Spatio-temporal pattern of viral meningitis in Michigan, 1993-2001
Greene, Sharon K.; Stobierski, Mary Grace; Schmidt, Mark Andrew; Wilson, Mark L.
2005-05
Citation
Greene, Sharon K.; Schmidt, Mark A.; Stobierski, Mary Grace; Wilson, Mark L.; (2005). "Spatio-temporal pattern of viral meningitis in Michigan, 1993-2001." Journal of Geographical Systems 7(1): 85-99. <http://hdl.handle.net/2027.42/47932>
Abstract
To characterize Michigan’s high viral meningitis incidence rates, 8,803 cases from 1993–2001 were analyzed for standard epidemiological indices, geographic distribution, and spatio-temporal clusters. Blacks and infants were found to be high-risk groups. Annual seasonality and interannual variability in epidemic magnitude were apparent. Cases were concentrated in southern Michigan, and cumulative incidence was correlated with population density at the county level (r=0.45, p<0.001). Kulldorff’s Scan test identified the occurrence of spatio-temporal clusters in Lower Michigan during July–October 1998 and 2001 (p=0.01). More extensive data on cases, laboratory isolates, sociodemographics, and environmental exposures should improve detection and enhance the effectiveness of a Space-Time Information System aimed at prevention.Publisher
Springer-Verlag; Springer-Verlag Berlin Heidelberg
ISSN
1435-5930 1435-5949
Other DOIs
Types
Article
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