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. 2011 Dec;5(12):e1404.
doi: 10.1371/journal.pntd.0001404. Epub 2011 Dec 13.

Toward an open-access global database for mapping, control, and surveillance of neglected tropical diseases

Affiliations

Toward an open-access global database for mapping, control, and surveillance of neglected tropical diseases

Eveline Hürlimann et al. PLoS Negl Trop Dis. 2011 Dec.

Abstract

Background: After many years of general neglect, interest has grown and efforts came under way for the mapping, control, surveillance, and eventual elimination of neglected tropical diseases (NTDs). Disease risk estimates are a key feature to target control interventions, and serve as a benchmark for monitoring and evaluation. What is currently missing is a georeferenced global database for NTDs providing open-access to the available survey data that is constantly updated and can be utilized by researchers and disease control managers to support other relevant stakeholders. We describe the steps taken toward the development of such a database that can be employed for spatial disease risk modeling and control of NTDs.

Methodology: With an emphasis on schistosomiasis in Africa, we systematically searched the literature (peer-reviewed journals and 'grey literature'), contacted Ministries of Health and research institutions in schistosomiasis-endemic countries for location-specific prevalence data and survey details (e.g., study population, year of survey and diagnostic techniques). The data were extracted, georeferenced, and stored in a MySQL database with a web interface allowing free database access and data management.

Principal findings: At the beginning of 2011, our database contained more than 12,000 georeferenced schistosomiasis survey locations from 35 African countries available under http://www.gntd.org. Currently, the database is expanded to a global repository, including a host of other NTDs, e.g. soil-transmitted helminthiasis and leishmaniasis.

Conclusions: An open-access, spatially explicit NTD database offers unique opportunities for disease risk modeling, targeting control interventions, disease monitoring, and surveillance. Moreover, it allows for detailed geostatistical analyses of disease distribution in space and time. With an initial focus on schistosomiasis in Africa, we demonstrate the proof-of-concept that the establishment and running of a global NTD database is feasible and should be expanded without delay.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Flow-chart showing the steps used to assemble the GNTD database.
1. PubMed , ISI Web of Knowledge , African Journal Online (AJOL) , Institut de Recherche pour le Développement (IRD)-resources documentaries , WHO library archive , Doumenge et al. ; 2. Dissertations and theses in local universities or public health departments, ministry of health reports, other reports and personal communication. 3. Proforma and MySQL database include: (i) data source (authors); (ii) document type; (iii) location of the survey; (iv) area information (rural or urban); (v) coordinates (lat long in decimal degrees); (vi) method of the sample recruitment and diagnostic technique; (vii) description of survey (community-, school- or hospital-based); (viii) date of survey (month/year); and (ix) prevalence information (number of subjects examined and positive by age group and parasite species).
Figure 2
Figure 2. African map of schistosomiasis survey locations based on current progress of the GNTD database.
Survey locations are represented by pink squares for S. matthei, blue diamonds for S. margrebowiei, yellow stars for S. intercalatum, green crosses for S. bovis, brown dots for S. mansoni and red triangles for S. haematobium. Surveys where subjects were screened for co-occurrence of multiple species are indicated with overlapping symbols.
Figure 3
Figure 3. Observed prevalence of S. mansoni based on current progress of the GNTD database in Africa.
The data included 4604 georeferenced survey locations. Prevalence equal to 0% in yellow dots, low infection rates (0.1–9.9%) in orange dots, moderate infection rates (10.0–49.9%) in light brown dots and high infection rates (≥50%) in brown dots. Cut-offs follow WHO recommendations .
Figure 4
Figure 4. Observed prevalence of S. haematobium based on current progress of the GNTD database in Africa.
The data included 5807 georeferenced survey locations. Prevalence equal to 0%, low infection rates (0.1–9.9%), moderate infection rates (10.0–49.9%) and high infection rates (≥50%) indicated by a red scale from light red to dark red. Cut-offs follow WHO recommendations .

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