Department of Tropical Hygiene and Public Health, University of Heidelberg, Heidelberg, Germany.
Glob Health Action. 2009 Nov 11;2. doi: 10.3402/gha.v2i0.2094.
Malaria control measures such as early diagnosis and treatment, intermittent treatment of pregnant women, impregnated bed nets, indoor spraying and larval control measures are difficult to target specifically because of imprecise estimates of risk at a small-scale level. Ways of estimating local risks for malaria are therefore important.
A high-resolution satellite view from the SPOT 5 satellite during 2008 was used to generate a land cover classification in the malaria endemic lowland of North-Western Burkina Faso. For the area of a complete satellite view of 60 x 60 km, a supervised land cover classification was carried out. Ten classes were built and correlated to land cover types known for acting as Anopheles mosquito breeding sites.
According to known correlations of Anopheles larvae presence and surface water-related land cover, cultivated areas in the riverine vicinity of Kossi River were shown to be one of the most favourable sites for Anopheles production. Similar conditions prevail in the South of the study region, where clayey soils and higher precipitations benefit the occurrence of surface water. Besides pools, which are often directly detectable, rice fields and occasionally flooded crops represent most appropriate habitats. On the other hand, forests, elevated regions on porous soils, grasslands and the dryer, sandy soils in the north-western part turned out to deliver fewer mosquito breeding opportunities.
Potential high and low risks for malaria at the village level can be differentiated from satellite data. While much remains to be done in terms of establishing correlations between remotely sensed risks and malaria disease patterns, this is a potentially useful approach which could lead to more focused disease control programmes.
疟疾控制措施,如早期诊断和治疗、孕妇间歇性治疗、驱虫蚊帐、室内喷洒和幼虫控制措施,由于难以准确估计小规模水平的风险,因此难以有针对性地实施。因此,估计疟疾当地风险的方法非常重要。
利用 2008 年 SPOT 5 卫星的高分辨率卫星图像,在布基纳法索西北部疟疾流行的低地生成土地覆盖分类。对完整卫星视图 60x60km 的区域进行了监督土地覆盖分类。构建了 10 个类别,并将其与已知作为疟蚊滋生地的土地覆盖类型相关联。
根据已知的疟蚊幼虫存在与地表水相关的土地覆盖的相关性,靠近科西河的河流附近的耕地被证明是最适合疟蚊繁殖的地方之一。研究区域南部也存在类似的情况,那里的粘土地和更高的降水量有利于地表水的出现。除了经常直接检测到的池塘外,稻田和偶尔被淹没的作物也是最适宜的栖息地。另一方面,森林、多孔土壤上的高地、草原以及西北部较干燥的沙质土壤提供的蚊子滋生机会较少。
可以从卫星数据中区分村庄层面的疟疾高风险和低风险。虽然在建立遥感风险与疟疾疾病模式之间的相关性方面还有很多工作要做,但这是一种潜在有用的方法,可以导致更有针对性的疾病控制计划。