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Published in: BMC Infectious Diseases 1/2017

Open Access 01-12-2017 | Research article

Application of the analytic hierarchy approach to the risk assessment of Zika virus disease transmission in Guangdong Province, China

Authors: Xing Li, Tao Liu, Lifeng Lin, Tie Song, Xiaolong Du, Hualiang Lin, Jianpeng Xiao, Jianfeng He, Liping Liu, Guanghu Zhu, Weilin Zeng, Lingchuan Guo, Zheng Cao, Wenjun Ma, Yonghui Zhang

Published in: BMC Infectious Diseases | Issue 1/2017

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Abstract

Background

An international spread of Zika virus (ZIKV) infection has attracted global attention in 2015. The infection also affected Guangdong province, which is located in southern China. Multiple factors, including frequent communication with South America and Southeast Asia, suitable climate (sub-tropical) for the habitat of Aedes species, may increase the risk of ZIKV disease transmission in this region.

Methods

An analytic hierarchy process (AHP) method was used to develop a semi-quantitative ZIKV risk assessment model. After selecting indicators, we invited experts in related professions to identify the index weight and based on that a hierarchical structure was generated. Then a series of pairwise comparisons were used to determine the relative importance of the criteria. Finally, the optimal model was established to estimate the spatial and seasonal transmission risk of ZIKV.

Results

A total of 15 factors that potentially influenced the risk of ZIKV transmission were identified. The factor that received the largest weight was epidemic of ZIKV in Guangdong province (combined weight [CW] =0.37), followed by the mosquito density (CW = 0.18) and the epidemic of DENV in Guangdong province (CW = 0.14). The distribution of 123 districts/counties’ RIs of ZIKV in Guangdong through different seasons were presented, respectively.

Conclusions

Higher risk was observed within Pearl River Delta including Guangzhou, Shenzhen and Jiangmen, and the risk is greater in summer and autumn compared to spring and winter.
Literature
1.
go back to reference Dick GW, Kitchen SF, Haddow AJ. Zika virus. I. Isolations and serological specificity. Trans R Soc Trop Med Hyg. 1952;46(5):509–20.CrossRefPubMed Dick GW, Kitchen SF, Haddow AJ. Zika virus. I. Isolations and serological specificity. Trans R Soc Trop Med Hyg. 1952;46(5):509–20.CrossRefPubMed
2.
go back to reference Barboza P, Tarantola A, Lassel L, Mollet T, Quatresous I, Paquet C. Viroses émergentes en Asie du Sud-Est et dans le Pacifique. Med Mal Infect. 2008;38(10):513–23.CrossRefPubMed Barboza P, Tarantola A, Lassel L, Mollet T, Quatresous I, Paquet C. Viroses émergentes en Asie du Sud-Est et dans le Pacifique. Med Mal Infect. 2008;38(10):513–23.CrossRefPubMed
3.
go back to reference Van-Mai CL, Didier M. Emerging arboviruses in the Pacific. Lancet. 2014;384(9954):1571–2.CrossRef Van-Mai CL, Didier M. Emerging arboviruses in the Pacific. Lancet. 2014;384(9954):1571–2.CrossRef
4.
go back to reference Staples JE, Dziuban EJ, Fischer M, Cragan JD, Rasmussen SA, Cannon MJ, Frey MT, Renquist CM, Lanciotti RS, Muñoz JL. Interim guidelines for the evaluation and testing of infants with possible congenital Zika virus infection - United States, 2016. Mmwr Morbidity Mortality Weekly Report. 2016;65(3):1–5.CrossRef Staples JE, Dziuban EJ, Fischer M, Cragan JD, Rasmussen SA, Cannon MJ, Frey MT, Renquist CM, Lanciotti RS, Muñoz JL. Interim guidelines for the evaluation and testing of infants with possible congenital Zika virus infection - United States, 2016. Mmwr Morbidity Mortality Weekly Report. 2016;65(3):1–5.CrossRef
5.
go back to reference Schulerfaccini L. Possible association between zika virus infection and microcephaly — Brazil, 2015. Mmwr Morbidity Mortality Weekly Report. 2016;65(3):1–4.CrossRef Schulerfaccini L. Possible association between zika virus infection and microcephaly — Brazil, 2015. Mmwr Morbidity Mortality Weekly Report. 2016;65(3):1–4.CrossRef
6.
go back to reference Mlakar J, Korva M, Tul N, Popović M, Poljšak-Prijatelj M, Mraz J, Kolenc M, Resman RK, Vesnaver VT, Fabjan VV. Zika virus associated with microcephaly. N Engl J Med. 2016;374(10):951–8.CrossRefPubMed Mlakar J, Korva M, Tul N, Popović M, Poljšak-Prijatelj M, Mraz J, Kolenc M, Resman RK, Vesnaver VT, Fabjan VV. Zika virus associated with microcephaly. N Engl J Med. 2016;374(10):951–8.CrossRefPubMed
7.
go back to reference WHO. WHO Director-General summarizes the outcome of the Emergency Committee regarding clusters of microcephaly and Guillain-Barré syndrome. 2016. WHO. WHO Director-General summarizes the outcome of the Emergency Committee regarding clusters of microcephaly and Guillain-Barré syndrome. 2016.
8.
go back to reference WHO. Zika situation report (August 10, 2016). 2016. WHO. Zika situation report (August 10, 2016). 2016.
9.
go back to reference Ioos S, Mallet HP, Leparc GI, Gauthier V, Cardoso T, Herida M. Current Zika virus epidemiology and recent epidemics. Médecine Et Maladies Infectieuses. 2014;44(7):302–7.CrossRefPubMed Ioos S, Mallet HP, Leparc GI, Gauthier V, Cardoso T, Herida M. Current Zika virus epidemiology and recent epidemics. Médecine Et Maladies Infectieuses. 2014;44(7):302–7.CrossRefPubMed
11.
go back to reference Liu C, Liu Q, Lin H, Xin B, Nie J. Spatial analysis of dengue fever in Guangdong Province, China, 2001-2006. Asia Pac J Public Health. 2014;26(1):58–66.CrossRefPubMed Liu C, Liu Q, Lin H, Xin B, Nie J. Spatial analysis of dengue fever in Guangdong Province, China, 2001-2006. Asia Pac J Public Health. 2014;26(1):58–66.CrossRefPubMed
14.
go back to reference Lai S, Huang Z, Zhou H, Anders KL, Perkins TA, Yin W, Li Y, Mu D, Chen Q, Zhang Z, et al. The changing epidemiology of dengue in China, 1990-2014: a descriptive analysis of 25 years of nationwide surveillance data. BMC Med. 2015;13:100.CrossRefPubMedPubMedCentral Lai S, Huang Z, Zhou H, Anders KL, Perkins TA, Yin W, Li Y, Mu D, Chen Q, Zhang Z, et al. The changing epidemiology of dengue in China, 1990-2014: a descriptive analysis of 25 years of nationwide surveillance data. BMC Med. 2015;13:100.CrossRefPubMedPubMedCentral
15.
go back to reference Saaty TL. A scaling method for priorities in hierarchical structures. J Math Psychol. 1977;15(3):234–81.CrossRef Saaty TL. A scaling method for priorities in hierarchical structures. J Math Psychol. 1977;15(3):234–81.CrossRef
16.
go back to reference Lu L, Cheng H, Liu X, Xie J, Li Q, Zhou T. Assessment of regional human health risks from lead contamination in Yunnan province, southwestern China. PLoS One. 2015;10(3), e0119562.CrossRefPubMedPubMedCentral Lu L, Cheng H, Liu X, Xie J, Li Q, Zhou T. Assessment of regional human health risks from lead contamination in Yunnan province, southwestern China. PLoS One. 2015;10(3), e0119562.CrossRefPubMedPubMedCentral
17.
go back to reference Tolga K, Cengiz K. A fuzzy approach to e-banking website quality assessment based on an integrated AHP-ELECTRE method. Technolo Econ Dev Eco. 2011;17(2):313–34.CrossRef Tolga K, Cengiz K. A fuzzy approach to e-banking website quality assessment based on an integrated AHP-ELECTRE method. Technolo Econ Dev Eco. 2011;17(2):313–34.CrossRef
18.
go back to reference Tu C, Fang Y, Huang Z, Tan R. Application of the analytic hierarchy process to a risk assessment of emerging infectious diseases in Shaoxing city in southern China. Jpn J Infect Dis. 2014;67(6):417–22.CrossRefPubMed Tu C, Fang Y, Huang Z, Tan R. Application of the analytic hierarchy process to a risk assessment of emerging infectious diseases in Shaoxing city in southern China. Jpn J Infect Dis. 2014;67(6):417–22.CrossRefPubMed
19.
go back to reference Gupta JK, Lin CH, Chen Q. Risk assessment of airborne infectious diseases in aircraft cabins. Indoor Air. 2012;22(5):388–95.CrossRefPubMed Gupta JK, Lin CH, Chen Q. Risk assessment of airborne infectious diseases in aircraft cabins. Indoor Air. 2012;22(5):388–95.CrossRefPubMed
20.
go back to reference He F, Yi B, Chang Y, Yang T, Wei JJ, Wang XY, Li FD, Shang XP, Lin JF. Semi-quantitative risk assessment on local transmission of Dengue fever caused by introduced cases. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2015;44(6):645–52.PubMed He F, Yi B, Chang Y, Yang T, Wei JJ, Wang XY, Li FD, Shang XP, Lin JF. Semi-quantitative risk assessment on local transmission of Dengue fever caused by introduced cases. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2015;44(6):645–52.PubMed
21.
go back to reference Dolan JG, Jr IB, Cappuccio JD. The analytic hierarchy process in medical decision making: a tutorial. Med Dec Mak Int J Soc Medical Decision Making. 1989;9(1):40–50.CrossRef Dolan JG, Jr IB, Cappuccio JD. The analytic hierarchy process in medical decision making: a tutorial. Med Dec Mak Int J Soc Medical Decision Making. 1989;9(1):40–50.CrossRef
22.
go back to reference Nah K, Mizumoto K, Miyamatsu Y, Yasuda Y, Kinoshita R, Nishiura H. Estimating risks of importation and local transmission of Zika virus infection. PeerJ. 2016;4, e1904.CrossRefPubMedPubMedCentral Nah K, Mizumoto K, Miyamatsu Y, Yasuda Y, Kinoshita R, Nishiura H. Estimating risks of importation and local transmission of Zika virus infection. PeerJ. 2016;4, e1904.CrossRefPubMedPubMedCentral
23.
go back to reference Zhu Q, Liu T, Lin H, Xiao J, Luo Y, Zeng W, Zeng S, Wei Y, Chu C, Baum S, et al. The spatial distribution of health vulnerability to heat waves in Guangdong Province, China. Glob Health Action. 2014;7:25051.PubMed Zhu Q, Liu T, Lin H, Xiao J, Luo Y, Zeng W, Zeng S, Wei Y, Chu C, Baum S, et al. The spatial distribution of health vulnerability to heat waves in Guangdong Province, China. Glob Health Action. 2014;7:25051.PubMed
24.
go back to reference Population Census Office under the State Council DoPaES, National Bureau of Statistics. Tabulation on the 2010 population census of People’s Republic of China. Beijing: China Statistics Press; 2012. Population Census Office under the State Council DoPaES, National Bureau of Statistics. Tabulation on the 2010 population census of People’s Republic of China. Beijing: China Statistics Press; 2012.
25.
go back to reference Statistics GPBo. Guangdong Statistical Yearbook 2012. Beijing: China Statistics Press; 2012. Statistics GPBo. Guangdong Statistical Yearbook 2012. Beijing: China Statistics Press; 2012.
26.
go back to reference GDHIC. Health Statistics Yearbook of Guangdong Province 2011. Guangzhou: Flower City Publishing House; 2012. GDHIC. Health Statistics Yearbook of Guangdong Province 2011. Guangzhou: Flower City Publishing House; 2012.
27.
go back to reference Yang X, Yan L, Zeng L. How to handle uncertainties in AHP: The Cloud Delphi hierarchical analysis. Inf Sci. 2013;222:384–404.CrossRef Yang X, Yan L, Zeng L. How to handle uncertainties in AHP: The Cloud Delphi hierarchical analysis. Inf Sci. 2013;222:384–404.CrossRef
29.
go back to reference Wiwanitkit V. Zika virus infection: current problem in Southeast Asia. Epidemiol Health. 2016. Wiwanitkit V. Zika virus infection: current problem in Southeast Asia. Epidemiol Health. 2016.
30.
go back to reference WHO. Zika situation report (June 16, 2016). 2016. WHO. Zika situation report (June 16, 2016). 2016.
Metadata
Title
Application of the analytic hierarchy approach to the risk assessment of Zika virus disease transmission in Guangdong Province, China
Authors
Xing Li
Tao Liu
Lifeng Lin
Tie Song
Xiaolong Du
Hualiang Lin
Jianpeng Xiao
Jianfeng He
Liping Liu
Guanghu Zhu
Weilin Zeng
Lingchuan Guo
Zheng Cao
Wenjun Ma
Yonghui Zhang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2017
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-016-2170-2

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