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Modeling to Predict Cases of Hantavirus Pulmonary Syndrome in Chile

dc.contributorVirginia Techen
dc.contributor.authorNsoesie, Elaine O.en
dc.contributor.authorMekaru, Sumiko R.en
dc.contributor.authorRamakrishnan, Narenen
dc.contributor.authorMarathe, Madhav V.en
dc.contributor.authorBrownstein, John S.en
dc.date.accessioned2017-10-23T14:52:10Zen
dc.date.available2017-10-23T14:52:10Zen
dc.date.issued2014-04-24en
dc.description.abstractBackground: Hantavirus pulmonary syndrome (HPS) is a life threatening disease transmitted by the rodent Oligoryzomys longicaudatus in Chile. Hantavirus outbreaks are typically small and geographically confined. Several studies have estimated risk based on spatial and temporal distribution of cases in relation to climate and environmental variables, but few have considered climatological modeling of HPS incidence for monitoring and forecasting purposes. Methodology: Monthly counts of confirmed HPS cases were obtained from the Chilean Ministry of Health for 2001–2012. There were an estimated 667 confirmed HPS cases. The data suggested a seasonal trend, which appeared to correlate with changes in climatological variables such as temperature, precipitation, and humidity. We considered several Auto Regressive Integrated Moving Average (ARIMA) time-series models and regression models with ARIMA errors with one or a combination of these climate variables as covariates. We adopted an information-theoretic approach to model ranking and selection. Data from 2001–2009 were used in fitting and data from January 2010 to December 2012 were used for one-stepahead predictions. Results: We focused on six models. In a baseline model, future HPS cases were forecasted from previous incidence; the other models included climate variables as covariates. The baseline model had a Corrected Akaike Information Criterion (AICc) of 444.98, and the top ranked model, which included precipitation, had an AICc of 437.62. Although the AICc of the top ranked model only provided a 1.65% improvement to the baseline AICc, the empirical support was 39 times stronger relative to the baseline model. Conclusions: Instead of choosing a single model, we present a set of candidate models that can be used in modeling and forecasting confirmed HPS cases in Chile. The models can be improved by using data at the regional level and easily extended to other countries with seasonal incidence of HPS.en
dc.description.sponsorshipThis work is supported by the Intelligence Advanced Research Projects Activity (IARPA) via Department of Interior National Business Center (DoI/NBC) contract number D12PC000337. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.en
dc.identifier.doihttps://doi.org/10.1371/journal.pntd.0002779en
dc.identifier.issue4en
dc.identifier.urihttp://hdl.handle.net/10919/79738en
dc.identifier.volume8en
dc.language.isoen_USen
dc.publisherPLOSen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.titleModeling to Predict Cases of Hantavirus Pulmonary Syndrome in Chileen
dc.title.serialPLOS Neglected Tropical Diseasesen
dc.typeArticle - Refereeden

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