A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018
Introduction:Two major public health issues facing Nigeria in 2017 and 2018 were the terrorist activity by the Boko Haram Islamist group and an unprecedented outbreak of Lassa fever.Aim:To determine if Boko Haram activity was temporally or spatially related to the incidence of Lassa fever in Nigeria...
Gespeichert in:
| Veröffentlicht in: | Prehospital and disaster medicine 2019-05, Vol.34 (s1), p.s150-s150 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | s150 |
|---|---|
| container_issue | s1 |
| container_start_page | s150 |
| container_title | Prehospital and disaster medicine |
| container_volume | 34 |
| creator | Concilio, Joan Macgregor-Skinner, Gavin Tswabki, Benjamin Suleiman Lengerich, Eugene |
| description | Introduction:Two major public health issues facing Nigeria in 2017 and 2018 were the terrorist activity by the Boko Haram Islamist group and an unprecedented outbreak of Lassa fever.Aim:To determine if Boko Haram activity was temporally or spatially related to the incidence of Lassa fever in Nigeria and if so, to identify potential concurrent causes and mitigation measures.Methods:The study was a mixed-methods design. First, we conducted a secondary analysis of the Armed Conflict Location and Event Data (ACLED) Project for all known Boko Haram activity and of the weekly Nigeria Centre for Disease Control reports for suspected Lassa fever cases. Data were analyzed for January 2017 through June 2018. The ACLED data were spatially overlaid with suspected Lassa cases for each of Nigeria’s 36 states. Secondly, we conducted interviews with six aid workers in Nigeria regarding Boko Haram activities and Lassa fever cases.Results:In the study period, 596 Boko Haram activities occurred in 13 states (36.1%): 416 in 2017 and 180 between January and June of 2018. During the same period, 3,137 suspected Lassa cases were reported from 21 states (58.3%): 1,022 in 2017 and 2,115 in January through June 2018. Only one state, Sokoto, was unaffected by either issue. Aid workers reported a positive relationship between Boko Haram activity and increased negative health outcomes.Discussion:The investigation found little geographic overlap in Nigeria between Boko Haram activity and the 2018 Lassa fever outbreak, suggesting independence of these two issues. However, unmeasured factors, such as public fear and mistrust of governmental activities, may affect both issues. It is also critical to note that widespread co-occurrence (97.2% of 36 states) of these two issues presents significant public health, medical, and security challenges for Nigeria, calling for overarching solutions such as governmental stability and economic stimulus. |
| doi_str_mv | 10.1017/S1049023X19003376 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2220096109</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S1049023X19003376</cupid><sourcerecordid>2220096109</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1576-1cb8e6475c071b7d02682c1a1e0e97587f263fff78725b4fde5e4a4eb9b165893</originalsourceid><addsrcrecordid>eNp1UN1OwjAUXowmIvoA3jXxetp267peDiJCApoIJt4t3XYGxW2d7UB5Bx_aIiReGG_O3_eTfMfzrgm-JZjwuznBocA0eCUC4yDg0YnXIyJkPhFBfOpmB_t7_Ny7sHaNMRWMRj3vK0Ez9QmFP4NupQuLkkZWO6ss0iXqVoDmreyUrJBsCrSAutXGLc9Quatu7Eq1aADdB0CDBvpNo7E0skZJ3qmt6nY_qqm0VqIRbMGgSZOrApockGrQo1qCURJRF8B3Jb70zkpZWbg69r73MrpfDMf-9OlhMkymfk4Yj3ySZzFEIWc55iTjBaZRTHMiCWAQnMW8pFFQliWPOWVZWBbAIJQhZCIjEYtF0PduDr6t0e8bsF261hvjgtuUUoqxiAjes8iBlRttrYEybY2qpdmlBKf7p6d_nu40wVEj68yoYgm_1v-rvgGhBIJX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2220096109</pqid></control><display><type>article</type><title>A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018</title><source>Cambridge University Press Journals Complete</source><creator>Concilio, Joan ; Macgregor-Skinner, Gavin ; Tswabki, Benjamin Suleiman ; Lengerich, Eugene</creator><creatorcontrib>Concilio, Joan ; Macgregor-Skinner, Gavin ; Tswabki, Benjamin Suleiman ; Lengerich, Eugene</creatorcontrib><description>Introduction:Two major public health issues facing Nigeria in 2017 and 2018 were the terrorist activity by the Boko Haram Islamist group and an unprecedented outbreak of Lassa fever.Aim:To determine if Boko Haram activity was temporally or spatially related to the incidence of Lassa fever in Nigeria and if so, to identify potential concurrent causes and mitigation measures.Methods:The study was a mixed-methods design. First, we conducted a secondary analysis of the Armed Conflict Location and Event Data (ACLED) Project for all known Boko Haram activity and of the weekly Nigeria Centre for Disease Control reports for suspected Lassa fever cases. Data were analyzed for January 2017 through June 2018. The ACLED data were spatially overlaid with suspected Lassa cases for each of Nigeria’s 36 states. Secondly, we conducted interviews with six aid workers in Nigeria regarding Boko Haram activities and Lassa fever cases.Results:In the study period, 596 Boko Haram activities occurred in 13 states (36.1%): 416 in 2017 and 180 between January and June of 2018. During the same period, 3,137 suspected Lassa cases were reported from 21 states (58.3%): 1,022 in 2017 and 2,115 in January through June 2018. Only one state, Sokoto, was unaffected by either issue. Aid workers reported a positive relationship between Boko Haram activity and increased negative health outcomes.Discussion:The investigation found little geographic overlap in Nigeria between Boko Haram activity and the 2018 Lassa fever outbreak, suggesting independence of these two issues. However, unmeasured factors, such as public fear and mistrust of governmental activities, may affect both issues. It is also critical to note that widespread co-occurrence (97.2% of 36 states) of these two issues presents significant public health, medical, and security challenges for Nigeria, calling for overarching solutions such as governmental stability and economic stimulus.</description><identifier>ISSN: 1049-023X</identifier><identifier>EISSN: 1945-1938</identifier><identifier>DOI: 10.1017/S1049023X19003376</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Disease control ; Epidemics ; Fever ; Mixed methods research ; Outbreaks ; Poster Presentations ; Public health ; Secondary analysis ; Spatial analysis</subject><ispartof>Prehospital and disaster medicine, 2019-05, Vol.34 (s1), p.s150-s150</ispartof><rights>World Association for Disaster and Emergency Medicine 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1049023X19003376/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids></links><search><creatorcontrib>Concilio, Joan</creatorcontrib><creatorcontrib>Macgregor-Skinner, Gavin</creatorcontrib><creatorcontrib>Tswabki, Benjamin Suleiman</creatorcontrib><creatorcontrib>Lengerich, Eugene</creatorcontrib><title>A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018</title><title>Prehospital and disaster medicine</title><addtitle>Prehosp. Disaster med</addtitle><description>Introduction:Two major public health issues facing Nigeria in 2017 and 2018 were the terrorist activity by the Boko Haram Islamist group and an unprecedented outbreak of Lassa fever.Aim:To determine if Boko Haram activity was temporally or spatially related to the incidence of Lassa fever in Nigeria and if so, to identify potential concurrent causes and mitigation measures.Methods:The study was a mixed-methods design. First, we conducted a secondary analysis of the Armed Conflict Location and Event Data (ACLED) Project for all known Boko Haram activity and of the weekly Nigeria Centre for Disease Control reports for suspected Lassa fever cases. Data were analyzed for January 2017 through June 2018. The ACLED data were spatially overlaid with suspected Lassa cases for each of Nigeria’s 36 states. Secondly, we conducted interviews with six aid workers in Nigeria regarding Boko Haram activities and Lassa fever cases.Results:In the study period, 596 Boko Haram activities occurred in 13 states (36.1%): 416 in 2017 and 180 between January and June of 2018. During the same period, 3,137 suspected Lassa cases were reported from 21 states (58.3%): 1,022 in 2017 and 2,115 in January through June 2018. Only one state, Sokoto, was unaffected by either issue. Aid workers reported a positive relationship between Boko Haram activity and increased negative health outcomes.Discussion:The investigation found little geographic overlap in Nigeria between Boko Haram activity and the 2018 Lassa fever outbreak, suggesting independence of these two issues. However, unmeasured factors, such as public fear and mistrust of governmental activities, may affect both issues. It is also critical to note that widespread co-occurrence (97.2% of 36 states) of these two issues presents significant public health, medical, and security challenges for Nigeria, calling for overarching solutions such as governmental stability and economic stimulus.</description><subject>Disease control</subject><subject>Epidemics</subject><subject>Fever</subject><subject>Mixed methods research</subject><subject>Outbreaks</subject><subject>Poster Presentations</subject><subject>Public health</subject><subject>Secondary analysis</subject><subject>Spatial analysis</subject><issn>1049-023X</issn><issn>1945-1938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UN1OwjAUXowmIvoA3jXxetp267peDiJCApoIJt4t3XYGxW2d7UB5Bx_aIiReGG_O3_eTfMfzrgm-JZjwuznBocA0eCUC4yDg0YnXIyJkPhFBfOpmB_t7_Ny7sHaNMRWMRj3vK0Ez9QmFP4NupQuLkkZWO6ss0iXqVoDmreyUrJBsCrSAutXGLc9Quatu7Eq1aADdB0CDBvpNo7E0skZJ3qmt6nY_qqm0VqIRbMGgSZOrApockGrQo1qCURJRF8B3Jb70zkpZWbg69r73MrpfDMf-9OlhMkymfk4Yj3ySZzFEIWc55iTjBaZRTHMiCWAQnMW8pFFQliWPOWVZWBbAIJQhZCIjEYtF0PduDr6t0e8bsF261hvjgtuUUoqxiAjes8iBlRttrYEybY2qpdmlBKf7p6d_nu40wVEj68yoYgm_1v-rvgGhBIJX</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Concilio, Joan</creator><creator>Macgregor-Skinner, Gavin</creator><creator>Tswabki, Benjamin Suleiman</creator><creator>Lengerich, Eugene</creator><general>Cambridge University Press</general><general>Jems Publishing Company, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>201905</creationdate><title>A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018</title><author>Concilio, Joan ; Macgregor-Skinner, Gavin ; Tswabki, Benjamin Suleiman ; Lengerich, Eugene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1576-1cb8e6475c071b7d02682c1a1e0e97587f263fff78725b4fde5e4a4eb9b165893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Disease control</topic><topic>Epidemics</topic><topic>Fever</topic><topic>Mixed methods research</topic><topic>Outbreaks</topic><topic>Poster Presentations</topic><topic>Public health</topic><topic>Secondary analysis</topic><topic>Spatial analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Concilio, Joan</creatorcontrib><creatorcontrib>Macgregor-Skinner, Gavin</creatorcontrib><creatorcontrib>Tswabki, Benjamin Suleiman</creatorcontrib><creatorcontrib>Lengerich, Eugene</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Prehospital and disaster medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Concilio, Joan</au><au>Macgregor-Skinner, Gavin</au><au>Tswabki, Benjamin Suleiman</au><au>Lengerich, Eugene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018</atitle><jtitle>Prehospital and disaster medicine</jtitle><addtitle>Prehosp. Disaster med</addtitle><date>2019-05</date><risdate>2019</risdate><volume>34</volume><issue>s1</issue><spage>s150</spage><epage>s150</epage><pages>s150-s150</pages><issn>1049-023X</issn><eissn>1945-1938</eissn><abstract>Introduction:Two major public health issues facing Nigeria in 2017 and 2018 were the terrorist activity by the Boko Haram Islamist group and an unprecedented outbreak of Lassa fever.Aim:To determine if Boko Haram activity was temporally or spatially related to the incidence of Lassa fever in Nigeria and if so, to identify potential concurrent causes and mitigation measures.Methods:The study was a mixed-methods design. First, we conducted a secondary analysis of the Armed Conflict Location and Event Data (ACLED) Project for all known Boko Haram activity and of the weekly Nigeria Centre for Disease Control reports for suspected Lassa fever cases. Data were analyzed for January 2017 through June 2018. The ACLED data were spatially overlaid with suspected Lassa cases for each of Nigeria’s 36 states. Secondly, we conducted interviews with six aid workers in Nigeria regarding Boko Haram activities and Lassa fever cases.Results:In the study period, 596 Boko Haram activities occurred in 13 states (36.1%): 416 in 2017 and 180 between January and June of 2018. During the same period, 3,137 suspected Lassa cases were reported from 21 states (58.3%): 1,022 in 2017 and 2,115 in January through June 2018. Only one state, Sokoto, was unaffected by either issue. Aid workers reported a positive relationship between Boko Haram activity and increased negative health outcomes.Discussion:The investigation found little geographic overlap in Nigeria between Boko Haram activity and the 2018 Lassa fever outbreak, suggesting independence of these two issues. However, unmeasured factors, such as public fear and mistrust of governmental activities, may affect both issues. It is also critical to note that widespread co-occurrence (97.2% of 36 states) of these two issues presents significant public health, medical, and security challenges for Nigeria, calling for overarching solutions such as governmental stability and economic stimulus.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><doi>10.1017/S1049023X19003376</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1049-023X |
| ispartof | Prehospital and disaster medicine, 2019-05, Vol.34 (s1), p.s150-s150 |
| issn | 1049-023X 1945-1938 |
| language | eng |
| recordid | cdi_proquest_journals_2220096109 |
| source | Cambridge University Press Journals Complete |
| subjects | Disease control Epidemics Fever Mixed methods research Outbreaks Poster Presentations Public health Secondary analysis Spatial analysis |
| title | A Mixed-Methods Analysis of the Spatial and Temporal Relationship Between Boko Haram Activity and Lassa Fever Incidence in Nigeria 2017-2018 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T08%3A55%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Mixed-Methods%20Analysis%20of%20the%20Spatial%20and%20Temporal%20Relationship%20Between%20Boko%20Haram%20Activity%20and%20Lassa%20Fever%20Incidence%20in%20Nigeria%202017-2018&rft.jtitle=Prehospital%20and%20disaster%20medicine&rft.au=Concilio,%20Joan&rft.date=2019-05&rft.volume=34&rft.issue=s1&rft.spage=s150&rft.epage=s150&rft.pages=s150-s150&rft.issn=1049-023X&rft.eissn=1945-1938&rft_id=info:doi/10.1017/S1049023X19003376&rft_dat=%3Cproquest_cross%3E2220096109%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2220096109&rft_id=info:pmid/&rft_cupid=10_1017_S1049023X19003376&rfr_iscdi=true |