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Spatial Predictive RiskModelling of Rift
Valley Feverin Garissa, Kenya
Presented at 5th MVVR Conference at Boma Hotel Nairobi, 7-8th December 2017
Dr. Nanyingi Mark
GachieT, Muchemi GM, Thumbi SM , KiamaSG & Bett B
Theme:
“Onehealth- AcceleratingVirus ResearchinEastAfrica”
History, Etiology and Epidemiology
(Montgomery , 1912, Daubney 1931, Jost et al., 2010, Nanyingi et al., 2015)
 Rift Valley Fever isvector borneviral zoonosisoccurring cyclically (5-10 yrs),
described first in Kenyain 1912, isolated in 1931 in ruminants
 Historical Epidemics : Africa and Arabian Peninsula; in Egypt (1977), Kenya
(1997–1998, 2006-2007), Saudi Arabia (2000–2001) and Yemen (2000–2001),
Sudan (2007) and Mauritania(2010)
 Etiology: Phlebo virus, Bunyaviridae (F), S-(ve)-RNA Linear genome(L,M,S)
 Epidemiology: Economic burden and public health impacts(Livestock-
Abortions, morbidity & mortality $US470M, CFR=0.5-2% upto 50% in
haemorrhagic phase, 3.4 DALYs/1000)
 Risk factors:
 High Precipitation: > 600mm, Elevation: <1100 masl
 Mosquito Vectors: Aedes, culicines,manso nia
 Vegetation (NDVI: 0.1 units> 3 months)
 Soil types: Solonetz, Solanchaks, planosols
Objectives
To determinetherelationship between (environmental &
climatic) driversand seroprevalenceof Rift Valley Fever
in Garissa
To develop risk maps for spatial prediction of Rift
Valley Fever outbreaksin Garissa, Kenya
To comparemodel performance/agreement between
machinelearning SDM and bayesian geo-statisticsin
prediction of RVF.
Methodology : Study Area
Nanyingi et al., 2016
Disease data and Covariates
Nanyingi et al.,
2016
Input covariate Time
Period
Spatial
Resolution
Source (All data used is open source)
Rainfall 2013-2014 6 km2
http://chg.geog.ucsb.edu/data/chirps
Temperature 2013-2014 1km2
https://webfiles.york.ac.uk/KITE/AfriClim/
EVI Fixed-time 250 m2
https://earthexplorer.usgs.gov
Soil types Fixed-time 1km2
http://data.ilri.org/geoportal
Distance to rivers and
waterbodies
Fixed-time 1km2
http://data.ilri.org/geoportal
Digital Elevation Model
(DEM)
Fixed-time 90 m2
https://earthexplorer.usgs.gov
Human population 2014 100 m2
http://www.worldpop.org.uk
Goat and sheep
densities
2014 1km2
http://www.livestock.geo-wiki.org
RVF sero-positivity (Presencepoint datan= 16)
Explanatory variables: Demographic and environmental covariates
Hijmans & van Etten, 2012
(Geodetic processing and resampling to spatial resolution of 1km2 WGS 84)
Spatial regression and Bayesian geostastical modelling
Boosted Regression Trees(BRT)
�ሺ�ሺ= ��ሺ�ሺ =
�
���ሺ�;�� ሺ
�
Integrated Nested Laplace Approximation(INLA)
…….(1)
…….(2)
iη =Linear predictor linked to serostatus ,yi=seropositivity(+/-),
β0 = scalar intercept, y=β coefficients
xy, and f(zi)= spatial random effect functions.
 Stochastic Partial Differential Equationsapproach (SPDE) to fit aGaussian
random effect (GRE) to account for spatial autocorrelation, diseaseclumping,
clustering tendency, sampling bias.
(Elith et al., 1998; Rue et al., 2009; Lindgren, Rue, & Lindström, 2011; Bett et al.,
7
RESULTS: Relative influence of covariates (BRT)
RESULTS : Spatial predictions of RVFoccurrence
AUC of ROC =
(0.7 ±0.001 s.d).
AUC of ROC =
(0.9 ±0.001 s.d).
INLA/BRT
global correlation,
r =0.44).
Models agreement
BRT INLA
Probability risk
Probability risk
9
Discussion
 Risk factors: Significant transmission risk driversfor RVF
occurrencewerehigh precipitation, high human and/or livestock
densities
 Models performance: BRT overfitting “bias” in NW partsdue
to noisy classification and clustering whileINLA by spatial
random-effect accounted for spatial autocorrelation predicting
high risk in low risk areas.
 Real time risk mapping: INLA enablesanalysesof
surveillancedatain near realtime and risk mapscan be
automatically updated reducing thetimefrom field data
collection to reporting.
 Confounders : Consideration of temporal effectsassociated
with climatic variation, host population migration dynamicsmay
improveprediction.
10
Conclusions
 Clumping /Clustering: High risk of RVF occurrence was in
NW Garissa with multiple foci of medium to low risk around
perennial water bodies (endemic foci due to host aggregation,
viral amplification).
 Model agreement: Comparisons of models performance leads
to greater confidence and specificity in predictions (Machine
learning vs Bayesian geostatistical models predicted risk in
similar areaswith AUC (0.7- 0.9).
 Targeted surveillance: Thespatially explicit, high-resolution
maps(1×1km) identify areaswheresurveillanceand intervention
measuresshould betargeted to reduceviral spillage/dispersion
and for herd vaccination.
11
Recommendations
 Sentinel surveillance: The risk maps can be used for
establishment of human/animal sentinels and targeted sampling
to increasethechancesof detecting thevirus.
 Early warning systems : Integrating of processbased and
host(human/animal)-vector stochastic modelling to explain the
expanding RVF geographic range.
 Risk analysis and disease control :Sentinel surveillanceto
guidepolicy decision-makersto prioritizeintervention areasby
cost-effectiveresourcesallocation.
Acknowledgements
Contact : Dr. Mark Nanyingi (mnanyingi@gmail.com)

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Spatial Predictive Risk Modelling of Rift Valley Fever in Garissa, Kenya

  • 1. Spatial Predictive RiskModelling of Rift Valley Feverin Garissa, Kenya Presented at 5th MVVR Conference at Boma Hotel Nairobi, 7-8th December 2017 Dr. Nanyingi Mark GachieT, Muchemi GM, Thumbi SM , KiamaSG & Bett B Theme: “Onehealth- AcceleratingVirus ResearchinEastAfrica”
  • 2. History, Etiology and Epidemiology (Montgomery , 1912, Daubney 1931, Jost et al., 2010, Nanyingi et al., 2015)  Rift Valley Fever isvector borneviral zoonosisoccurring cyclically (5-10 yrs), described first in Kenyain 1912, isolated in 1931 in ruminants  Historical Epidemics : Africa and Arabian Peninsula; in Egypt (1977), Kenya (1997–1998, 2006-2007), Saudi Arabia (2000–2001) and Yemen (2000–2001), Sudan (2007) and Mauritania(2010)  Etiology: Phlebo virus, Bunyaviridae (F), S-(ve)-RNA Linear genome(L,M,S)  Epidemiology: Economic burden and public health impacts(Livestock- Abortions, morbidity & mortality $US470M, CFR=0.5-2% upto 50% in haemorrhagic phase, 3.4 DALYs/1000)  Risk factors:  High Precipitation: > 600mm, Elevation: <1100 masl  Mosquito Vectors: Aedes, culicines,manso nia  Vegetation (NDVI: 0.1 units> 3 months)  Soil types: Solonetz, Solanchaks, planosols
  • 3. Objectives To determinetherelationship between (environmental & climatic) driversand seroprevalenceof Rift Valley Fever in Garissa To develop risk maps for spatial prediction of Rift Valley Fever outbreaksin Garissa, Kenya To comparemodel performance/agreement between machinelearning SDM and bayesian geo-statisticsin prediction of RVF.
  • 4. Methodology : Study Area Nanyingi et al., 2016
  • 5. Disease data and Covariates Nanyingi et al., 2016 Input covariate Time Period Spatial Resolution Source (All data used is open source) Rainfall 2013-2014 6 km2 http://chg.geog.ucsb.edu/data/chirps Temperature 2013-2014 1km2 https://webfiles.york.ac.uk/KITE/AfriClim/ EVI Fixed-time 250 m2 https://earthexplorer.usgs.gov Soil types Fixed-time 1km2 http://data.ilri.org/geoportal Distance to rivers and waterbodies Fixed-time 1km2 http://data.ilri.org/geoportal Digital Elevation Model (DEM) Fixed-time 90 m2 https://earthexplorer.usgs.gov Human population 2014 100 m2 http://www.worldpop.org.uk Goat and sheep densities 2014 1km2 http://www.livestock.geo-wiki.org RVF sero-positivity (Presencepoint datan= 16) Explanatory variables: Demographic and environmental covariates Hijmans & van Etten, 2012 (Geodetic processing and resampling to spatial resolution of 1km2 WGS 84)
  • 6. Spatial regression and Bayesian geostastical modelling Boosted Regression Trees(BRT) �ሺ�ሺ= ��ሺ�ሺ = � ���ሺ�;�� ሺ � Integrated Nested Laplace Approximation(INLA) …….(1) …….(2) iη =Linear predictor linked to serostatus ,yi=seropositivity(+/-), β0 = scalar intercept, y=β coefficients xy, and f(zi)= spatial random effect functions.  Stochastic Partial Differential Equationsapproach (SPDE) to fit aGaussian random effect (GRE) to account for spatial autocorrelation, diseaseclumping, clustering tendency, sampling bias. (Elith et al., 1998; Rue et al., 2009; Lindgren, Rue, & Lindström, 2011; Bett et al.,
  • 7. 7 RESULTS: Relative influence of covariates (BRT)
  • 8. RESULTS : Spatial predictions of RVFoccurrence AUC of ROC = (0.7 ±0.001 s.d). AUC of ROC = (0.9 ±0.001 s.d). INLA/BRT global correlation, r =0.44). Models agreement BRT INLA Probability risk Probability risk
  • 9. 9 Discussion  Risk factors: Significant transmission risk driversfor RVF occurrencewerehigh precipitation, high human and/or livestock densities  Models performance: BRT overfitting “bias” in NW partsdue to noisy classification and clustering whileINLA by spatial random-effect accounted for spatial autocorrelation predicting high risk in low risk areas.  Real time risk mapping: INLA enablesanalysesof surveillancedatain near realtime and risk mapscan be automatically updated reducing thetimefrom field data collection to reporting.  Confounders : Consideration of temporal effectsassociated with climatic variation, host population migration dynamicsmay improveprediction.
  • 10. 10 Conclusions  Clumping /Clustering: High risk of RVF occurrence was in NW Garissa with multiple foci of medium to low risk around perennial water bodies (endemic foci due to host aggregation, viral amplification).  Model agreement: Comparisons of models performance leads to greater confidence and specificity in predictions (Machine learning vs Bayesian geostatistical models predicted risk in similar areaswith AUC (0.7- 0.9).  Targeted surveillance: Thespatially explicit, high-resolution maps(1×1km) identify areaswheresurveillanceand intervention measuresshould betargeted to reduceviral spillage/dispersion and for herd vaccination.
  • 11. 11 Recommendations  Sentinel surveillance: The risk maps can be used for establishment of human/animal sentinels and targeted sampling to increasethechancesof detecting thevirus.  Early warning systems : Integrating of processbased and host(human/animal)-vector stochastic modelling to explain the expanding RVF geographic range.  Risk analysis and disease control :Sentinel surveillanceto guidepolicy decision-makersto prioritizeintervention areasby cost-effectiveresourcesallocation.
  • 12. Acknowledgements Contact : Dr. Mark Nanyingi (mnanyingi@gmail.com)

Editor's Notes

  1. This analysis uses serological data that were collected during the interepidemic period involving apparently healthy livestock herds to determine factors that influence endemic transmission of the virus (RVFV) in the area.
  2. This analysis uses serological data that were collected during the interepidemic period involving apparently healthy livestock herds to determine factors that influence endemic transmission of the virus (RVFV) in the area. All raster layers were resampled and gridded to a spatial resolution of 1 km2 in a World Geodetic System 84 (WGS 84) projection using ‘raster ‘in R
  3. All analyses in R …raster’, ‘sp’, ‘gbm’ and ‘dismo’ libraries) in the statistical package R The seroprevalence data, yi was a binary variable, 1 representing a positive test result and 0 otherwise, in our analysis, the observed presence of RVF seropositivity (+ve) and the randomly generated pseudo negative (-ve) are assumed to have a binomial distribution. ηi is the linear predictor linked to the original scale of the outcome yi through a link function, β0 is a scalar representing the intercept, βy represent the values of the coefficients quantifying the linear effect of covariates xy, and f (zi) is a function used to account for the spatial random effect.
  4. high human population in a grid cell substantially contributed to the models with a relative importance of 35 %, with a nearly linear increasing association with the occurrence of RVF. Sheep population was the second most important predictor of the RVF occurrence (relative importance of 27%). High precipitation and temperature had relative importance of 17 % and 10% respectively. The soil type has a significant contribution to the RVF occurrence at (relative importance of 5%).
  5. BRT predicted approximately 16,810 km2 of very high suitable habitat (predicted risk probability of 0.70), which is 70% of the total area of Garissa County. There is a high predicted risk along the entire southern border of the county, as it is bordered by the larger Tana river thereby providing conducive mosquito breeding sites for RVF mosquitoes The predictive performance of INLA was found to be very high with AUC of ROC score of 0.9 ±0.001 s.d). There was a significant positive correlation between INLA/BRT (global correlation, r =0.44) in predicting the serologic status of RVF in Garissa, hence good model agreement. Both modeling techniques selected similar variables as the most important factors driving RVF prevalence distribution. Agreement between model predictions was moderately positively correlated (r &amp;lt;0.5) when evaluated over the whole county, this may be due different responses of each algorithm in extreme environmental interactions and downscaled spatial extents
  6. The current study underscores the importance of species distribution modelling in ecologically identifying factors related to transmission and outcome of RVF.
  7. humans and animals in or near seropositive areas were at highest risk for RVF, indicating a persistent endemic foci due to reintroduction of the virus from neighboring Somalia
  8. Viral dispersion