2021
DOI: 10.1371/journal.pntd.0009535
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Arboviral diseases and poverty in Alabama, 2007–2017

Abstract: Mosquito-borne viruses cause diseases of great public health concern. Arboviral disease case distributions have complex relationships with socioeconomic and environmental factors. We combined information about socio-economic (population, and poverty rate) and environmental (precipitation, and land use) characteristics with reported human cases of arboviral disease in the counties of Alabama, USA, from 2007–2017. We used county level data on West Nile virus (WNV), dengue virus (DENV), chikungunya virus (CHIKV),… Show more

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Cited by 6 publications
(5 citation statements)
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“…Despite the small increase in overall odds of detecting a human case based on WNV infections in mosquitoes, these associations remained signi cant after accounting for town population size and month of the year. Other metrics of human populations, such as demography, social inequity, and access to healthcare are other important metrics to consider when predicting incidence of WNV in humans (52)(53)(54); these variables can also in uence patterns of mosquito community composition and collections (55,56). Future studies that examine these relationships may re ne the predicted incidence of WNV in mosquitoes and humans.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the small increase in overall odds of detecting a human case based on WNV infections in mosquitoes, these associations remained signi cant after accounting for town population size and month of the year. Other metrics of human populations, such as demography, social inequity, and access to healthcare are other important metrics to consider when predicting incidence of WNV in humans (52)(53)(54); these variables can also in uence patterns of mosquito community composition and collections (55,56). Future studies that examine these relationships may re ne the predicted incidence of WNV in mosquitoes and humans.…”
Section: Discussionmentioning
confidence: 99%
“…To improve data collection and enable explicit comparisons of the clinical presentations of both diseases, we implemented a specific electronic case report form for SLEV in 2019 and developed infrastructure to aggregate clinical data from WNV case-patients. Nonetheless, the true magnitudes of WNV and SLEV infections remain poorly defined, and the likelihood of testing and diagnosis are influenced by such factors as social determinants of health [ 36 , 37 ], availability of clinical specimens, the effectiveness of diagnostic tests, and, more recently, COVID-19 [ 38 , 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…The intersection of risk is best associated with land use. Agriculture and rural locations are usually associated with higher rates of seroprevalence and neuroinvasive disease in humans and horses [ 60 , 68 , 69 , 70 ]. In rural environments, horse and human occupation are linked with agriculture, and agricultural workers are more likely to have either higher seroprevalence rates and/or more reported WNV cases.…”
Section: Epidemiologymentioning
confidence: 99%