2016
DOI: 10.4269/ajtmh.15-0647
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Landscape Fragmentation as a Risk Factor for Buruli Ulcer Disease in Ghana

Abstract: Abstract. Land cover and its change have been linked to Buruli ulcer (BU), a rapidly emerging tropical disease. However, it is unknown whether landscape structure affects the disease prevalence. To examine the association between landscape pattern and BU presence, we obtained land cover information for 20 villages in southwestern Ghana from high resolution satellite images, and analyzed the landscape pattern surrounding each village. Eight landscape metrics indicated that landscape patterns between BU case and… Show more

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Cited by 10 publications
(9 citation statements)
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“…Interestingly our results demonstrate a positive relationship between urban land cover and BU incidence, which is in contradiction with other land cover studies conducted in West Africa on BU prevalence [37, 42]. The results from our datasets demonstrate that in the years following 2000, 79% of the new BU cases occurred in urban settings in comparison to 52% in the earlier years (79% vs 52%; p-value < 0.0001, 95% CI 14.96–37.94).…”
Section: Discussioncontrasting
confidence: 99%
“…Interestingly our results demonstrate a positive relationship between urban land cover and BU incidence, which is in contradiction with other land cover studies conducted in West Africa on BU prevalence [37, 42]. The results from our datasets demonstrate that in the years following 2000, 79% of the new BU cases occurred in urban settings in comparison to 52% in the earlier years (79% vs 52%; p-value < 0.0001, 95% CI 14.96–37.94).…”
Section: Discussioncontrasting
confidence: 99%
“…Moreover, influences are concentrated in the central regions and scatter around in suburb regions. The conclusion proves that the influences of UHI on respiratory diseases demonstrate landscape–pattern–process characteristics, echoing with other relevant case studies done through landscape fragmentation and diversity indexes on the tropical disease Buruli ulcer (28). Therefore, landscape pattern index is applicable in studying the impact of the environment on diseases.…”
Section: Discussionsupporting
confidence: 78%
“…Increases in cases have been associated with heavy periods of rainfall in some places (18)(19)(20)(21). In Africa, landscape fragmentation and destruction has been suggested as a risk factor for Buruli ulcer (22).…”
mentioning
confidence: 99%