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OS18
I.	Keskin,	O.	Caglar,	F.	Rosso,	C.	Potzsch,	P.	Kostoulas,	
N.	Bulut,	U.	Uzun
Spatial	Autocorrelation	of	
Foot-and-Mouth	Disease	
Data	in	Turkey	Between	2008	
and	2018
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy
OS18
• FMD	in	Turkey
• Objectives
• Materials	and	Methods
• Results
• Conclusion
Outline
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			2
OS18
Source:	Turkish	Statistical	Institute
• Endemic	in	Anatolia
• Serotypes
• O	PanAsiaII/Qom
• A	(Asia/GVII)	and A	(Asia/GVII)/Sam16
• Notifiable	disease
• “Veterinary	Services,	Plant	Health,	
Food	and	Feed	Law”-No	5996-Official
Journal no.	27610	of	13	June 2010
• “Notifiable Animal Diseases and Their
Notification	Regulations”-Official Journal
no.	27823-22	January 2011		
Year
Large
Ruminant	
Population
Small	
Ruminant
Population
2008 10.946.239 29.596.728
2009 10.811.165 26.904.274
2010 11.454.526 29.410.173
2011 12.483.969 32.340.726
2012 14.022.347 35.782.519
2013 14.532.848 38.509.795
2014 14.244.673 41.462.349
2015 14.127.837 41.924.100
2016 14.222.228 41.329.232
2017 16.105.025 44.312.308
2018 17.338.375 47.362.281
FMD	in	Turkey
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			3
OS18
FREE
TURKEY
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			4
OS18
• Between 2008	and 2018
• to estimate the spatial autocorrelation of	FMD	data	in	
Turkey
• to statistically identify the association between the
provinces of	Turkey (excluding Thrace region)	in	terms of	
the occurence of	FMD	outbreaks and the cases
Objectives
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			5
OS18
• Materials
• GDFC-The Ministry of	Agriculture and Forestry
• OIE	(International	Office	des Epizooties)
• Province,	year,	month,	species,	FMD	case-outbreak numbers
Foot and mouth
disease
Month Province Serotype(s)
New	
outbreaks
Total	
outbreaks Species
Family	
Name Latin	Name
Measuring	
units Susceptible Cases Deaths
Killed	and	
disposed	of
Slaughtere
d
Vaccination	
in	response	
to	the	
outbreak(s)
Jan Adana O 0 1bov Animals ... ... ... ... ... ...
Adiyaman O 1 1bov Animals 30 9 0 0 0 158
Agri O 1 3bov Animals 66 30 0 0 0 200
Amasya
Not	typed,	
O 4 5bov Animals 832 49 0 0 0 13876
Materials	and	Methods
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																		6
OS18
• Methods
• R	Studio 1.1.459	version
• Spatial Autocorrelation-Moran’s I
• Kruskal Wallis	Test
• Bonferoni Correction
Materials	and	Methods
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			7
OS18
• Moran’s I	Spatial autocorrelation-cases,	outbreaks
(2008-first	6	months of	2018)
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			8
OS18
• Descriptive analysis
N=	264546	cases
7827 3682
67079
45515
20313
51485
6590
8690
22752
13739
16874
0
10000
20000
30000
40000
50000
60000
70000
80000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Total	FMD	Cases in	Turkey Between 2008	and 2018	
(First	6	months)
Results
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			9
OS18
Species Number	of	FMD	Cases	
Cattle 208880
Ovine 42316
Caprine 13350
Total 264546
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			10
OS18
N=	9724	outbreaks
255 209
2091
2006
1088
1545
318
591
794
359
468
0
500
1000
1500
2000
2500
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Total	FMD	Outbreaks in	Turkey Between 2008	and 2018	
(First	6	months)
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			11
OS18
Species Number	of	FMD	Outbreaks	
Cattle 7973
Ovine 1307
Caprine 444
Total 9724
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			12
OS18
7
4
7 8 8
26
14
2
31
44
13
5
17
4
56
11
1616
8 7 7
0
42
8
17
0
6
35
23
41
16
7 6
13
3 3
24
9
0
4 4
29
2
26
1212
6
32
9
5 6
16
10
4 3 2 2
17
20
14
4 4
25
5
16
109
19
5
0
17
4
29
11
6
34
31
5
0
10
20
30
40
50
60
Adana
Afyon
Aksaray
Ankara
Ardahan
Aydin
Bartin
Bayburt
Bingol
Bolu
Bursa
Cankiri
Denizli
Duzce
Erzincan
Eskisehir
Giresun
Hakkari
Igdir
Istanbul
K.	Maras
Karaman
Kastamonu
Kirikkale
Kilis
Konya
Malatya
Mardin
Mugla
Nevsehir
Ordu
Rize
Samsun
Sinop
Sanliurfa
Tokat
Tunceli
Van
Yozgat
Number	of	FMD	Cases	per	10.000	LR	in	Turkey	Between	2008	and	2018	
(First	6	months)
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			13
OS18
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			14								
10
666
136
12
28
153
478
153
87
4
118
61
305
670
43
196
610
113
24
238
83
47
186
16
214
37
327
390
21
6
4
24
287
126
94
82
61
48
169
2
65
232
136
360
150
249
25
224
91
153
18
23
108
103
389
84
79
13
34
192
355
18
345
329
283
39
30
377
89
0
100
200
300
400
500
600
700
800
Adana
Afyon
Aksaray
Ankara
Ardahan
Aydin
Bartin
Bilecik
Bolu
Bursa
Cankiri
Denizli
Elazig
Erzurum
Gaziantep
Hatay
Isparta
Izmir
Karabuk
Kars
Kayseri
Kirikkale
Kocaeli
Kutahya
Manisa
Mersin
Mus
Nigde
Samsun
Siirt
Sirnak
Tokat
Usak
Yalova
Zonguldak
Number	of	FMD	Cases	per	1.000.000	SR	Between	2008	and	2018	
(First	6	months)
OS18
26540
43192
67555
94267
10460
10934
11598
0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000
Aegean
Black	Sea
Central	Anatolia
Eastern	Anatolia
Marmara
Mediterrenean
Southeast	Anatolia
Total	FMD	Cases in	the Geographic Regions of	Turkey
Between 2008	and 2018	(First	6months)
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			15
OS18
120109
144437
FMD	Cases		in	Turkey	Between	
2008	and	2018	(First	6	months)
Buffer	Zone-East	Part West	Part
0
5000
10000
15000
20000
25000
30000
35000
40000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
FMD	Cases	in	Turkey	Between	2008	
and	2018	(First	6	months)
Buffer	Zone-East	Part West	Part
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			16
OS18
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
50000
FMD	Cases According to the Months Between 2008	and 2018	
(First	6	months)
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			17
OS18
• Statistical	analysis
MORAN'S	I	SPATIAL	AUTOCORRELATION	ANALYSIS	FOR	FMD	CASE	NUMBERS
Year Observed Expected Standart Deviation p	- value
2008 0,018339914 -0,012987013 0,015108543 0,038129688
2009 0,01683454 -0,012987013 0,015123505 0,048624687
2010 0,026795921 -0,012987013 0,014338978 0,005529327
2011 0,035132162 -0,012987013 0,015711145 0,002193195
2012 0,008737703 -0,012987013 0,014900798 0,144852542
2013 0,020874602 -0,012987013 0,0119636 0,004649175
2014 0,00542918 -0,012987013 0,011567393 0,111367158
2015 0,024766339 -0,012987013 0,016121559 0,019191361
2016 -0,015635866 -0,012987013 0,01424934 0,852528667
2017 0,003999412 -0,012987013 0,015349982 0,268463102
2018 0,007685935 -0,012987013 0,014366415 0,150156898
2008-2018 0,027499316 -0,012987013 0,013758543 0,00325435
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			18
OS18
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			19
OS18
OS18
MORAN'S	I	SPATIAL	AUTOCORRELATION	ANALYSIS	FOR	FMD	OUTBREAK	NUMBERS
Year Observed Expected Standart Deviation p	- value
2008 0,039743032 -0,012987013 0,016552058 0,001443997
2009 0,060582711 -0,012987013 0,016481118 8,05E+08
2010 -0,004034415 -0,012987013 0,016486886 0,587120646
2011 0,063231268 -0,012987013 0,016566175 4,21E+08
2012 0,095084012 -0,012987013 0,01586701 9,69E+02
2013 0,004216956 -0,012987013 0,01175472 0,143308835
2014 0,005097827 -0,012987013 0,011941379 0,129907092
2015 0,019883665 -0,012987013 0,016633245 0,048131721
2016 0,02036258 -0,012987013 0,016471488 0,04289961
2017 0,003758416 -0,012987013 0,016380873 0,306660236
2018 0,006122037 -0,012987013 0,016433713 0,244912425
2008-2018 0,032452892 -0,012987013 0,016372927 0,005514956
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			21
OS18
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			22
OS18
OS18
• Statistical	analysis
Kruskal-Wallis Test Result for Outbreaks
Kruskal-Wallis	rank	sum	test
data:		ozone$All_years_Sum_OUTBReak by	ozone$Border
Kruskal-Wallis	chi-squared	=	11.824,	df =	2,	
p-value	=	0.002706
Kruskal-Wallis Test Result for Cases
Kruskal-Wallis	rank	sum	test
data:		ozone$All_years_Sum_CASE by	ozone$Border
Kruskal-Wallis	chi-squared	=	0.87295,	df =	2,
p-value	=	0.6463
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			24
OS18
• Statistical	analysis
Bonferoni Results
Dunn (1964)	Kruskal-Wallis	multiple comparison
p-values adjusted with the Bonferroni method.
Comparison Z					P.unadj P.adj
1						1	- 2	-0.9759809	0.329073925	0.987221774
2						1	- 3	-3.0691856	0.002146432	0.006439296
3						2	- 3	-2.3022070	0.021323499	0.063970496
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			25
OS18
• Work in	progress
• Spatial autocorrelation for some years-cases/outbreaks
• Significant difference-buffer zone and western	part-
outbreak numbers
• Aim for the eastern part to have similar capacity as	
western	part on	the awareness,	reporting,	vaccine
coverage,	booster vaccination
• OI	WS-Ankara,	technical support of	EuFMD
• Shorter	time	period	to	see	the	potential	improvement-
spatiotemporal	analysis
Conclusion
31/10/2018																																																		Global	Vaccine	Security	– OS18:	Oct	2018,	Italy																																																																																			26
OS18
Global	Vaccine	Security	– OS18:	Oct	2018,	Italy

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