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Residence-linked human plague in New Mexico: a habitat-suitability model
Rebecca J Eisen1, Pamela J Reynolds, Paul Ettestad
1Division of Vector-Borne Infectious Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, P.O. Box 2087, Fort Collins, Colorado 80522, USA. dyn2@cdc.gov
Abstract:
Yersinia pestis, the causative agent of plague, has been detected in fleas and mammals throughout the western United States. This highly virulent infection is rare in humans, surveillance of the disease is expensive, and it often was assumed that risk of exposure to Y. pestis is high in most of the western United States. For these reasons, some local health departments in these plague-affected regions have hesitated to undertake surveillance and other prevention activities. To aid in targeting limited public health resources, we created a fine-resolution human plague risk map for New Mexico, the state reporting more than half the human cases in the United States. Our GIS-based model included three landscape features-a nonlinear relationship with elevation, distance to water, and distance to the ecotone between Rocky Mountain/Great Basin open and closed coniferous woodlands-and yielded an overall accuracy of approximately 80%. The model classified 17.25% of the state as posing significant risk of exposure to humans on privately or tribally owned land, which suggests that resource requirements for regular surveillance and control of plague could be effectively focused on < 20% of the state.
Insights
A new plague risk map for New Mexico identifies areas with significant human exposure risk to Yersinia pestis. This GIS-based model helps focus public health resources on less than 20% of the state for effective plague surveillance and control.
Area of Science:
- Veterinary Public Health
- Epidemiology
- Geographic Information Systems (GIS)
Background:
- Yersinia pestis, the bacterium causing plague, is endemic in fleas and mammals across the western US.
- Human plague cases are rare but surveillance is costly, leading some health departments to hesitate on prevention activities.
- New Mexico reports over half of US human plague cases, necessitating targeted resource allocation.
Purpose of the Study:
- To develop a fine-resolution human plague risk map for New Mexico.
- To aid local health departments in targeting limited public health resources for plague surveillance and control.
Main Methods:
- A GIS-based model was created incorporating landscape features.
- Key features included elevation (nonlinear relationship), distance to water, and distance to specific ecotones.
- The model's accuracy was evaluated.
Main Results:
- The model achieved approximately 80% overall accuracy.
- 17.25% of New Mexico was classified as posing a significant risk for human Yersinia pestis exposure.
- The findings suggest focusing surveillance and control efforts on less than 20% of the state.
Conclusions:
- A GIS-based model can effectively identify high-risk areas for human plague exposure.
- Targeted surveillance and control strategies can be implemented in specific regions, optimizing resource allocation.
- This approach aids in managing the public health threat of Yersinia pestis in endemic areas.
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