Abstract
After elimination of the Aedes aegypti vector in South
America in the 1960s, dengue outbreaks started to reoccur during
the 1990s; strongly in Argentina since 1998. In 2016, Córdoba
City had the largest dengue outbreak in its history. In this article
we report this outbreak including spatio-temporal analysis of
cases and vectors in the city. A total of 653 dengue cases were
recorded by the laboratory-based dengue surveillance system and
georeferenced by their residential addresses. Case maps were gen-
erated from the epidemiological week 1 (beginning of January) to
week 19 (mid-May). Dengue outbreak temporal evolution was
analysed globally and three specific, high-incidence zones were
detected using Knox analysis to characterising its spatio-temporal
attributes. Field and remotely sensed data were collected and anal-
ysed in real time and a vector presence map based on the MaxEnt
approach was generated to define hotspots, towards which the pes-
ticide-based strategy was then targeted. The recorded pattern of
cases evolution within the community suggests that dengue con-
trol measures should be improved.
Introduction
Dengue is one of the most widespread vector-borne diseases
in the world (TDR/WHO, 2009). Aedes aegypti, the main vector
of the dengue virus (consisting of four different strains, i.e.
DEN1-4) in Latin America is a day-biter and peridomestic
mosquito that breeds preferably in containers related to the
house-hold (Gurber, 1997; Vezzani and Carbajo, 2008). The inci-
dence of dengue has grown dramatically in recent decades, with
a concomitant increasing trend in outbreaks in South America
during the past few years (Brathwaite et al., 2012; WHO, 2015).
After the successful vector eradication campaign, carried out at
the national level in the 1960s, the first outbreak of dengue in
Argentina was documented in 1998 (Aviles et al., 1999). The
largest notified dengue outbreak in Argentina before 2016
occurred in 2009. It reached subtropical regions affecting more
than 25,900 people from localities as far south as Córdoba and
Buenos Aires (Seijo, 2009). Most infections(>90%) occurred in
the northern provinces of Chaco, Catamarca and Salta (MSN,
2009).
Within the context of landscape epidemiology (Pavlovsky,
1996; Ostfeld et al., 2005), remotely sensed data and geospatial
technologies are essential tools. Using these ideas and method-
ological tools for the case of dengue epidemics within Argentina,
a number of interdisciplinary studies were produced and pub-
lished as predictive risk models based on environmental condi-
tions (Estallo et al., 2008; Espinosa et al., 2011, 2012, 2016;
Vergara et al., 2013; Dantur et al., 2015) and operational tools
(Porcasi et al., 2012). As the current approach for dengue control
is mainly based on vector control (Guzmán and Kouri, 2002;
Guzmán et al., 2004), models based on remotely sensed data
integrated with urban demography and socioeconomic data
would allow prediction of spatio-temporal variation of vector
population abundance.
The strongest dengue outbreak in Argentina so far occurred
in 2016. This outbreak started in early January 2015, coinciding
with information from the International Research Institute for
Climate and Society (IRI) (https://iri.columbia.edu/) that the Sea
Surface Temperature (SST) exceeded the threshold indicating
weak El Niño conditions. In August, the SST had increased to
what is considered a strong El Niño level. The El Niño Southern
Oscillation (ENSO) is the leading mode of year-to-year global
climate variability (Cai et al., 2015) affecting global atmospheric
circulation, thereby altering rainfall and weather patterns around
the world and temporarily elevating global temperatures. In the
last quarter of 2015, and the first quarter of 2016, extreme rain-
fall was recorded in several parts of South America, particularly
in Paraguay, northern Argentina and southern Brazil. About
180,000 people were affected by flooding and more than 80,000
Correspondence: Ximena Porcasi, Instituto de Altos Estudios
Espaciales Mario Gulich, Comisión Nacional de Actividades
Espaciales, Centro Espacial Teófilo Tabanera, Córdoba, Argentina.
E-mail: ximena.porcasi@conae.gov.ar
Key words: Remote sensing; Operational tools; Dengue outbreak;
Córdoba; Argentina.
Acknowledgments: we thank the Ministerio de Salud de la Provincia de
Córdoba. DEG is Researcher of CONICET, Argentina.
Received for publication: 7 March 2017.
Revision received: 22 June 2017.
Accepted for publication: 29 June 2017.
©Copyright C. Rotela et al., 2017
Licensee PAGEPress, Italy
Geospatial Health 2017; 12:564
doi:10.4081/gh.2017.564
This article is distributed under the terms of the Creative Commons
Attribution Noncommercial License (CC BY-NC 4.0) which permits any
noncommercial use, distribution, and reproduction in any medium, pro-
vided the original author(s) and source are credited.
Analytical report of the 2016 dengue outbreak in Córdoba city, Argentina
Camilo Rotela,
1
Laura Lopez,
2
María Frías Céspedes,
2
Gabriela Barbas,
2
Andrés Lighezzolo,
1
Ximena Porcasi,
1
Mario A. Lanfri,
1
Carlos M. Scavuzzo,
1
David E. Gorla
1
1
Instituto de Altos Estudios Espaciales Mario Gulich, Comisión Nacional de Actividades Espaciales, Centro
Espacial Teófilo Tabanera, Córdoba;
2
Ministerio de Salud, Gobierno de la Provincia de Córdoba, Córdoba,
Argentina
[page 226] [Geospatial Health 2017; 12:564]
Geospatial Health 2017; volume 12:564
Non commercial use only