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Spatial-temporal analysis of the
risk of Rift Valley fever in Kenya
   B. Bett, A. Omolo, F. Hansen, A. Notenbaert and S. Kemp
      International Livestock Research Institute
         Presented at the European Geosciences Union conference
                 held at Vienna, Austria, 22-27 April 2012
Introduction
• RVF – a zoonotic disease caused by a mosquito-
  borne RNA virus
• Mainly infects sheep, goats, cattle, cattle with
  significant economic impacts
• In East Africa, it occurs as epidemics in arid and
  semi-arid areas after extensive flooding
• Geographical range appears to be increasing
   – Middle East and Madagascar
Introduction
• Risk factors that have been identified (Hightower et
  al., 2012; Anyamba et al., 2009; Archie et al., 2007)
      •   Excessive rainfall (El Nino years, except 1989)
      •   NDVI (El Nino)
      •   Altitude (areas <1,100 m above sea level)
      •   Soil types (solonetz, calcisols, solanchaks, planosols)
On-going work on RVF risk analysis




Source: Department of Veterinary Services        Source: Centers for Disease Control

    What additional analyses do we need to do given what has been done already?
     Temporal patterns/effects of land use/climate change
     Use of refined/smaller spatial units
     Vulnerability mapping (not presented here)
Materials and Methods
• Secondary data on RVF outbreaks
  – Case – laboratory confirmed outbreak of RVF (RT-
    PCR)
• GIS datasets
• Descriptive analyses
• Regression models – Logistic model and
  Generalized Linear Latent and Mixed Model
  (GLLAMM)
Variables considered in the current analysis
Variable                   Source                 Description
RVF outbreaks              DVS records            Laboratory confirmed cases by
                           CDC                    month over the period: 1912 - 2010
Precipitation              ECMWF                  Monthly minimum, maximum and
                                                  average for the period: 1979 - 2010
NDVI                       Spot Vegetation        Monthly average, minimum,
                                                  maximum values from: 1999 - 2010
Human population           Kenya National         Human and household census for
                           Bureau of Statistics   1960, 1970, 1980, 1990, 1999
Elevation                  CSI SRTM
Soil types                 FAO                    FAO’s Harmonized World Soil
                                                  Database (HWSD), 2009
Land cover                 FAO on-line            Global land cover data, 2000
                           database
Livelihood zones           FEWSNET                Livelihood practices as at 2006

Wetlands (area as % of     ILRI GIS Unit
total)
Parks/reserves (area as %) ILRI GIS Unit
Descriptive analyses
                              Divisions that have had RVF outbreaks
                              in Kenya between Jan 1912 and Dec 2010
• RVF outbreaks
   – 505 divisions from
     1999 population
     census
   – About 20.2 % (n = 102)
     of the divisions have
     had an outbreak at
     least once
• Mean outbreak
  interval in years:
   – 5.4 (4.4 – 6.4)
• Precipitation
                                 Monthly rainfall density between          Crude association between RVF incidence and
                                 Jan 1979 and December 2010                various forms of the rainfall variable
                                500                                         Precipitation lags          Log likelihood
                                450
Rainfalll density in mm/month




                                                                            Current rainfall                    -3102.69
                                400
                                350                                         Previous month                      -3050.08
                                300                                         2 months ago                         3033.71
                                250
                                                                            Sum of last 2 months                -3061.06
                                200
                                150                                         Sum of last 3 months                -3018.20
                                100                                         Mean of last 2 months               -3061.06
                                50
                                                                            Mean of last 3 months               -3018.20
                                 0
                                  Jan 1979                      Dec 2010    Variance of last 2 months           -3108.62
                                                 Month
                                                                            Variance of last 3 months           -3087.30


• The total/mean amount of rainfall experienced over the previous 3 months
  gives a better fit
• Linearity assumption not met – rainfall fitted as a quadratic function
• Correlated with NDVI, so NDVI not considered further
• Human population
       Human population trends 1960 - 1999                                   GLM model fitted to the human population data
                                                                             Variable                Level         β            SE(β)           P>|Z|
                                                                             Time                                      0.034            0.001      0.000
                                                                             Level of growth         Very low          0.280            0.068      0.000
Pop density




                                                                                                     Low               0.000                -           -
                                                                                                     Medium            0.037            0.022      0.097
                                                                                                     High              0.218            0.063      0.001
                                                                             Growth x Time           Very low          -0.036           0.006      0.000
                                                                                                     Low               0.000                -           -
                                                                                                     Medium            0.004            0.002      0.033
                                                                                                     High              0.009            0.003      0.002
                                                                             Ln(starting pop)                          1.017            0.013      0.000
                                                                             Ln(starting pop)_sq                       -0.006           0.002      0.013
                                                                             Constant                                  0.005            0.016      0.757
                                                  Year
                                                                              Log pseudo-likelihood = -746.67; AIC = 0.62; BIC = -18830.-5
         Deviance residuals verses fitted values
                                                                         •       The model gives good prediction for human
                                                                                 population
                             3
        Deviance residuals




                                                                         •       Outliers – mainly with the 1999 population:
                             2




                                                                                  – Prediction lower than observed – 3 divisions
                             1




                                                                                      in NE Kenya, one with a refugee camp
                                                                                  – Prediction higher than actual – one division
                             0




                                                                                      near Mau Forest
                             -1




                                                                         •       Population density is significant in the crude RVF
                             -2




                                  -5         0             5
                                       Predicted mean ln(Pop den)
                                                                    10           regression model
• Elevation
 Elevation map of Kenya                        Scatter plot of the number of RVF cases
                                               by elevation
                                                                           Running mean smoother




                                                            40
                                                            30
                                      Number of RVF cases
                                                            20
                                                            10
                                                            0
                                                                 0   500       1000            1500   2000   2500

                                                                              Elevation in m




• Elevation is a factor; cases observed up to 2,300 m above sea level
• Similar observations made in Madagascar where RVF occurred in a
  mountainous region of >1,500m (Chevalier et al., 2011)
• Soil texture and type
Association between soil texture and RVF occurrence
 Soil texture   Status     Frequency    Number positive     Percent        Chi (P)
 Clay           Yes                 345                  80           23.2    5.6 (0.02)
                No                  157                  22           14.0
 Loamy          Yes                  70                  11           15.7    1.1 (0.30)
                No                  432                  91           21.1
 Sandy          Yes                  25                   2            8.0    2.5 (0.12)
                No                  477                 100           21.0
 Very clayey    Yes                  53                   8           15.1    0.1 (0.32)
                No                  440                  94           20.9
Relative distribution of soil types and divisions with RVF in Kenya

                                                         • Soil types associated
                                                           with RVF include:
                                                            – Solonetz
                                                            – Vertisols
                                                            – Luvisols
                                                            – Lixisols
Land cover
• Land cover:
   – Areas with herbaceous
     cover have higher odds
     of experiencing RVF
     compared to the other
     areas

Livelihood zones


                               • Livelihood zones :
                                  – Pastoral and Medium
                                    Potential zones have
                                    higher odds of
                                    experiencing RVF
                                    compared to other
                                    zones
Generalized linear latent and mixed models showing
factors associated with RVF incidence in Kenya
Model 1: All the data 1979 - 2010                                                 Model 2: Data 2000 - 2010
 Variable             Levels                     β           SE(β)      P>|Z|     β            SE(β)       P>|Z|
 Fixed effects
 Land cover           Artificial surfaces            0.636      0.216    0.003         0.115       0.373    0.757
                      Cultivated areas              -1.165      0.210    0.000        -0.930       0.339    0.006
                      Herbaceous cover               0.000          -        -         0.000           -        -
                      Mosaic – crop/tree/other      -2.723      0.750    0.000             -           -        -
                      Tree cover                    -1.022      0.167    0.000        -0.523       0.224    0.019
 Elevation            >2300 m                       -1.698      0.388    0.035        -2.202       0.722    0.002
                      <2300 m                        0.000          -        -         0.000           -        -
 Soil type            Lixisols                       0.558      0.264    0.035         0.437       0.374    0.242
                      Luvisols                       1.115      0.195    0.000         1.283       0.322    0.000
                      Solonetz                       0.475      0.234    0.043         1.064       0.335    0.001
                      Vertisols                      0.413      0.172    0.016         0.409       0.257    0.112
 Rainfall_3 months                                   0.005     0.0004    0.000         0.011      0.0008    0.000
 Rainfall_sq                                     -1.64e-06    3.1e-07    0.000     -4.06e-06    5.57e-07    0.000
 Constant                                           -7.797      0.363    0.000       -10.484       0.681    0.000
 Random effects
 Livelihood zones                                            Var. 1.792 (0.829)                 Var. 5.257 (2.250)


• Narrowing the analysis to 2000 – 2010 period:
       – does not affect the direction of the associations (whether a factor is protective/risk)
       – The strength of the associations however affected, with two soil types vertisols and
         lixisols becoming insignificant
Risk prediction from the GLLAMM model (1979 –
2010)




• This still needs more work to improve the hit rate, e.g.:
   – Rainfall data: Some of the areas had very low rainfall estimates for a
     period when we had outbreaks
   – Risk maps can be generated based on this for various time periods/slices
Conclusions
• This output could be very valuable for
  targeting interventions – time and area
• Process models – for analyzing non-linear
  patterns obtained
• Other climate variables e.g. temperature to be
  incorporated, though in the region
  temperature ranges are very narrow
• More input to be solicited from decision
  makers and other relevant players
Acknowledgements

• CDC - Kenya and Department of Veterinary
  Services for historical data sets, information

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Spatial-temporal analysis of the risk of Rift Valley fever in Kenya

  • 1. Spatial-temporal analysis of the risk of Rift Valley fever in Kenya B. Bett, A. Omolo, F. Hansen, A. Notenbaert and S. Kemp International Livestock Research Institute Presented at the European Geosciences Union conference held at Vienna, Austria, 22-27 April 2012
  • 2. Introduction • RVF – a zoonotic disease caused by a mosquito- borne RNA virus • Mainly infects sheep, goats, cattle, cattle with significant economic impacts • In East Africa, it occurs as epidemics in arid and semi-arid areas after extensive flooding • Geographical range appears to be increasing – Middle East and Madagascar
  • 3. Introduction • Risk factors that have been identified (Hightower et al., 2012; Anyamba et al., 2009; Archie et al., 2007) • Excessive rainfall (El Nino years, except 1989) • NDVI (El Nino) • Altitude (areas <1,100 m above sea level) • Soil types (solonetz, calcisols, solanchaks, planosols)
  • 4. On-going work on RVF risk analysis Source: Department of Veterinary Services Source: Centers for Disease Control What additional analyses do we need to do given what has been done already?  Temporal patterns/effects of land use/climate change  Use of refined/smaller spatial units  Vulnerability mapping (not presented here)
  • 5. Materials and Methods • Secondary data on RVF outbreaks – Case – laboratory confirmed outbreak of RVF (RT- PCR) • GIS datasets • Descriptive analyses • Regression models – Logistic model and Generalized Linear Latent and Mixed Model (GLLAMM)
  • 6. Variables considered in the current analysis Variable Source Description RVF outbreaks DVS records Laboratory confirmed cases by CDC month over the period: 1912 - 2010 Precipitation ECMWF Monthly minimum, maximum and average for the period: 1979 - 2010 NDVI Spot Vegetation Monthly average, minimum, maximum values from: 1999 - 2010 Human population Kenya National Human and household census for Bureau of Statistics 1960, 1970, 1980, 1990, 1999 Elevation CSI SRTM Soil types FAO FAO’s Harmonized World Soil Database (HWSD), 2009 Land cover FAO on-line Global land cover data, 2000 database Livelihood zones FEWSNET Livelihood practices as at 2006 Wetlands (area as % of ILRI GIS Unit total) Parks/reserves (area as %) ILRI GIS Unit
  • 7. Descriptive analyses Divisions that have had RVF outbreaks in Kenya between Jan 1912 and Dec 2010 • RVF outbreaks – 505 divisions from 1999 population census – About 20.2 % (n = 102) of the divisions have had an outbreak at least once • Mean outbreak interval in years: – 5.4 (4.4 – 6.4)
  • 8. • Precipitation Monthly rainfall density between Crude association between RVF incidence and Jan 1979 and December 2010 various forms of the rainfall variable 500 Precipitation lags Log likelihood 450 Rainfalll density in mm/month Current rainfall -3102.69 400 350 Previous month -3050.08 300 2 months ago 3033.71 250 Sum of last 2 months -3061.06 200 150 Sum of last 3 months -3018.20 100 Mean of last 2 months -3061.06 50 Mean of last 3 months -3018.20 0 Jan 1979 Dec 2010 Variance of last 2 months -3108.62 Month Variance of last 3 months -3087.30 • The total/mean amount of rainfall experienced over the previous 3 months gives a better fit • Linearity assumption not met – rainfall fitted as a quadratic function • Correlated with NDVI, so NDVI not considered further
  • 9. • Human population Human population trends 1960 - 1999 GLM model fitted to the human population data Variable Level β SE(β) P>|Z| Time 0.034 0.001 0.000 Level of growth Very low 0.280 0.068 0.000 Pop density Low 0.000 - - Medium 0.037 0.022 0.097 High 0.218 0.063 0.001 Growth x Time Very low -0.036 0.006 0.000 Low 0.000 - - Medium 0.004 0.002 0.033 High 0.009 0.003 0.002 Ln(starting pop) 1.017 0.013 0.000 Ln(starting pop)_sq -0.006 0.002 0.013 Constant 0.005 0.016 0.757 Year Log pseudo-likelihood = -746.67; AIC = 0.62; BIC = -18830.-5 Deviance residuals verses fitted values • The model gives good prediction for human population 3 Deviance residuals • Outliers – mainly with the 1999 population: 2 – Prediction lower than observed – 3 divisions 1 in NE Kenya, one with a refugee camp – Prediction higher than actual – one division 0 near Mau Forest -1 • Population density is significant in the crude RVF -2 -5 0 5 Predicted mean ln(Pop den) 10 regression model
  • 10. • Elevation Elevation map of Kenya Scatter plot of the number of RVF cases by elevation Running mean smoother 40 30 Number of RVF cases 20 10 0 0 500 1000 1500 2000 2500 Elevation in m • Elevation is a factor; cases observed up to 2,300 m above sea level • Similar observations made in Madagascar where RVF occurred in a mountainous region of >1,500m (Chevalier et al., 2011)
  • 11. • Soil texture and type Association between soil texture and RVF occurrence Soil texture Status Frequency Number positive Percent Chi (P) Clay Yes 345 80 23.2 5.6 (0.02) No 157 22 14.0 Loamy Yes 70 11 15.7 1.1 (0.30) No 432 91 21.1 Sandy Yes 25 2 8.0 2.5 (0.12) No 477 100 21.0 Very clayey Yes 53 8 15.1 0.1 (0.32) No 440 94 20.9 Relative distribution of soil types and divisions with RVF in Kenya • Soil types associated with RVF include: – Solonetz – Vertisols – Luvisols – Lixisols
  • 12. Land cover • Land cover: – Areas with herbaceous cover have higher odds of experiencing RVF compared to the other areas Livelihood zones • Livelihood zones : – Pastoral and Medium Potential zones have higher odds of experiencing RVF compared to other zones
  • 13. Generalized linear latent and mixed models showing factors associated with RVF incidence in Kenya Model 1: All the data 1979 - 2010 Model 2: Data 2000 - 2010 Variable Levels β SE(β) P>|Z| β SE(β) P>|Z| Fixed effects Land cover Artificial surfaces 0.636 0.216 0.003 0.115 0.373 0.757 Cultivated areas -1.165 0.210 0.000 -0.930 0.339 0.006 Herbaceous cover 0.000 - - 0.000 - - Mosaic – crop/tree/other -2.723 0.750 0.000 - - - Tree cover -1.022 0.167 0.000 -0.523 0.224 0.019 Elevation >2300 m -1.698 0.388 0.035 -2.202 0.722 0.002 <2300 m 0.000 - - 0.000 - - Soil type Lixisols 0.558 0.264 0.035 0.437 0.374 0.242 Luvisols 1.115 0.195 0.000 1.283 0.322 0.000 Solonetz 0.475 0.234 0.043 1.064 0.335 0.001 Vertisols 0.413 0.172 0.016 0.409 0.257 0.112 Rainfall_3 months 0.005 0.0004 0.000 0.011 0.0008 0.000 Rainfall_sq -1.64e-06 3.1e-07 0.000 -4.06e-06 5.57e-07 0.000 Constant -7.797 0.363 0.000 -10.484 0.681 0.000 Random effects Livelihood zones Var. 1.792 (0.829) Var. 5.257 (2.250) • Narrowing the analysis to 2000 – 2010 period: – does not affect the direction of the associations (whether a factor is protective/risk) – The strength of the associations however affected, with two soil types vertisols and lixisols becoming insignificant
  • 14. Risk prediction from the GLLAMM model (1979 – 2010) • This still needs more work to improve the hit rate, e.g.: – Rainfall data: Some of the areas had very low rainfall estimates for a period when we had outbreaks – Risk maps can be generated based on this for various time periods/slices
  • 15. Conclusions • This output could be very valuable for targeting interventions – time and area • Process models – for analyzing non-linear patterns obtained • Other climate variables e.g. temperature to be incorporated, though in the region temperature ranges are very narrow • More input to be solicited from decision makers and other relevant players
  • 16. Acknowledgements • CDC - Kenya and Department of Veterinary Services for historical data sets, information