SPATIAL AND TEMPORAL DISTRIBUTION OF TUBERCULOSIS INFECTION IN PLATEAU STATE, NIGERIA: A DESCRIPTIVE ECOLOGICAL STUDY.

Authors

  • Ibrahim Bakshak Kefas Department of Community Medicine, Bingham University Hospital, Karu, Nassarawa State, Nigeria.
  • Isaac Isiko Department of Community Medicine, Axel Pries Institute of Public Health and Biomedical Sciences, Nims University, Jaipur, Rajasthan State, India
  • Lenz Nwachinemere Okoro Department of Community Medicine, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeria.
  • Haroun Isa Department of Community Medicine, Bingham University Hospital, Karu, Nassarawa State, Nigeria.
  • Jackson Micheal Asingwire Department of Pharmaceutical Sciences, Faculty of Health Sciences, Marwadi University, Rajkot, Gujarat, 360003, India
  • Jane Precious Izunwanne Manankong Department of Public Health and Hygiene, University of Buea, Buea, Cameroon
  • Ibrahim Jane Kefas Department of Community Medicine, New Life Fountain Hospital, Jos North, Plateau State, Nigeria
  • Blessing Onyinyechi Agunwa Department of Pharmaceutical Sciences, Faculty of Health Sciences, Marwadi University, Rajkot, Gujarat, 360003, India
  • Joy Malle Dogo Department of Community Medicine, Jos University Teaching Hospital, Jos, Nigeria
  • Elijah Ogbu Otokpa Department of Community Medicine, Jos University Teaching Hospital, Jos, Nigeria

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1413

Keywords:

Tuberculosis, Spatial TB, Temporal TB, Plateau State, TB in Nigeria

Abstract

Background

This study aimed to describe the spatial and temporal patterns of notified TB patients in 2018, 2019, and 2020 in Plateau State.

 Methods

The data were obtained from the State Tuberculosis and Leprosy Control Programme Unit, and the population information was obtained from the National Population Commission. The spatial analysis techniques and time series considered the 17 local government areas as the unit of analysis. The global Moran statistic was used to demonstrate a trend towards clustering over the years of study.

 Results

7804 TB cases were reported during the three years of the study from 2018 to 2020. The LGAs with high incidences of tuberculosis were Jos North, Jos South, Mangu, and Langtang North. The global Moran statistic demonstrated an increasing trend towards clustering over the years of study. The Local Indicators of Spatial Association (LISA) statistics showed an insignificant relationship between LGAs and their neighbors (z score of -0.035124 and a p-value of 0.886253). Nevertheless, Jos North, Jos South, and Riyom were the LGAs found to have clustered.

 Conclusion

A spatial-temporal pattern that revealed the dynamics of disease spread as the tendency of TB patients to cluster and hot spots of space-time disparities provides useful and detailed information to guide policy formulation to address the burden of TB in the state briefly.

 Recommendations

Spatial analysis techniques should be integrated into routine epidemiological surveillance to monitor tuberculosis risk factors in Nigeria. Government policies should support mapping high-risk areas for infectious diseases among the general population to understand prevalence better and enable precise public health interventions.

References

WHO. GLOBAL TUBERCULOSIS REPORT 2020. 2020.

Liu Q, Abba K, Alejandria MM, Sinclair D, Balanag VM, Lansang MAD. Reminder systems to improve patient adherence to tuberculosis clinic appointments for diagnosis and treatment. Cochrane Database of Systematic Reviews. 2014;2014. https://doi.org/10.1002/14651858.CD006594.pub3

Kyu HH, Maddison ER, Henry NJ, Mumford JE, Barber R, Shields C, et al. The global burden of tuberculosis: results from the Global Burden of Disease Study 2015. The Lancet Infectious Diseases. 2018;18:261-84. https://doi.org/10.1016/S1473-3099(17)30703-X PMid:29223583

Mao Q, Zeng C, Zheng D, Yang Y. Analysis on spatial-temporal distribution characteristics of smear-positive pulmonary tuberculosis in China, 2004-2015. International Journal of Infectious Diseases. 2019;80:S36-44. https://doi.org/10.1016/j.ijid.2019.02.038 PMid:3082565

Nanzaluka FH, Chibuye S, Kasapo CC, Langa N, Nyimbili S, Moonga G, et al. Factors associated with unfavorable tuberculosis treatment outcomes in Lusaka, Zambia, 2015: a secondary analysis of routine surveillance data. Pan African Medical Journal. 2019;32. https://doi.org/10.11604/pamj.2019.32.159.18472 PMid:31308862 PMCid:PMC6609856

Abdulwadud O, Azazh A, Mekasha A, Heye TB, Nigatu B, Debebe F, et al. Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training. African journal of emergency medicine : Revue africaine de la medecine d'urgence. 2019;9:70-6. https://doi.org/10.1016/j.afjem.2019.01.005 PMid:31193814 PMCid:PMC6543079

Facts.Org T. TB statistics for 2019 - including high burden countries - TBFacts. https://tbfacts.org/tb-statistics/. Accessed 4 Mar 2021.

Onyedum CC, Alobu I, Ukwaja KN. Prevalence of drug-resistant tuberculosis in Nigeria: A systematic review and meta-analysis. PLOS ONE. 2017;12:e0180996. https://doi.org/10.1371/journal.pone.0180996 PMid:28704459 PMCid:PMC5509256

Program undefined NT and LC. Federal Ministry of Health Department of Public Health. 2014; REVISED 5T:undefined-undefined.

Woldeyohannes SM, Abera SY. AIDS & Clinical Research Worldwide Spatial and Temporal Distribution of Tuberculosis (TB). 2015;6. https://doi.org/10.4172/2155-6113.1000452

Federal Ministry of Health. FEDERAL MINISTRY OF HEALTH NIGERIA DEPARTMENT OF PUBLIC HEALTH N NT T TB B BL L LC C CP P P) ) ) WORKERS' MANUAL-REVISED 5 TH EDITION.

Org TBf. TB in Nigeria - Funding, children, diagnosing TB, HIV/TB. https://tbfacts.org/tb-nigeria/. Accessed 3 Mar 2021.

WHO. Assessing patients ' adherence to TB treatment. Framework for conducting reviews of tuberculosis programs. 2014;:1-3.

Butt M, Younis S, Wu Z, Hadi S, Latif A, Martineau A. The Relationship Between Seasonality, Latitude and Tuberculosis Notifications in Pakistan. 2020. https://doi.org/10.21203/rs.3.rs-44743/v1.

Yang X, Duan Q, Wang J, Zhang Z, Jiang G. Seasonal variation of newly notified pulmonary tuberculosis cases from 2004 to 2013 in Wuhan, China. PLoS ONE. 2014;9:e108369. https://doi.org/10.1371/journal.pone.0108369 PMid:25303675 PMCid: PMC4193739

Wubuli A, Li Y, Xue F, Yao X, Upur H, Wushouer Q. Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China. PLoS ONE. 2017;12:e0180226. https://doi.org/10.1371/journal.pone.0180226 PMid:28678873 PMCid:PMC5497978

Cao S, Wang F, Tam W, Tse LA, Kim JH, Liu J, et al. A hybrid seasonal prediction model for tuberculosis incidence in China. BMC Medical Informatics and Decision Making. 2013;13. https://doi.org/10.1186/1472-6947-13-56 PMid:23638635 PMCid:PMC3653787

Zaragoza Bastida A, Hernández Tellez M, Bustamante Montes LP, Torres IM, Nicolás J, Paniagua J, et al. Spatial and Temporal Distribution of Tuberculosis in the State of Mexico, Mexico. The Scientific World Journal. 2012;2012. https://doi.org/10.1100/2012/570278 PMid:22919337 PMCid: PMC3417174

Guo C, Du Y, Shen SQ, Lao XQ, Qian J, Ou CQ. Spatiotemporal analysis of tuberculosis incidence and its associated factors in mainland China. Epidemiology and Infection. 2017; 145:2510-9. https://doi.org/10.1017/S0950268817001133 PMid:28595668 PMCid: PMC9148796

Plateau State Government. Welcome! Home| Plateau State Government Website. https://www.plateaustate.gov.ng/. Accessed 5 Mar 2021.

Wikipedia. Plateau State - Wikipedia. https://en.wikipedia.org/wiki/Plateau_State. Accessed 5 Mar 2021.

Ministry of Information PSG. Plateau State of Nigeria :: Nigeria Information & Guide. www.nigeriagalleria.com.

Federal Ministry of Health Nigeria. About us | National TB and Leprosy Control Programme. http://ntblcp.org.ng/about-us. Accessed 5 Mar 2021.

Kibet KR.Spatial-temporal analysis of the distribution of spatial tuberculosis patterns in Kenya. Masters School of pure and applied sciences of Kenyatta University 2014. Available https://irlibrary.ku.ac.ke/bitstream/handle/123456789/11199/Spatial%20temporal%20analysis%20of%20the%20distribution%20of%20pediatric%20tuberculosis%20patterns%20in%20Kenya.pdf?isAllowed=y&sequence=1

Igu NI, IC E, FA O. Spatial Incidence of Tuberculosis in Enugu State, Nigeria. American Journal of Geographic Information System. 2013. http://article.sapub.org/10.5923.j.env.20130303.01.html. Accessed 8 Mar 2021.

Cadmus SI, A A, HK A. Using geographical information system to model the spread of tuberculosis in the University of Ibadan, Nigeria | Request PDF. African Journal of Medicine and Medical Sciences. 2010;39:193-9.

Geotech P. The Influence of Spatial Structure on Disease Transmission, Prevalence and Treatment.

S I, I H, Lawal U. Spatial Pattern of Tuberculosis Prevalence in Nigeria: A Comparative Analysis of Spatial Autocorrelation Indices. American Journal of Geographic Information System. 2015;4:87-94.

Uthman OA, Aiyedun V, Yahaya I. Exploring variations in under5 mortality in Nigeria using league table, control chart, and spatial analysis. Journal of Public Health. 2012;34:125-30. https://doi.org/10.1093/pubmed/fdr050 PMid:21765167

Adekanmbi VT, Uthman OA, Mudasiru OM. Exploring variations in childhood stunting in Nigeria using league table, control chart, and spatial analysis. BMC Public Health. 2013;13. https://doi.org/10.1186/1471-2458-13-361 PMid:23597167 PMCid:PMC3640947

Zhao F, Cheng S, He G, Huang F, Zhang H, Xu B, et al. Space-time clustering characteristics of tuberculosis in China, 2005-2011. PLoS ONE. 2013;8. https://doi.org/10.1371/journal.pone.0083605 PMid:24367604 PMCid: PMC3868653

Sun GQ, Jusup M, Jin Z, Wang Y, Wang Z. Pattern transitions in spatial epidemics: Mechanisms and emergent properties. Phys Life Rev. 2016 Dec;19:43-73. Doi: 10.1016/j.plrev.2016.08.002. Epub 2016 Aug 9. PMID: 27567502; PMCID: PMC7105263. https://doi.org/10.1016/j.plrev.2016.08.002 PMid:27567502 PMCid: PMC7105263

Kuebart A, Stabler M. Infectious Diseases as Socio-Spatial Processes: The COVID-19 Outbreak In Germany. Tijdschr Voor Econ En Soc Geogr. 2020;111(3):482-96. https://doi.org/10.1111/tesg.12429 PMid:32836489 PMCid: PMC7323202

WHO. Global Tuberculosis Report 2024. Available from: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2024

WHO Intensifying new initiatives for TB case-finding in Nigeria. https://www.afro.who.int/countries/nigeria/news/intensifying-new-initiatives-tb-case-finding-nigeria

WHO. Tuberculosis. https://www.who.int/news-room/fact-sheets/detail/tuberculosis#:~:text=Over%2080%25%20of%20cases%20and,Western%20Pacific%20Region%20(17%25

WHO Intensifying new initiatives for TB case-finding in Nigeria. https://www.afro.who.int/countries/nigeria/news/intensifying-new-initiatives-tb-case-finding-nigeria

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Published

2024-12-01

How to Cite

KEFAS , I. B. ., Isiko, . I. ., OKORO, L. N., Isa, H., Asingwire, J. M. ., Manankong, J. P. I. ., Kefas, I. J. ., Agunwa, B. O. ., DOGO, J. M. ., & Otokpa, E. O. . (2024). SPATIAL AND TEMPORAL DISTRIBUTION OF TUBERCULOSIS INFECTION IN PLATEAU STATE, NIGERIA: A DESCRIPTIVE ECOLOGICAL STUDY. Student’s Journal of Health Research Africa, 5(12), 13. https://doi.org/10.51168/sjhrafrica.v5i12.1413

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Section

Section of Community and Public Health Research

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