Journal
HEALTH & PLACE
Volume 13, Issue 2, Pages 368-380Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2006.03.006
Keywords
malaria; Amazon; local indicators of spatial association; malaria surveillance; malaria control
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A measure of local spatial association, G,(i)*(d), is applied to test for the presence of malaria clusters in a colonization area in the Brazilian Amazon. Clusters of high and low malaria rates at different moments in time are identified. They suggest unambiguous spatial patterns of transmission, most likely linked to the social and natural habitat. Results imply that a comprehensive identification of the determinants of malaria transmission requires a spatial framework of analysis, and that control strategies must be spatially targeted and guided by a surveillance system that constantly learns the specificities of local transmission and adapts interventions to them. (c) 2006 Elsevier Ltd. All rights reserved.
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