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Article Dans Une Revue International Journal of Applied Earth Observation and Geoinformation Année : 2012

On the difficulty to delimit disease risk hot spots

Résumé

Representing the health state of a region is a helpful tool to highlight spatial heterogeneity and localize high risk areas. For ease of interpretation and to determine where to apply control procedures, we need to clearly identify and delineate homogeneous regions in terms of disease risk, and in particular disease risk hot spots. However, even if practical purposes require the delineation of different risk classes, such a classification does not correspond to a reality and is thus difficult to estimate. Working with grouped data, a first natural choice is to apply disease mapping models. We apply a usual disease mapping model, producing continuous estimations of the risks that requires a post-processing classification step to obtain clearly delimited risk zones. We also apply a risk partition model that build a classification of the risk levels in a one step procedure. Working with point data, we will focus on the scan statistic clustering method. We illustrate our article with a real example concerning the bovin spongiform encephalopathy (BSE) an animal disease whose zones at risk are well known by the epidemiologists. We show that in this difficult case of a rare disease and a very heterogeneous population, the different methods provide risk zones that are globally coherent. But, related to the dichotomy between the need and the reality, the exact delimitation of the risk zones, as well as the corresponding estimated risks are quite different.

Dates et versions

hal-00780054 , version 1 (23-01-2013)

Identifiants

Citer

Myriam Garrido, Lamiae Azizi, Florence Forbes, Senan Doyle, Nicolas Peyrard, et al.. On the difficulty to delimit disease risk hot spots. International Journal of Applied Earth Observation and Geoinformation, 2012, Spatial Statistics for Mapping the Environment, 22, pp.99-105. ⟨10.1016/j.jag.2012.04.005⟩. ⟨hal-00780054⟩
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