Socioenvironmental determinants as indicators of plague risk in the central highlands of Madagascar: Experience of Ambositra and Tsiroanomandidy districts

Sitraka Rakotosamimanana, François Taglioni, Masiarivony Ravaoarimanga, Minoarisoa Esther Rajerison and Fanjasoa Rakotomanana

PLOS Neglected Tropical Diseases, 2023, vol. 17, issue 9, 1-15

Abstract: Background: Human plague cases are reported annually in the central highland regions of Madagascar, where the disease is endemic. The socioenvironmental characteristics and lifestyles of the populations of the central highland localities could be linked to this endemicity. The aim of this study was to determine socioenvironmental determinants that may be associated with plague risk and explain this variation in epidemiological contexts. Methods: The current study was based on the distribution of plague cases between 2006 and 2015 that occurred in localities of districts positioned in the central highlands. Household surveys were performed from June to August 2017 using a questionnaire and direct observations on the socioenvironmental aspects of households in selected localities. Bivariate and multivariate analyses were performed to highlight the socioenvironmental parameters associated with plague risk in both districts. Results: A total of 503 households were surveyed, of which 54.9% (276/503) were in Ambositra and 45.1% (227/503) were in Tsiroanomandidy. Multivariate analyses showed that thatched roofs [adjusted odds ratio (AOR): 2.63; 95% confidence interval (95% CI): 1.78–3.88] and ground floor houses [AOR: 2.11; 95% CI: 1.3–3.45-] were significantly associated with the vulnerability of a household to plague risk (p value

Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pntd00:0011538

DOI: 10.1371/journal.pntd.0011538

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