Abstract

Malaria surveillance data provide opportunity to develop forecasting models. Seasonal variability in environmental factors correlate with malaria transmission, thus the identification of transmission patterns is useful in developing prediction models. However, with changing seasonal transmission patterns, either due to interventions or shifting weather seasons, traditional modelling approaches may not yield adequate predictive skill. Two statistical models,a general additive model (GAM) and GAMBOOST model with boosted regression were contrasted by assessing their predictive accuracy in forecasting malaria admissions at lead times of one to three months. Monthly admission data for children under five years with confirmed malaria at the Siaya district hospital in Western Kenya for the period 2003 to 2013 were used together with satellite derived data on rainfall, average temperature and evapotranspiration(ET). There was a total of 8,476 confirmed malaria admissions. The peak of malaria season changed and malaria admissions reduced overtime. The GAMBOOST model at 1-month lead time had the highest predictive skill during both the training and test periods and thus can be utilized in a malaria early warning system.

Highlights

  • The year 2015 marked the end of the Millennium Development Goals and the ushering in of the new Sustainable Development Goals with continued focus on malaria as a major public health concern

  • It has been suggested that the development of statistical forecasting models that identify cyclic variation in malaria transmission is key to the development of malaria early warning systems (MEWS) for endemic regions[13]

  • There was a total of 8,476 confirmed malaria admissions among children under five years of age at the Siaya district hospital during the period 2003 and 2013

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Summary

Introduction

The year 2015 marked the end of the Millennium Development Goals and the ushering in of the new Sustainable Development Goals with continued focus on malaria as a major public health concern. In sub-Saharan Africa, malaria accounts for 22% of all deaths in children aged 1–59 months[1] In response to this still high burden, the World Health Organization (WHO) developed the Global Technical Strategy for Malaria 2016–2030, which was adopted by the World Health Assembly in 2015. Routine malaria surveillance data provide an opportunity to develop malaria early warning systems (MEWS) to track malaria incidence and transmission patterns along with environmental risk factors for accurate and timely detection and effective control of outbreaks. Rainfall and temperature have been used to develop malaria forecasting models Detection indicators, such as abrupt increases in malaria incidence, can be obtained from malaria morbidity data collected at health facilities, using epidemic thresholds, reinforcing the need for timely and complete reporting of malaria cases through health information systems. A recent analysis on the effect of remote sensing data, land surface temperature (LST) and Normalized Difference Vegetation Index (NDVI) on malaria mortality showed a lagged relationship indicating an ability of forecasting based on observed data[16]

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