variables and malaria occurrence. A one-way analysis of variance (ANOVA) test was used to understand the relationship between predicted malaria occurrence and occupation type. The MaxEnt (full name) model indicated a higher occurrence of P. vivax malaria in forested areas especially along the Thailand–Cambodia border. The ANOVA results showed a statistically significant difference between average malaria risk values predicted from the ecological niche model for rubber plantation workers and farmers, the two main occupation groups in the study. The rubber plantation workers were found to be at higher risk of exposure to malaria than farmers in Ubon Ratchathani and Sisaket provinces of Thailand. The results from this study point to occupation-related factors such as work location and the routes travelled to work, being risk factors in malaria occurrence and possible contributors to transmission among local populations.
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    UNDERSTANDING GEOSPATIAL DYNAMICS OF PARASITE MIGRATION AND HUMAN MOBILITY AS FACTORS CONTRIBUTING TO MALARIA TRANSMISSION IN THE GREATER MEKONG SUBREGION
    (2021) Li, Yao; Stewart, Kathleen; Geography; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Much effort has been made to control malaria over the past decades in South-East Asia Confirmed cases of Plasmodium falciparum (P.f.) and Plasmodium vivax (P.v.) malaria were reduced by 46%, and mortality by 60%. However, malaria remains a major problem in the Greater Mekong Subregion (GMS) with the emerging resistance to the artemisinins and their partner drugs. This raises concerns that the usefulness of first-line malaria treatments may be diminishing in the GMS, and that drug resistance could spread worldwide. Estimating malaria parasite migration patterns is crucial for malaria elimination as well as understanding the role that human mobility plays in malaria transmission. This dissertation will focus on the GMS, especially Cambodia and Myanmar which have been widely regarded as the epicenter of emerging resistance to artemisinin-based combination therapies. This dissertation is structured as three separate studies that look first at the movement of malaria parasites across a region, and then two studies that focus on human movement and how these movements can lead to increased exposure as well as transmission of malaria. In the first study, a semi-automatic workflow was developed to select the optimal number of demes that will maximize model accuracy and minimize computing time when computing estimated effective migration surfaces. A validation analysis showed that the optimized grids displayed both high model accuracy and reduced processing time compared to grid densities selected in an unguided manner. In the second study, an agent-based simulation model was built to estimate and simulate the daily movements of local populations in Singu and Ann Townships in Myanmar in order to identify how two townships in different parts of Myanmar compared with respect to mobility and P.v. and P.f. positivity. The third study examined mobility patterns of local village populations in Singu Township, Myanmar when they traveled longer distances outside of Singu, and discuss these patterns of regional travel in the context of daily mobility within the township.
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    Detecting geospatial patterns of Plasmodium falciparum parasite migration in Cambodia using optimized estimated effective migration surfaces
    (Springer Nature, 2020-04-10) Li, Yao; Shetty, Amol C.; Lon, Chanthap; Spring, Michele; Saunders, David L.; Fukuda, Mark M.; Hien, Tran Tinh; Pukrittayakamee, Sasithon; Fairhurst, Rick M.; Dondorp, Arjen M.; Plowe, Christopher V.; O’Connor, Timothy D.; Takala-Harrison, Shannon; Stewart, Kathleen
    Understanding the genetic structure of natural populations provides insight into the demographic and adaptive processes that have affected those populations. Such information, particularly when integrated with geospatial data, can have translational applications for a variety of fields, including public health. Estimated effective migration surfaces (EEMS) is an approach that allows visualization of the spatial patterns in genomic data to understand population structure and migration. In this study, we developed a workflow to optimize the resolution of spatial grids used to generate EEMS migration maps and applied this optimized workflow to estimate migration of Plasmodium falciparum in Cambodia and bordering regions of Thailand and Vietnam. The optimal density of EEMS grids was determined based on a new workflow created using density clustering to define genomic clusters and the spatial distance between genomic clusters. Topological skeletons were used to capture the spatial distribution for each genomic cluster and to determine the EEMS grid density; i.e., both genomic and spatial clustering were used to guide the optimization of EEMS grids. Model accuracy for migration estimates using the optimized workflow was tested and compared to grid resolutions selected without the optimized workflow. As a test case, the optimized workflow was applied to genomic data generated from P. falciparum sampled in Cambodia and bordering regions, and migration maps were compared to estimates of malaria endemicity, as well as geographic properties of the study area, as a means of validating observed migration patterns. Optimized grids displayed both high model accuracy and reduced computing time compared to grid densities selected in an unguided manner. In addition, EEMS migration maps generated for P. falciparum using the optimized grid corresponded to estimates of malaria endemicity and geographic properties of the study region that might be expected to impact malaria parasite migration, supporting the validity of the observed migration patterns. Optimized grids reduce spatial uncertainty in the EEMS contours that can result from user-defined parameters, such as the resolution of the spatial grid used in the model. This workflow will be useful to a broad range of EEMS users as it can be applied to analyses involving other organisms of interest and geographic areas.