Modelling of malaria incidence in Akure, Nigeria: negative binomial approach

The connections between malaria incidence and climate variability have been studied in recent time using some mathematical and statistical models. Many of the statistical models in literature focused on time series approach based on Box–Jenkins methodology. However, fitting time series model based on the Box–Jenkins methodology may be challenging. Most malaria incidence data are count and are over-dispersed. In this study, negative binomial models were formulated for fitting malaria incidence in Akure—one of the epidemic cities in Nigeria. In particular, negative binomial models were formulated for each of the number of outpatient individuals, number of inpatient individuals and mortality count as a function of some climate variables. It was found that an increase in minimum temperature and relative humidity at lag 1 significantly increased the chance of malaria transmission and thereby leads to an increase in the number of inpatient and outpatient individuals, as well as the total number of malaria cases. The minimum temperature, rainfall amount and relative humidity of the study area have a significant impact on the increase of number of inpatient and outpatient individuals while mortality count depends on the total number of reported malaria cases. The findings from this study is to offer in-depth understanding on climate-malaria incidence linkages in Akure, Nigeria.