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Published on: March 17, 2016
Querying Q fever: spatiotemporal patterns and environmental drivers in French Guiana
Anissa Desmoulin1,2,3, Amanda Esparon2,3,4, Fabrice Quet2,5
1Department of Infectious and Tropical Diseases, CHU de La Réunion Sites Sud, Saint-Pierre, Reunion Island anissa.desmoulin@hotmail.fr.
Q fever (Coxiella burnetii) hotspots were identified in French Guiana, linked to forests, wildlife, and housing. Public health efforts should target these areas, including slaughterhouses and farms.
Area of Science:
- Epidemiology
- Spatial Analysis
- Environmental Health
Background:
- Q fever, a zoonotic infection caused by Coxiella burnetii, is hyper-endemic in French Guiana.
- The primary reservoir of Coxiella burnetii in French Guiana is debated, likely involving wild fauna.
- Human Q fever cases in the Cayenne area require spatiotemporal investigation and environmental factor analysis.
Purpose of the Study:
- To identify spatiotemporal clusters of human Q fever in the Cayenne area.
- To investigate the relationships between Q fever occurrence and environmental factors using remote sensing data.
- To guide public health actions and research by pinpointing high-risk areas.
Main Methods:
- Retrospective study of human acute Q fever cases (2007-2017).
- Spatial autocorrelation and spatiotemporal scanning for cluster identification.
- Generalized Poisson additive model to analyze risk factors including remote sensing data.
Main Results:
- 513 cases of acute Q fever were analyzed.
- Six significant Q fever hotspots were identified, with an epicentre near Mont Rémire.
- Risk factors included proximity to forests, wildlife proximity, slaughterhouses, and housing density.
Conclusions:
- Identified priority areas for public health interventions: slaughterhouses, farms, and surrounding wildlife.
- Highlights the importance of environmental and wildlife factors in Q fever transmission in French Guiana.
- Provides a spatial framework for targeted Q fever control strategies.
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