Development and validation of a potential risk area identification model for hand, foot, and mouth disease in

Xu Guang1, Yifei He1, Zhigao Chen2

  • 1School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.

PubMed

Insights

A new OPGD-IV-MaxEnt model improves infectious disease risk mapping by optimizing spatial scales and incorporating factor information. This method enhances accuracy in identifying high-risk areas for diseases like hand, foot, and mouth disease (HFMD).

Area of Science:

  • Environmental science and public health
  • Machine learning applications in epidemiology
  • Spatial analysis of infectious diseases

Background:

  • Maximum Entropy (MaxEnt) is a common machine learning tool for identifying disease risk areas.
  • MaxEnt's accuracy is often limited by suboptimal spatial grid scales and factor combinations.
  • Internal factor information, crucial for disease occurrence, is underutilized in MaxEnt models.

Purpose of the Study:

  • To propose and evaluate the Optimal Parameters-based Geographical Detectors-Information Value-MaxEnt (OPGD-IV-MaxEnt) model.
  • To enhance the accuracy of identifying potential risk areas for hand, foot, and mouth disease (HFMD).
  • To compare the performance of OPGD-IV-MaxEnt against traditional MaxEnt and OPGD-MaxEnt.

Main Methods:

  • Determined optimal spatial grid scale and factor combinations using Optimal Parameters-based Geographical Detectors (OPGD).
  • Quantified and incorporated internal factor level information using Information Value (IV).
  • Applied the integrated OPGD-IV-MaxEnt model to map HFMD risk in Shenzhen.

Main Results:

  • The optimal spatial scale for MaxEnt was identified as 750 m (AUC=0.796).
  • OPGD-IV-MaxEnt achieved the highest accuracy (AUC=0.868), outperforming MaxEnt (AUC=0.796) and OPGD-MaxEnt (AUC=0.827).
  • Resident and market distribution were primary factors influencing HFMD risk areas, predominantly in northwestern, southwestern, and central Shenzhen.

Conclusions:

  • The OPGD-IV-MaxEnt model significantly improves the accuracy of identifying potential infectious disease risk areas.
  • Optimizing spatial scales and incorporating factor internal information are critical for enhancing MaxEnt's predictive power.
  • Findings provide a basis for targeted public health interventions and inform improvements in similar machine learning models.