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Measles hotspots and epidemiological connectivity

Bharti, N., Djibo, A., Ferrari, M J., Grais, R.F., Tatem, A.J., McCabe, C.A., Bjornstad, O.N. and Grenfell, B.T. (2010) Measles hotspots and epidemiological connectivity Epidemiology and Infection, 138, (9), pp. 1308-1316. (doi:10.1017/S0950268809991385). (PMID:20096146).

Record type: Article


Though largely controlled in developed countries, measles remains a major global public health issue. Regional and local transmission patterns are rooted in human mixing behaviour across spatial scales. Identifying spatial interactions that contribute to recurring epidemics helps define and predict outbreak patterns. Using spatially explicit reported cases from measles outbreaks in Niger, we explored how regional variations in movement and contact patterns relate to patterns of measles incidence. Because we expected to see lower rates of re-introductions in small, compared to large, populations, we measured the population-size corrected proportion of weeks with zero cases across districts to understand relative rates of measles re-introductions. We found that critical elements of spatial disease dynamics in Niger are agricultural seasonality, transnational contact clusters, and roads networks that facilitate host movement and connectivity. These results highlight the need to understand local patterns of seasonality, demographic characteristics, and spatial heterogeneities to inform vaccination policy

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Published date: September 2010
Keywords: infectious disease control, infectious disease epidemiology, measles (rubeola), spatial modelling, vaccine-preventable diseases
Organisations: Geography & Environment, PHEW – P (Population Health)


Local EPrints ID: 344405
ISSN: 0950-2688
PURE UUID: 68a4dee5-924b-4ae4-a89e-af7a825550aa
ORCID for A.J. Tatem: ORCID iD

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Date deposited: 07 Nov 2012 11:10
Last modified: 18 Jul 2017 05:16

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Author: N. Bharti
Author: A. Djibo
Author: M J. Ferrari
Author: R.F. Grais
Author: A.J. Tatem ORCID iD
Author: C.A. McCabe
Author: O.N. Bjornstad
Author: B.T. Grenfell

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