Evaluation of wetland ecosystem health using geospatial technology: evidence from the lower Gangetic flood plain in India.

The floodplain wetland habitat in the lower Gangetic plains of West Bengal played a significant role in protecting from environmental degradation like pollution, lowering groundwater table, natural hazards, and others as well as supports for human wellbeing. Thus, it is needed to investigate the health status of wetlands and suggest restoration strategies to protect the livelihood patterns dependent on wetlands. This paper presents the health of the wetland ecosystem by comprising the wetland ecosystem health index (WHI) in 2011 and 2018 at the block level of Malda district, as a part of the lower Gangetic flood plain using the pressure-state-response model (PSR model) and AHP method. A total number of six Landsat satellite images and statistical census data were used to determine the wetland health. Wetlands are classified as very healthy (2.81-3.33), healthy (2.41-2.80), sub-healthy (2.01-2.40), unhealthy (1.61-2.00), and sick (0-1.60) category on the basis of the wetland ecosystem health index score. The results of this study showed that the wetlands located surrounding English Bazar, Manikchak, Ratua-II, and Kaliachak-II blocks have a sub-healthy to very healthy condition in 2011 but changed to unhealthy to sick category in 2018 due to the increase of rapid urbanization, population density, and development activities. These areas have belonged to the sub-healthy to sick category in the year 2011 as well as 2018 due to high wetland pressure. Our observation reveals that the ecosystem service value provided by wetlands decreased by 62.51% and 20.46 in the observed period. Management of WEH should emphasize on large (>100 ha) and medium (51-100 ha) sizes of wetlands in the Diara region of West Bengal. Developing local-level institutions and setting restoration goals are useful strategies to manage wetland resources, and protecting biodiversity should be guided by the Government organization and NGOs.

Improved kala-azar case management through implementation of health facility-based sentinel sites surveillance system in Bihar, India.

BACKGROUND: Visceral leishmaniasis (VL), also known as kala-azar (KA), is a neglected vector-borne disease, targeted for elimination, but several affected blocks of Bihar are posing challenges with the high incidence of cases, and moreover, the disease is spreading in newer areas. High-quality kala-azar surveillance in India, always pose great concern. The complete and accurate patient level data is critical for the current kala-azar management information system (KMIS). On the other side, no accurate data on the burden of post kala-azar dermal leishmaniasis (PKDL) and co-infections are available under the current surveillance system, which might emerge as a serious concern. Additionally, in low case scenario, sentinel surveillance may be useful in addressing post-elimination activities and sustaining kala-azar (KA) elimination. Health facility-based sentinel site surveillance system has been proposed, first time to do a proper accounting of KA, PKDL and co-infection morbidity, mortality, diagnosis, case management, hotspot identification and monitoring the impact of elimination interventions. METHODOLOGY/PRINCIPAL FINDINGS: Kala-azar sentinel site surveillance was established and activated in thirteen health facilities of Bihar, India, using stratified sampling technique during 2011 to 2014. Data were collected through specially designed performa from all patients attending the outpatient departments of sentinel sites. Among 20968 symptomatic cases attended sentinel sites, 2996 cases of KA and 53 cases of PKDL were registered from 889 endemic villages. Symptomatic cases meant a person with fever of more than 15 days, weight loss, fatigue, anemia, and substantial swelling of the liver and spleen (enlargement of spleen and liver).The proportion of new and old cases was 86.1% and 13.9% respectively. A statistically significant difference was observed for reduction in KA incidence from 4.13/10000 in 2011 to 1.75/10000 in 2014 (p<0.001). There were significant increase (0.08, 0.10 per 10 000 population) in the incidences of PKDL and co-infection respectively in the year 2014 as compared to that of 2011 (0.03, 0.06 per 10 000 population). The proportion of HIV-VL co-infection was significantly higher (1.6%; p<0.05) as compared to other co-infections. Proportions of male in all age groups were higher and found statistically significant (Chi-square test = 7.6; P = 0.026). Utilization of laboratory services was greatly improved. Friedman test showed statistically significant difference between response of different anti kala-azar drugs (F = 25.0, P = 0.004).The initial and final cure rate of AmBisome was found excellent (100%). The results of the signed rank sum test showed significant symmetry of unresponsiveness rate (P = 0.03). Similarly, relapse rate of sodium antimony gluconate (SAG) was also found significantly higher as compared to other drugs (95%CI 0.2165 to 19.7035; P = 0.03). A statistically significant difference was found (p<0.001) between villages having 1-2 cases (74%) and villages with 3-5 cases (15%). Significantly higher proportion (95%) of cases were captured by existing Govt. surveillance system (KMIS) (p<0.001), as compared to private providers (5%). CONCLUSIONS/SIGNIFICANCE: Establishment of a sentinel site based kala-azar surveillance system in Bihar, India effectively detected the rising trend of PKDL and co-infections and captured complete and accurate patient level data. Further, this system may provide a model for improving laboratory services, KA, PKDL and co-infection case management in other health facilities of Bihar without further referral. Program managers may use these results for evaluating program's effectiveness. It may provide an example for changing the practices of health care workers in Bihar and set a benchmark of high quality surveillance data in a resource limited setting. However, the generalizability of this sentinel surveillance finding to other context remains a major limitation of this study. The justifications for this; the sentinel sites were made in the traditionally high endemic PHC's. The other conditions were Program commitment for diagnostic (rk-39) and the first line anti kala-azar drug i.e. miltefosine throughout the study period in the sentinel sites. In addition, there were clause of fulfillment of readiness criteria at each sentinel site (already described in the line no 171 to 180 at page no-8, 181-189 at page no-9 and 192-212 at page no-10). Rigorous efforts were taken to improve all the sentinel sites to meet the readiness criteria and research activities started only after meeting readiness criteria at the site. Therefore sentinel site surveillance described under the present study cannot be integrated into other set up (medium and low endemic areas). However, it can be integrated into highly endemic areas with program commitment and fulfillment of readiness criteria.

Eco-restoration of river water quality during COVID-19 lockdown in the industrial belt of eastern India.

The sudden lockdown recovers the health of the total environment particularly air and water while the country's economic growth and socio-cultural tempo of people have been completely hampered due to the COVID-19 pandemic. Most of the industries within the catchment area of river Damodar have been closed; as a result, significant changes have been reflected throughout the stretch of river Damodar. The main objective of the study is to analyze the impact of lockdown on the water quality of river Damodar. A total of 55 samples was collected from eleven different confluence sites of nallas with the main river channel during and pre-lockdown period. The relevant methods like WQI, TSI, Pearson's correlation coefficient, and "t" test have been applied to evaluate the physical, chemical, and biological status of river water. The result of "t" test indicated that there are significant differences (α = 0.05) of each parameter between pre and during lockdown. Water quality index (WQI) is used for analysis of drinking water quality suitability followed by BIS. The values of WQI showed "very poor" (S1, S2, S3, S6, S7, and S11) to "unfit for drinking" (S4, S5, S8, S9, and S10) of river water during pre-monsoon season. The nutrient enrichment status of the river was analyzed by Trophic State Index (TSI) method and it shows the "High" eutrophic condition with a heavy concentration of algal blooms in almost an entire stretch. During lockdown, nutrient supplies like TN and TP have been reduced and is designated as "Low" (S1, S2) to "Moderate" (S3 to S11) eutrophic condition of middle stretch of Damodar. This research output of river Damodar will definitely assist to policy makers for sustainable environmental management despite the dilemma between development and conservation.

Cleaning the river Damodar (India): impact of COVID-19 lockdown on water quality and future rejuvenation strategies.

Globally, it is established that the partial lockdown system assists to improve the health of the total environment due to inadequate anthropogenic actions in different economic sectors. The ample research on fitness of environment has been proved that the strict imposition of lockdown was the blessings of environment. The river Damodar has historical significance and lifeline for huge population of Jharkhand and West Bengal state of India but in the recent years the water quality has been deteriorated due to untreated industrial effluents and urban sewage. The main objective of this study is to examine the water quality of river Damodar during and prelockdown phase for domestic use and restoration of river ecosystem. A total of eleven (11) effluent discharge sites were selected in prelockdown and during lockdown phase. A new approach of water quality assessment, i.e., water pollution index (WPI) has been applied in this study. WPI is weightage free, unbiased method to analysis of water quality. The result shows that the physical, chemical and heavy elements were found beyond the standard limit in prelockdown period. The cation and anion were arranged in an order of Na2+ > K+ > Ca2+ > Mg2+ and Cl- > So4 - > No3 - > F- in both the sessions. WPI of prelockdown showed that about 100% water samples are of highly polluted. WPI of lockdown period showed that around 90.90% samples improved to 'good quality' and 9.10% of samples are of 'moderately polluted.' Hypothesis testing by 't' test proved that there was a significant difference (ρ = 0.05%) in values of each parameter between two periods. Null hypothesis was rejected and indicated the improvement of river water quality statistically. Spatial mapping using Arc GIS 10.4 interpolation (IDW) helps to understand spatial intensity of pollution load in two periods. This research study should be helpful for further management and spatial diagnosis of water resource of river Damodar.

Spatial prediction of COVID-19 epidemic using ARIMA techniques in India.

The latest Coronavirus (COVID-19) has become an infectious disease that causes millions of people to infect. Effective short-term prediction models are designed to estimate the number of possible events. The data obtained from 30th January to 26 April, 2020 and from 27th April 2020 to 11th May 2020 as modelling and forecasting samples, respectively. Spatial distribution of disease risk analysis is carried out using weighted overlay analysis in GIS platform. The epidemiologic pattern in the prevalence and incidence of COVID-2019 is forecasted with the Autoregressive Integrated Moving Average (ARIMA). We assessed cumulative confirmation cases COVID-19 in Indian states with a high daily incidence in the task of time-series forecasting. Such efficiency metrics such as an index of increasing results, mean absolute error (MAE), and a root mean square error (RMSE) are the out-of-samples for the prediction precision of model. Results shows west and south of Indian district are highly vulnerable for COVID-2019. The accuracy of ARIMA models in forecasting future epidemic of COVID-2019 proved the effectiveness in epidemiological surveillance. For more in-depth studies, our analysis may serve as a guide for understanding risk attitudes and social media interactions across countries.

Temporal and spatial statistical analysis of ambient air quality of Assam (India).

Present paper represents the spatio-temporal variation of air quality and performances of geostatistical tools for the identification of pollutants zone in various districts of Assam (India). Geographic Information System (GIS) and geostatistical analysis were utilized to estimate the spatio-temporal variations (2015-2017) of gaseous and particulate air pollutants. Data of 23 fixed monitoring stations were collected from the Central Pollution Control Board (CPCB). It was observed that SO2 and NOx concentrations are the major pollutants to the deterioration of air quality in Assam State. Exploratory data analysis was considered for the determination of spatial and temporal patterns of air pollutants. Air Quality index (AQI) was calculated based on the air pollutants and particulate matter. Radial Basis Function (RBF) interpolation techniques were used to analyze the spatial and temporal variation of air quality in Assam. Cross-validation is applied to evaluate the accuracy of interpolation methods in terms of Root Mean Square Error (RMSE), Mean Absolute Percentage Error (MAPE), Nash-Sutcliffe Equation (NSE) and Accuracy Factor (ACFT). In 2015, the high value of AQI portrayed in the central and northeast of the state. In 2016, the central and entire east of the study area was recorded the highest value of AQI. In 2017, it was observed that mostly the central part of the state recorded the high value of AQI. The spatio-temporal variation trend of air pollutants provides sound scientific basis for its management and control. This information of air pollution congregation would be valuable for urban planners and decision architects to efficiently administer air quality for health and environmental purposes. IMPLICATIONS: Guwahati is one of the most polluted cities in India provided a novel evidence to find out the impact of air pollution. Present study has been suffered from several limitations, like (i) the daily or weekly concentration of air pollutants was not gained due to limited monitoring technique, (2) dearth of regular information of PM2.5 collection, which were not regularly connected. Present study is used to estimate the spatio-temporal variations (2015-2017) of gaseous and particulate air pollutants using GIS and spatial statistical approach. Probably, this is the first study to report the spatial and temporal variation of air quality distribution in Assam. Results showed there is a negative impact on the ambient air quality status of Assam. These industries and mining areas contribute significantly to the air pollution in this deltaic region. This district-wise information of air pollution congregation would be valuable for urban planners and decision architects to efficiently administer air quality for health and environmental purposes. The dissimilarity in geographical dissemination of the pollutant concentration has been more helpful in seasonal inevitability. Consequently, a continuous set of data and more parameters can be included to attain more reliable results.

Asymptomatic Leishmania infections in northern India: a threat for the elimination programme?

Visceral leishmaniasis (VL) continues to embody as a mammoth public health problem and hurdle to the socioeconomic development of Bihar, India. Interestingly, all leishmanial infections do not lead to overt clinical disease and may stay asymptomatic for a period of time. Asymptomatic cases of VL are considered as probable potential reservoirs of VL, and thus can play a major role in transmission of the disease in highly endemic areas of Bihar, India. They outnumber the exact disease burden in endemic areas of this region, thus jeopardizing the goal of the elimination program that is due by 2015. This article discusses the potential risk factors, epidemiological markers of transmission and requirement of highly sensitive diagnostic tools for efficient recognition of the high risk groups of conversion to symptomatic for proper designing of strategies for implementation of the control programs.

Spatial distribution of P. argentipes in association with agricultural surrounding environment in North Bihar, India.

INTRODUCTION: Phlebotomus argentipes is considered to be one of the major control measure targets in eradicating visceral leishmaniasis (VL). This study demonstrates the spatial association of P. argentipes abundance in relation to agricultural environment in the endemic area of north Bihar. METHODOLOGY: Vector data were collected from the 95 villages of the study area using a handheld aspiration technique. Space technology and ground observationwere made to estimate the environmental characteristics. RESULTS: A total of 1,663 P. argentipes were collected between April and November 2011. Results showed negative and significant association between P. argentipes density and proximity to the agricultural land in both the dry (r = -0.39) and wet seasons (r = -0.55), respectively. A strong and positive association was observed between relative humidity and P. argentipes abundance (r = 0.55). Results illustrated a very strong positive association between soil moisture and P. argentipes abundance (r = 0.58). The agricultural land class density and the spatial abundance of P. argentipes showed a very strong and positive association (r = 0.46). CONCLUSIONS: This study will help in understanding the advantage of agricultural land use practices to delineate of P. argentipes habitat suitability, which may strengthen existing control strategies in this endemic area.

Oviposition behaviour of Phlebotomus argentipes--a laboratory-based study.

The breeding habitat of sandflies is a little studied and poorly understood phenomenon. More importantly, oviposition behaviour is a largely neglected aspect of sandfly biology and this knowledge gap further undermines our understanding of the biology of sandflies. Pheromones released by the eggs play an important role in identifying good sites for oviposition by female insects. Several recent studies have examined the oviposition pheromone. The present study provides a preliminary report on the oviposition behaviour of Phlebotomus argentipes, the only vector of kala-azar (or visceral leishmaniasis) on the Indian sub-continent. Sandflies prefer to oviposit their eggs on surfaces that contain organic substances, especially substances with an odour of decaying animal products and the remains of conspecific eggs. The results presented here suggest that the odour released by the organic substances of old sandfly colony remains that contain dead flies, old unhatched eggs, larval food containing vertebrate faeces, frass and other organic matter serves as an attractant for the ovipositing females of P. argentipes and hence greatly increases the number of oviposited eggs compared to eggs deposited in controlled oviposition pots. This result will be helpful in maintaining an efficient colony of P. argentipes and may be a promising tool for monitoring and controlling the target insect as part of a synergistic approach.

Appraisal of Phlebotomus argentipes habitat suitability using a remotely sensed index in the kala-azar endemic focus of Bihar, India.

Visceral leishmaniasis, or kala-azar, is recognised as a serious emerging public health problem in India. In this study, environmental parameters, such as land surface temperature (LST) and renormalised difference vegetation indices (RDVI), were used to delineate the association between environmental variables and Phlebotomus argentipes abundance in a representative endemic region of Bihar, India. The adult P. argentipes were collected between September 2009-February 2010 using the hand-held aspirator technique. The distribution of P. argentipes was analysed with the LST and RDVI of the peak and lean seasons. The association between environmental covariates and P. argentipes density was analysed a multivariate linear regression model. The sandfly density at its maximum in September, whereas the minimum density was recorded in January. The regression model indicated that the season, minimum LST, mean LST and mean RDVI were the best environmental covariates for the P. argentipes distribution. The final model indicated that nearly 74% of the variance of sandfly density could be explained by these environmental covariates. This approach might be useful for mapping and predicting the distribution of P. argentipes, which may help the health agencies that are involved in the kala-azar control programme focus on high-risk areas.

Appraisal of Phlebotomus argentipes habitat suitability using a remotely sensed index in the kala-azar endemic focus of Bihar, India

Visceral leishmaniasis, or kala-azar, is recognised as a serious emerging public health problem in India. In this study, environmental parameters, such as land surface temperature (LST) and renormalised difference vegetation indices (RDVI), were used to delineate the association between environmental variables and Phlebotomus argentipes abundance in a representative endemic region of Bihar, India. The adult P. argentipes were collected between September 2009-February 2010 using the hand-held aspirator technique. The distribution of P. argentipes was analysed with the LST and RDVI of the peak and lean seasons. The association between environmental covariates and P. argentipes density was analysed a multivariate linear regression model. The sandfly density at its maximum in September, whereas the minimum density was recorded in January. The regression model indicated that the season, minimum LST, mean LST and mean RDVI were the best environmental covariates for the P. argentipes distribution. The final model indicated that nearly 74% of the variance of sandfly density could be explained by these environmental covariates. This approach might be useful for mapping and predicting the distribution of P. argentipes, which may help the health agencies that are involved in the kala-azar control programme focus on high-risk areas.

Spatial and temporal variation and hotspot detection of kala-azar disease in Vaishali district (Bihar), India.

BACKGROUND: An improved understanding in transmission variation of kala-azar is fundamental to conduct surveillance and implementing disease prevention strategies. This study investigated the spatio-temporal patterns and hotspot detection for reporting kala-azar cases in Vaishali district based on spatial statistical analysis. METHODS: Epidemiological data from the study area during 2007-2011 was used to examine the dynamic space-time pattern of kala-azar outbreaks, and all cases were geocoded at a village level. Spatial smoothing was applied to reduce random noise in the data. Inverse distance weighting (IDW) is used to interpolate and predict the pattern of VL cases distribution across the district. Moran's I Index (Moran's I) statistics was used to evaluate autocorrelation in kala-azar spatial distribution and test how villages were clustered or dispersed in space. Getis-Ord Gi*(d) was used to identify the hotspot and cold spot areas within the study site. RESULTS: Mapping kala-azar cases or incidences reflects the spatial heterogeneity in the incidence rate of kala-azar affected villages in Vaishali district. Kala-azar incidence rate map showed most of the highest endemic villages were located in southern, eastern and northwestern part of the district; in the middle part of the district generally show the medium occurrence of VL. There was a significant positive spatial autocorrelation of kala-azar incidences for five consecutive years, with Moran's I statistic ranging from 0.04-0.17 (P <0.01). The results revealed spatially clustered patterns with significant differences by village. The hotspots showed the spatial trend of kala-azar diffusion (P < 0.01). CONCLUSIONS: The results pointed to the usefulness of spatial statistical approach to improve our understanding the spatio-temporal dynamics and control of kala-azar. The study also showed the north-western and southern part of Vaishali district is most likely endemic cluster region. To employ exact and geographically suitable risk-reduction programmes, apply of such spatial analysis tools should suit a vital constituent in epidemiology research and risk evaluation of kala-azar.

Telehealth: a perspective approach for visceral leishmaniasis (kala-azar) control in India.

Visceral leishmaniasis, also known as kala-azar, is a vector borne disease caused by the protozoan parasite, L. donovani. Poor and neglected populations in Indian sub-continent are particularly affected by this disease. Due to the diversity of epidemiological situations, no single diagnosis, treatment, or control will be suitable for all. Control measures through case findings, treatment, and vector control are seldom used, even where they could be useful. Modern tools like telehealth, using space technology, have now come in handy to address issues of disease surveillance, control checking, and evaluation. The present study focuses on telehealth as a current vector control strategy, perspectives on diagnosis, treatment, and control of visceral leishmaniasis as these deserve more attention and research.

Delimitation of kala-azar risk areas in the district of Vaishali in Bihar (India) using a geo-environmental approach.

Remote sensing and geographical information technologies were used to discriminate areas of high and low risk for contracting kala-azar or visceral leishmaniasis. Satellite data were digitally processed to generate maps of land cover and spectral indices, such as the normalised difference vegetation index and wetness index. To map estimated vector abundance and indoor climate data, local polynomial interpolations were used based on the weightage values. Attribute layers were prepared based on illiteracy and the unemployed proportion of the population and associated with village boundaries. Pearson's correlation coefficient was used to estimate the relationship between environmental variables and disease incidence across the study area. The cell values for each input raster in the analysis were assigned values from the evaluation scale. Simple weighting/ratings based on the degree of favourable conditions for kala-azar transmission were used for all the variables, leading to geo-environmental risk model. Variables such as, land use/land cover, vegetation conditions, surface dampness, the indoor climate, illiteracy rates and the size of the unemployed population were considered for inclusion in the geo-environmental kala-azar risk model. The risk model was stratified into areas of "risk"and "non-risk"for the disease, based on calculation of risk indices. The described approach constitutes a promising tool for microlevel kala-azar surveillance and aids in directing control efforts.

Delimitation of kala-azar risk areas in the district of Vaishali in Bihar (India) using a geo-environmental approach

Remote sensing and geographical information technologies were used to discriminate areas of high and low risk for contracting kala-azar or visceral leishmaniasis. Satellite data were digitally processed to generate maps of land cover and spectral indices, such as the normalised difference vegetation index and wetness index. To map estimated vector abundance and indoor climate data, local polynomial interpolations were used based on the weightage values. Attribute layers were prepared based on illiteracy and the unemployed proportion of the population and associated with village boundaries. Pearson's correlation coefficient was used to estimate the relationship between environmental variables and disease incidence across the study area. The cell values for each input raster in the analysis were assigned values from the evaluation scale. Simple weighting/ratings based on the degree of favourable conditions for kala-azar transmission were used for all the variables, leading to geo-environmental risk model. Variables such as, land use/land cover, vegetation conditions, surface dampness, the indoor climate, illiteracy rates and the size of the unemployed population were considered for inclusion in the geo-environmental kala-azar risk model. The risk model was stratified into areas of "risk"and "non-risk"for the disease, based on calculation of risk indices. The described approach constitutes a promising tool for microlevel kala-azar surveillance and aids in directing control efforts.

Localization of kala-azar in the endemic region of Bihar, India based on land use/land cover assessment at different scales.

Land cover, a critical variable in the epidemiology of kala-azar, can be remotely characterized by customizing and integrating "state-of-the-art" imagery at different spatial scales from different sensors onboard satellites. A study was conducted at four levels (national, state, district and village) investigating the role of land use/land cover (LULC) for leishmaniasis transmission resulting in a framework highlighting the links between LULC and areas endemic for the disease. Distribution maps were analysed by a probabilistic approach (Bayesian classifier) which produced a set of "suitability estimates" based on the probability of sand fly presence. The development of a sound knowledge of each link in the predicted sequence of satellite views offering an extraordinary opportunity to support the mapping of kala-azar endemicity and stratification of areas suitable for sand fly habitats across the country as well as at the local scale.

A comparative evaluation of end-emic and non-endemic region of visceral leishmaniasis (Kala-azar) in India with ground survey and space technology.

In visceral leishmaniasis, phlebotomine vectors are targets for control measures. Understanding the ecosystem of the vectors is a prerequisite for creating these control measures. This study endeavours to delineate the suitable locations of Phlebotomus argentipes with relation to environmental characteristics between endemic and non-endemic districts in India. A cross-sectional survey was conducted on 25 villages in each district. Environmental data were obtained through remote sensing images and vector density was measured using a CDC light trap. Simple linear regression analysis was used to measure the association between climatic parameters and vector density. Using factor analysis, the relationship between land cover classes and P. argentipes density among the villages in both districts was investigated. The results of the regression analysis indicated that indoor temperature and relative humidity are the best predictors for P. argentipes distribution. Factor analysis confirmed breeding preferences for P. argentipes by landscape element. Minimum Normalised Difference Vegetation Index, marshy land and orchard/settlement produced high loading in an endemic region, whereas water bodies and dense forest were preferred in non-endemic sites. Soil properties between the two districts were studied and indicated that soil pH and moisture content is higher in endemic sites compared to non-endemic sites. The present study should be utilised to make critical decisions for vector surveillance and controlling Kala-azar disease vectors.

A comparative evaluation of end-emic and non-endemic region of visceral leishmaniasis (Kala-azar) in India with ground survey and space technology

In visceral leishmaniasis, phlebotomine vectors are targets for control measures. Understanding the ecosystem of the vectors is a prerequisite for creating these control measures. This study endeavours to delineate the suitable locations of Phlebotomus argentipes with relation to environmental characteristics between endemic and non-endemic districts in India. A cross-sectional survey was conducted on 25 villages in each district. Environmental data were obtained through remote sensing images and vector density was measured using a CDC light trap. Simple linear regression analysis was used to measure the association between climatic parameters and vector density. Using factor analysis, the relationship between land cover classes and P. argentipes density among the villages in both districts was investigated. The results of the regression analysis indicated that indoor temperature and relative humidity are the best predictors for P. argentipes distribution. Factor analysis confirmed breeding preferences for P. argentipes by landscape element. Minimum Normalised Difference Vegetation Index, marshy land and orchard/settlement produced high loading in an endemic region, whereas water bodies and dense forest were preferred in non-endemic sites. Soil properties between the two districts were studied and indicated that soil pH and moisture content is higher in endemic sites compared to non-endemic sites. The present study should be utilised to make critical decisions for vector surveillance and controlling Kala-azar disease vectors.

Incidence of visceral leishmaniasis in the Vaishali district of Bihar, India: spatial patterns and role of inland water bodies.

The role of the distribution of inland water bodies with respect to the transmission of visceral leishmaniasis (VL) and its dominant vector, Phlebotomous argentipes, has been studied at the regional scale in Bihar, eastern India. The Landsat TM sensor multispectral scanning radiometer, with a spatial resolution of 30 m in the visible, reflective-infrared and shortwave-infrared (SWIR) bands, was used to identify water bodies using the normalized differential pond index (NDPI) calculated as follows: (Green - SWIR I)/(Green + SWIR I). Nearest neighbour and grid square statistics were used to delineate spatial patterns and distribution of the sandfly vector and the disease it transmits. The female P. argentipes sandfly was found to be associated with the distance from open water and particularly abundant near non-perennial river banks (68.4%; P <0.001), while its association with rivers was focused further away from the water source (χ(2) = 26.3; P <0.001). The results also reveal that the distribution of VL is clustered around non-perennial riverbanks, while the pattern is slightly random around the perennial river banks. The grid square technique illustrate that the spatial distribution of the disease has a much stronger correlation with lower density of open waters surfaces as well as with sandfly densities (χ(2) = 26.0; P <0.001). The results of our study suggest that inland water presence poses a risk for VL by offering suitable breeding sites for P. argentipes, a fact that should be taken into account when attempting to control disease transmission.