Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.

Elizabeth A Cromwell; Joshua C P Osborne; Thomas R Unnasch; Maria-Gloria Basáñez; Katherine M Gass; Kira A Barbre; Elex Hill; Kimberly B Johnson; Katie M Donkers; Shreya Shirude; Chris A Schmidt; Victor Adekanmbi; Olatunji O Adetokunboh; Mohsen Afarideh; Ehsan Ahmadpour; Muktar Beshir Ahmed; Temesgen Yihunie Akalu; Ziyad Al-Aly; Fahad Mashhour Alanezi; Turki M Alanzi; Vahid Alipour; Catalina Liliana Andrei; Fereshteh Ansari; Mustafa Geleto Ansha; Davood Anvari; Seth Christopher Yaw Appiah; Jalal Arabloo; Benjamin F Arnold; Marcel Ausloos; Martin Amogre Ayanore; Atif Amin Baig; Maciej Banach; Aleksandra Barac; Till Winfried Bärnighausen; Mohsen Bayati; Krittika Bhattacharyya; Zulfiqar A Bhutta; Sadia Bibi; Ali Bijani; Somayeh Bohlouli; Mahdi Bohluli; Oliver J Brady; Nicola Luigi Bragazzi; Zahid A Butt; Felix Carvalho; Souranshu Chatterjee; Vijay Kumar Chattu; Soosanna Kumary Chattu; Natalie Maria Cormier; Saad M A Dahlawi; Giovanni Damiani; Farah Daoud; Aso Mohammad Darwesh; Ahmad Daryani; Kebede Deribe; Samath Dhamminda Dharmaratne; Daniel Diaz; Hoa Thi Do; Maysaa El Sayed Zaki; Maha El Tantawi; Demelash Abewa Elemineh; Anwar Faraj; Majid Fasihi Harandi; Yousef Fatahi; Valery L Feigin; Eduarda Fernandes; Nataliya A Foigt; Masoud Foroutan; Richard Charles Franklin; Mohammed Ibrahim Mohialdeen Gubari; Davide Guido; Yuming Guo; Arvin Haj-Mirzaian; Kanaan Hamagharib Abdullah; Samer Hamidi; Claudiu Herteliu; Hagos Degefa de Hidru; Tarig B Higazi; Naznin Hossain; Mehdi Hosseinzadeh; Mowafa Househ; Olayinka Stephen Ilesanmi; Milena D Ilic; Irena M Ilic; Usman Iqbal; Seyed Sina Naghibi Irvani; Ravi Prakash Jha; Farahnaz Joukar; Jacek Jerzy Jozwiak; Zubair Kabir; Leila R Kalankesh; Rohollah Kalhor; Behzad Karami Matin; Salah Eddin Karimi; Amir Kasaeian; Taras Kavetskyy; Gbenga A Kayode; Ali Kazemi Karyani; Abraham Getachew Kelbore; Maryam Keramati; Rovshan Khalilov; Ejaz Ahmad Khan; Md Nuruzzaman Nuruzzaman Khan; Khaled Khatab; Mona M Khater; Neda Kianipour; Kelemu Tilahun Kibret; Yun Jin Kim; Soewarta Kosen; Kris J Krohn; Dian Kusuma; Carlo La Vecchia; Van Charles Lansingh; Paul H Lee; Kate E LeGrand; Shanshan Li; Joshua Longbottom; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Afshin Maleki; Abdullah A Mamun; Ali Manafi; Navid Manafi; Mohammad Ali Mansournia; Francisco Rogerlândio Martins-Melo; Mohsen Mazidi; Colm McAlinden; Birhanu Geta Meharie; Walter Mendoza; Endalkachew Worku Mengesha; Desalegn Tadese Mengistu; Seid Tiku Mereta; Tomislav Mestrovic; Ted R Miller; Mohammad Miri; Masoud Moghadaszadeh; Abdollah Mohammadian-Hafshejani; Reza Mohammadpourhodki; Shafiu Mohammed; Salahuddin Mohammed; Masoud Moradi; Rahmatollah Moradzadeh; Paula Moraga; Jonathan F Mosser; Mehdi Naderi; Ahamarshan Jayaraman Nagarajan; Gurudatta Naik; Ionut Negoi; Cuong Tat Nguyen; Huong Lan Thi Nguyen; Trang Huyen Nguyen; Rajan Nikbakhsh; Bogdan Oancea; Tinuke O Olagunju; Andrew T Olagunju; Ahmed Omar Bali; Obinna E Onwujekwe; Adrian Pana; Hadi Pourjafar; Fakher Rahim; Mohammad Hifz Ur Rahman; Priya Rathi; Salman Rawaf; David Laith Rawaf; Reza Rawassizadeh; Serge Resnikoff; Melese Abate Reta; Aziz Rezapour; Enrico Rubagotti; Salvatore Rubino; Ehsan Sadeghi; Abedin Saghafipour; S Mohammad Sajadi; Abdallah M Samy; Rodrigo Sarmiento-Suárez; Monika Sawhney; Megan F Schipp; Amira A Shaheen; Masood Ali Shaikh; Morteza Shamsizadeh; Kiomars Sharafi; Aziz Sheikh; B Suresh Kumar Shetty; Jae Il Shin; K M Shivakumar; Biagio Simonetti; Jasvinder A Singh; Eirini Skiadaresi; Amin Soheili; Shahin Soltani; Emma Elizabeth Spurlock; Mu'awiyyah Babale Sufiyan; Takahiro Tabuchi; Leili Tapak; Robert L Thompson; Alan J Thomson; Eugenio Traini; Bach Xuan Tran; Irfan Ullah; Saif Ullah; Chigozie Jesse Uneke; Bhaskaran Unnikrishnan; Olalekan A Uthman; Natalie V S Vinkeles Melchers; Francesco S Violante; Haileab Fekadu Wolde; Tewodros Eshete Wonde; Tomohide Yamada; Sanni Yaya; Vahid Yazdi-Feyzabadi; Paul Yip; Naohiro Yonemoto; Hebat-Allah Salah A Yousof; Chuanhua Yu; Yong Yu; Hasan Yusefzadeh; Leila Zaki; Sojib Bin Zaman; Maryam Zamanian; Zhi-Jiang Zhang; Yunquan Zhang; Arash Ziapour; Simon I Hay; David M Pigott

doi:10.1371/journal.pntd.0008824

Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.

Elizabeth A Cromwell, Joshua C P Osborne, Thomas R Unnasch, Maria-Gloria Basáñez, Katherine M Gass, Kira A Barbre, Elex Hill, Kimberly B Johnson, Katie M Donkers, Shreya Shirude, Chris A Schmidt, Victor Adekanmbi, Olatunji O Adetokunboh, Mohsen Afarideh, Ehsan Ahmadpour, Muktar Beshir Ahmed, Temesgen Yihunie Akalu, Ziyad Al-Aly, Fahad Mashhour Alanezi, Turki M AlanziVahid Alipour, Catalina Liliana Andrei, Fereshteh Ansari, Mustafa Geleto Ansha, Davood Anvari, Seth Christopher Yaw Appiah, Jalal Arabloo, Benjamin F Arnold, Marcel Ausloos, Martin Amogre Ayanore, Atif Amin Baig, Maciej Banach, Aleksandra Barac, Till Winfried Bärnighausen, Mohsen Bayati, Krittika Bhattacharyya, Zulfiqar A Bhutta, Sadia Bibi, Ali Bijani, Somayeh Bohlouli, Mahdi Bohluli, Oliver J Brady, Nicola Luigi Bragazzi, Zahid A Butt, Felix Carvalho, Souranshu Chatterjee, Vijay Kumar Chattu, Soosanna Kumary Chattu, Natalie Maria Cormier, Saad M A Dahlawi, Giovanni Damiani, Farah Daoud, Aso Mohammad Darwesh, Ahmad Daryani, Kebede Deribe, Samath Dhamminda Dharmaratne, Daniel Diaz, Hoa Thi Do, Maysaa El Sayed Zaki, Maha El Tantawi, Demelash Abewa Elemineh, Anwar Faraj, Majid Fasihi Harandi, Yousef Fatahi, Valery L Feigin, Eduarda Fernandes, Nataliya A Foigt, Masoud Foroutan, Richard Charles Franklin, Mohammed Ibrahim Mohialdeen Gubari, Davide Guido, Yuming Guo, Arvin Haj-Mirzaian, Kanaan Hamagharib Abdullah, Samer Hamidi, Claudiu Herteliu, Hagos Degefa de Hidru, Tarig B Higazi, Naznin Hossain, Mehdi Hosseinzadeh, Mowafa Househ, Olayinka Stephen Ilesanmi, Milena D Ilic, Irena M Ilic, Usman Iqbal, Seyed Sina Naghibi Irvani, Ravi Prakash Jha, Farahnaz Joukar, Jacek Jerzy Jozwiak, Zubair Kabir, Leila R Kalankesh, Rohollah Kalhor, Behzad Karami Matin, Salah Eddin Karimi, Amir Kasaeian, Taras Kavetskyy, Gbenga A Kayode, Ali Kazemi Karyani, Abraham Getachew Kelbore, Maryam Keramati, Rovshan Khalilov, Ejaz Ahmad Khan, Md Nuruzzaman Nuruzzaman Khan, Khaled Khatab, Mona M Khater, Neda Kianipour, Kelemu Tilahun Kibret, Yun Jin Kim, Soewarta Kosen, Kris J Krohn, Dian Kusuma, Carlo La Vecchia, Van Charles Lansingh, Paul H Lee, Kate E LeGrand, Shanshan Li, Joshua Longbottom, Hassan Magdy Abd El Razek, Muhammed Magdy Abd El Razek, Afshin Maleki, Abdullah A Mamun, Ali Manafi, Navid Manafi, Mohammad Ali Mansournia, Francisco Rogerlândio Martins-Melo, Mohsen Mazidi, Colm McAlinden, Birhanu Geta Meharie, Walter Mendoza, Endalkachew Worku Mengesha, Desalegn Tadese Mengistu, Seid Tiku Mereta, Tomislav Mestrovic, Ted R Miller, Mohammad Miri, Masoud Moghadaszadeh, Abdollah Mohammadian-Hafshejani, Reza Mohammadpourhodki, Shafiu Mohammed, Salahuddin Mohammed, Masoud Moradi, Rahmatollah Moradzadeh, Paula Moraga, Jonathan F Mosser, Mehdi Naderi, Ahamarshan Jayaraman Nagarajan, Gurudatta Naik, Ionut Negoi, Cuong Tat Nguyen, Huong Lan Thi Nguyen, Trang Huyen Nguyen, Rajan Nikbakhsh, Bogdan Oancea, Tinuke O Olagunju, Andrew T Olagunju, Ahmed Omar Bali, Obinna E Onwujekwe, Adrian Pana, Hadi Pourjafar, Fakher Rahim, Mohammad Hifz Ur Rahman, Priya Rathi, Salman Rawaf, David Laith Rawaf, Reza Rawassizadeh, Serge Resnikoff, Melese Abate Reta, Aziz Rezapour, Enrico Rubagotti, Salvatore Rubino, Ehsan Sadeghi, Abedin Saghafipour, S Mohammad Sajadi, Abdallah M Samy, Rodrigo Sarmiento-Suárez, Monika Sawhney, Megan F Schipp, Amira A Shaheen, Masood Ali Shaikh, Morteza Shamsizadeh, Kiomars Sharafi, Aziz Sheikh, B Suresh Kumar Shetty, Jae Il Shin, K M Shivakumar, Biagio Simonetti, Jasvinder A Singh, Eirini Skiadaresi, Amin Soheili, Shahin Soltani, Emma Elizabeth Spurlock, Mu'awiyyah Babale Sufiyan, Takahiro Tabuchi, Leili Tapak, Robert L Thompson, Alan J Thomson, Eugenio Traini, Bach Xuan Tran, Irfan Ullah, Saif Ullah, Chigozie Jesse Uneke, Bhaskaran Unnikrishnan, Olalekan A Uthman, Natalie V S Vinkeles Melchers, Francesco S Violante, Haileab Fekadu Wolde, Tewodros Eshete Wonde, Tomohide Yamada, Sanni Yaya, Vahid Yazdi-Feyzabadi, Paul Yip, Naohiro Yonemoto, Hebat-Allah Salah A Yousof, Chuanhua Yu, Yong Yu, Hasan Yusefzadeh, Leila Zaki, Sojib Bin Zaman, Maryam Zamanian, Zhi-Jiang Zhang, Yunquan Zhang, Arash Ziapour, Simon I Hay, David M Pigott

Computer, Electrical and Mathematical Sciences and Engineering

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0·71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50·2% exceed this threshold for suitability in at least one 5 × 5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify.

Original language	English (US)
Pages (from-to)	e0008824
Journal	PLoS Neglected Tropical Diseases
Volume	15
Issue number	7
DOIs	https://doi.org/10.1371/journal.pntd.0008824
State	Published - Jul 28 2021

Bibliographical note

KAUST Repository Item: Exported on 2021-12-14
Acknowledgements: Data accessed via the ESPEN portal belong to the Ministries of Health and we would like to acknowledge the national onchocerciasis control and elimination programmes for making these data available

ASJC Scopus subject areas

Infectious Diseases
Public Health, Environmental and Occupational Health
Pharmacology, Toxicology and Pharmaceutics(all)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pntd.0008824

https://repository.kaust.edu.sa/bitstream/10754/670364/1/Articlefile1.pdf

Cite this

Cromwell, E. A., Osborne, J. C. P., Unnasch, T. R., Basáñez, M.-G., Gass, K. M., Barbre, K. A., Hill, E., Johnson, K. B., Donkers, K. M., Shirude, S., Schmidt, C. A., Adekanmbi, V., Adetokunboh, O. O., Afarideh, M., Ahmadpour, E., Ahmed, M. B., Akalu, T. Y., Al-Aly, Z., Alanezi, F. M., ... Pigott, D. M. (2021). Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning. PLoS Neglected Tropical Diseases, 15(7), e0008824. https://doi.org/10.1371/journal.pntd.0008824

@article{68f069eca34b4bfe93ee84d4248340b5,

title = "Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.",

abstract = "Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0·71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50·2% exceed this threshold for suitability in at least one 5 × 5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify.",

author = "Cromwell, {Elizabeth A} and Osborne, {Joshua C P} and Unnasch, {Thomas R} and Maria-Gloria Bas{\'a}{\~n}ez and Gass, {Katherine M} and Barbre, {Kira A} and Elex Hill and Johnson, {Kimberly B} and Donkers, {Katie M} and Shreya Shirude and Schmidt, {Chris A} and Victor Adekanmbi and Adetokunboh, {Olatunji O} and Mohsen Afarideh and Ehsan Ahmadpour and Ahmed, {Muktar Beshir} and Akalu, {Temesgen Yihunie} and Ziyad Al-Aly and Alanezi, {Fahad Mashhour} and Alanzi, {Turki M} and Vahid Alipour and Andrei, {Catalina Liliana} and Fereshteh Ansari and Ansha, {Mustafa Geleto} and Davood Anvari and Appiah, {Seth Christopher Yaw} and Jalal Arabloo and Arnold, {Benjamin F} and Marcel Ausloos and Ayanore, {Martin Amogre} and Baig, {Atif Amin} and Maciej Banach and Aleksandra Barac and B{\"a}rnighausen, {Till Winfried} and Mohsen Bayati and Krittika Bhattacharyya and Bhutta, {Zulfiqar A} and Sadia Bibi and Ali Bijani and Somayeh Bohlouli and Mahdi Bohluli and Brady, {Oliver J} and Bragazzi, 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note = "KAUST Repository Item: Exported on 2021-12-14 Acknowledgements: Data accessed via the ESPEN portal belong to the Ministries of Health and we would like to acknowledge the national onchocerciasis control and elimination programmes for making these data available",

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month = jul,

day = "28",

doi = "10.1371/journal.pntd.0008824",

language = "English (US)",

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journal = "PLoS Neglected Tropical Diseases",

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Cromwell, EA, Osborne, JCP, Unnasch, TR, Basáñez, M-G, Gass, KM, Barbre, KA, Hill, E, Johnson, KB, Donkers, KM, Shirude, S, Schmidt, CA, Adekanmbi, V, Adetokunboh, OO, Afarideh, M, Ahmadpour, E, Ahmed, MB, Akalu, TY, Al-Aly, Z, Alanezi, FM, Alanzi, TM, Alipour, V, Andrei, CL, Ansari, F, Ansha, MG, Anvari, D, Appiah, SCY, Arabloo, J, Arnold, BF, Ausloos, M, Ayanore, MA, Baig, AA, Banach, M, Barac, A, Bärnighausen, TW, Bayati, M, Bhattacharyya, K, Bhutta, ZA, Bibi, S, Bijani, A, Bohlouli, S, Bohluli, M, Brady, OJ, Bragazzi, NL, Butt, ZA, Carvalho, F, Chatterjee, S, Chattu, VK, Chattu, SK, Cormier, NM, Dahlawi, SMA, Damiani, G, Daoud, F, Darwesh, AM, Daryani, A, Deribe, K, Dharmaratne, SD, Diaz, D, Do, HT, El Sayed Zaki, M, El Tantawi, M, Elemineh, DA, Faraj, A, Fasihi Harandi, M, Fatahi, Y, Feigin, VL, Fernandes, E, Foigt, NA, Foroutan, M, Franklin, RC, Gubari, MIM, Guido, D, Guo, Y, Haj-Mirzaian, A, Hamagharib Abdullah, K, Hamidi, S, Herteliu, C, Hidru, HDD, Higazi, TB, Hossain, N, Hosseinzadeh, M, Househ, M, Ilesanmi, OS, Ilic, MD, Ilic, IM, Iqbal, U, Irvani, SSN, Jha, RP, Joukar, F, Jozwiak, JJ, Kabir, Z, Kalankesh, LR, Kalhor, R, Karami Matin, B, Karimi, SE, Kasaeian, A, Kavetskyy, T, Kayode, GA, Kazemi Karyani, A, Kelbore, AG, Keramati, M, Khalilov, R, Khan, EA, Khan, MNN, Khatab, K, Khater, MM, Kianipour, N, Kibret, KT, Kim, YJ, Kosen, S, Krohn, KJ, Kusuma, D, La Vecchia, C, Lansingh, VC, Lee, PH, LeGrand, KE, Li, S, Longbottom, J, Magdy Abd El Razek, H, Magdy Abd El Razek, M, Maleki, A, Mamun, AA, Manafi, A, Manafi, N, Mansournia, MA, Martins-Melo, FR, Mazidi, M, McAlinden, C, Meharie, BG, Mendoza, W, Mengesha, EW, Mengistu, DT, Mereta, ST, Mestrovic, T, Miller, TR, Miri, M, Moghadaszadeh, M, Mohammadian-Hafshejani, A, Mohammadpourhodki, R, Mohammed, S, Mohammed, S, Moradi, M, Moradzadeh, R, Moraga, P, Mosser, JF, Naderi, M, Nagarajan, AJ, Naik, G, Negoi, I, Nguyen, CT, Nguyen, HLT, Nguyen, TH, Nikbakhsh, R, Oancea, B, Olagunju, TO, Olagunju, AT, Omar Bali, A, Onwujekwe, OE, Pana, A, Pourjafar, H, Rahim, F, Rahman, MHU, Rathi, P, Rawaf, S, Rawaf, DL, Rawassizadeh, R, Resnikoff, S, Reta, MA, Rezapour, A, Rubagotti, E, Rubino, S, Sadeghi, E, Saghafipour, A, Sajadi, SM, Samy, AM, Sarmiento-Suárez, R, Sawhney, M, Schipp, MF, Shaheen, AA, Shaikh, MA, Shamsizadeh, M, Sharafi, K, Sheikh, A, Shetty, BSK, Shin, JI, Shivakumar, KM, Simonetti, B, Singh, JA, Skiadaresi, E, Soheili, A, Soltani, S, Spurlock, EE, Sufiyan, MB, Tabuchi, T, Tapak, L, Thompson, RL, Thomson, AJ, Traini, E, Tran, BX, Ullah, I, Ullah, S, Uneke, CJ, Unnikrishnan, B, Uthman, OA, Vinkeles Melchers, NVS, Violante, FS, Wolde, HF, Wonde, TE, Yamada, T, Yaya, S, Yazdi-Feyzabadi, V, Yip, P, Yonemoto, N, Yousof, H-ASA, Yu, C, Yu, Y, Yusefzadeh, H, Zaki, L, Zaman, SB, Zamanian, M, Zhang, Z-J, Zhang, Y, Ziapour, A, Hay, SI & Pigott, DM 2021, 'Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.', PLoS Neglected Tropical Diseases, vol. 15, no. 7, pp. e0008824. https://doi.org/10.1371/journal.pntd.0008824

TY - JOUR

T1 - Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.

AU - Cromwell, Elizabeth A

AU - Osborne, Joshua C P

AU - Unnasch, Thomas R

AU - Basáñez, Maria-Gloria

AU - Gass, Katherine M

AU - Barbre, Kira A

AU - Hill, Elex

AU - Johnson, Kimberly B

AU - Donkers, Katie M

AU - Shirude, Shreya

AU - Schmidt, Chris A

AU - Adekanmbi, Victor

AU - Adetokunboh, Olatunji O

AU - Afarideh, Mohsen

AU - Ahmadpour, Ehsan

AU - Ahmed, Muktar Beshir

AU - Akalu, Temesgen Yihunie

AU - Al-Aly, Ziyad

AU - Alanezi, Fahad Mashhour

AU - Alanzi, Turki M

AU - Alipour, Vahid

AU - Andrei, Catalina Liliana

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N1 - KAUST Repository Item: Exported on 2021-12-14 Acknowledgements: Data accessed via the ESPEN portal belong to the Ministries of Health and we would like to acknowledge the national onchocerciasis control and elimination programmes for making these data available

PY - 2021/7/28

Y1 - 2021/7/28

N2 - Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0·71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50·2% exceed this threshold for suitability in at least one 5 × 5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify.

AB - Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0·71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50·2% exceed this threshold for suitability in at least one 5 × 5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify.

UR - http://hdl.handle.net/10754/670364

UR - https://dx.plos.org/10.1371/journal.pntd.0008824

UR - http://www.scopus.com/inward/record.url?scp=85112387757&partnerID=8YFLogxK

U2 - 10.1371/journal.pntd.0008824

DO - 10.1371/journal.pntd.0008824

M3 - Article

C2 - 34319976

SN - 1935-2727

VL - 15

SP - e0008824

JO - PLoS Neglected Tropical Diseases

JF - PLoS Neglected Tropical Diseases

IS - 7

ER -

Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.

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