Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.

<h4>Background</h4>Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics i...

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Autores principales: Khoa T D Thai, Bernard Cazelles, Nam Van Nguyen, Long Thi Vo, Maciej F Boni, Jeremy Farrar, Cameron P Simmons, H Rogier van Doorn, Peter J de Vries
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Publicado: Public Library of Science (PLoS) 2010
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spelling oai:doaj.org-article:4f3a6db62bf842b0b39ade5d7f5ed3ed2021-12-02T20:24:22ZDengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.1935-27271935-273510.1371/journal.pntd.0000747https://doaj.org/article/4f3a6db62bf842b0b39ade5d7f5ed3ed2010-07-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20644621/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam.<h4>Methodology</h4>Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam.<h4>Principal findings</h4>We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2-3-years was solely observed from 1996-2001. Synchrony in time and between districts was detected for both the annual and 2-3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2-3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2-3-year periodic band was found.<h4>Conclusions</h4>A multi-annual mode of oscillation was observed and these 2-3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam.Khoa T D ThaiBernard CazellesNam Van NguyenLong Thi VoMaciej F BoniJeremy FarrarCameron P SimmonsH Rogier van DoornPeter J de VriesPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 4, Iss 7, p e747 (2010)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Khoa T D Thai
Bernard Cazelles
Nam Van Nguyen
Long Thi Vo
Maciej F Boni
Jeremy Farrar
Cameron P Simmons
H Rogier van Doorn
Peter J de Vries
Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
description <h4>Background</h4>Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam.<h4>Methodology</h4>Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam.<h4>Principal findings</h4>We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2-3-years was solely observed from 1996-2001. Synchrony in time and between districts was detected for both the annual and 2-3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2-3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2-3-year periodic band was found.<h4>Conclusions</h4>A multi-annual mode of oscillation was observed and these 2-3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam.
format article
author Khoa T D Thai
Bernard Cazelles
Nam Van Nguyen
Long Thi Vo
Maciej F Boni
Jeremy Farrar
Cameron P Simmons
H Rogier van Doorn
Peter J de Vries
author_facet Khoa T D Thai
Bernard Cazelles
Nam Van Nguyen
Long Thi Vo
Maciej F Boni
Jeremy Farrar
Cameron P Simmons
H Rogier van Doorn
Peter J de Vries
author_sort Khoa T D Thai
title Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
title_short Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
title_full Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
title_fullStr Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
title_full_unstemmed Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.
title_sort dengue dynamics in binh thuan province, southern vietnam: periodicity, synchronicity and climate variability.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/4f3a6db62bf842b0b39ade5d7f5ed3ed
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