Spatio-Temporal Analysis of Dengue in the Philippines: The Case of South Cotabato
Jessiryl Ygoña | Eveyth Deligero | Roel F Ceballos
Discipline: Environmental and Public Health
Abstract:
Background: South Cotabato Province in the Philippines has experienced
recurring dengue outbreaks, necessitating spatio-temporal analysis to guide
effective prevention and control strategies.
Methods: This study analyzed 4,004 reported dengue cases from 2020 to 2022.
Dengue incidence rates were computed per 10,000 population and adjusted
for demographic differences. Spatial and temporal patterns were examined
using Kulldorff’s space-time scan statistic and Moran’s I for cluster and hotspot
detection. Quantum GIS and SaTScan were used to identify high-risk areas,
while monthly trends assessed seasonal variations.
Results: The average dengue incidence was 22.6 per 10,000, peaking in 2021
at 27.3. Males and children aged 1–17 years showed higher incidence rates.
Two significant spatio-temporal clusters were found: a large cluster (radius
30.30 km, RR = 1.78, p < 0.001) covering Polomolok, Koronadal City, and
adjacent areas, and a smaller cluster (radius 4.88 km, RR = 1.14, p < 0.001) in
Polomolok. Hotspots included Poblacion and Magsaysay in Polomolok, and
Zones II and IV in Koronadal. Seasonal peaks occurred during the rainy season,
with an unusual spike in May 2022.
Conclusion: Targeted interventions in hotspot barangays, strengthened
real-time surveillance, and community-based vector control are essential. A
multi-sectoral approach is vital for sustainable dengue prevention in South
Cotabato.
References:
- Akter, R., Naish, S., Gatton, M., Bambrick, H., Hu, W., & Tong, S. (2019). Spatial and temporal analysis of dengue infections in Queensland, Australia: Recent trend and perspectives. PLoS ONE, 14(7), e0220134. https://doi.org/10.1371/journal.pone.0220134
- Anker, M., & Arima, Y. (2011). Male-female differences in the number of reported incident dengue fever cases in six Asian countries. Western Pacific Surveillance and Response, 2(2), 17–23. https://doi.org/10.5365/wpsar.2011.2.1.002
- Banu, S., Hu, W., Guo, Y., Naish, S., & Tong, S. (2014). Dynamic spatiotemporal trends of dengue transmission in the Asia-Pacific region, 1955–2004. PLoS ONE, 9(2), e89440. https://doi.org/10.1371/journal.pone.0089440
- Bokhari, M. (2020). A comparative analysis between three spatio- temporal scan statistics for outbreak detection and antimicrobial resistance [Master’s thesis, Harvard Extension School]. https://dash.harvard.edu/server/api/core/bitstreams/3b51d3e2-a18a-4d38-b536-0f09789e53f0/content
- Ceballos, R. F. (2021). Mortality analysis of early COVID-19 cases in the Philippines based on observed demographic and clinical characteristics. Recoletos Multidisciplinary Research Journal, 9(1), 91–106. https://doi.org/10.32871/rmrj2109.01.09
- Centers for Disease Control and Prevention. (2024, May 14). Dengue. https://www.cdc.gov/dengue/about/index.html
- Edillo, F., Ymbong, R. R., Navarro, A. O., Cabahug, M. M., & Saavedra, K. (2024). Detecting the impacts of humidity, rainfall, temperature, and season on chikungunya, dengue and Zika viruses in Aedes albopictus mosquitoes from selected sites in Cebu city, Philippines. Virology Journal, 21. https://doi.org/10.1186/s12985-024-02310-4
- European Centre for Disease Prevention and Control. (2025, March). Dengue worldwide overview. https://www.ecdc.europa.eu/en/dengue-monthly
- Garcia, T. Jr. (2022, June 21). Zambo tallies 2.6K dengue cases; 0-9 age group most affected . Philippine News Agency. https://www.pna.gov.ph/articles/1177217
- Harwiati, Tosepu, R., & Effendy, D. S. (2022). Dengue hemorrhagic fever cases by gender in the North Buton Regency in the 2018-2020 period. KnE Life Sciences, 148–153. https://doi.org/10.18502/kls.v0i0.11791
- Hossain, M. I., Alam, N. E., Akter, S., Suriea, U., Aktar, S., Shifat, S. K., Islam, Md. M., Aziz, I., Islam, M. M., Islam, M. S., & Mohiuddin, A. K. M. (2021). Knowledge, awareness and preventive practices of dengue outbreak in Bangladesh: A countrywide study. PLOS ONE, 16(6), e0252852. https://doi.org/10.1371/journal.pone.0252852
- Khan, S., Akbar, S. M. F., Yahiro, T., Mahtab, M. A., Kimitsuki, K., Hashimoto, T., & Nishizono, A. (2022). Dengue infections during COVID-19 period: reflection of reality or elusive data due to effect of pandemic. International Journal of Environmental Research and Public Health, 19(17), 10768. https://doi.org/10.3390/ijerph191710768
- Kumar, M., Verma, R. K., Nirjhar, S., & Singh, M. (2020). Dengue in children and young adults, a cross-sectional study from the western part of Uttar Pradesh. Journal of Family Medicine and Primary Care, 9(1), 293. https://doi.org/10.4103/jfmpc.jfmpc_770_19
- Leitner, M., & Brech, H. (2007). Crime analysis and mapping with GeoDa 0.9.5-i. Social Science Computer Review, 25(2), 264–271. Proquest. https://www.proquest.com/scholarly-journals/crime-analysis-mapping-with-geoda-0-9-5-i/docview/236405895/se-2
- List of most populated barangays of South Cotabato. (2020). PhilAtlas. https://www.philatlas.com/lists/population/2020-most-populous-barangays-south-cotabato.html
- Medina, J. R. C., Takeuchi, R., Mercado, C. E. G., de Los Reyes, C. S., Cruz, R. V., Abrigo, M. D. R., Hernandez, P. M. R., Garcia , F. B. Jr., Salanguit, M., Gregorio, E. R. Jr., Kawamura, S., Hung, K. E., Kaneko, M., Nonaka, D., Maude, R. J., & Kobayashi, J. (2023). Spatial and temporal distribution of reported dengue cases and hot spot identification in Quezon City, Philippines, 2010-2017. Tropical Medicine and Health, 51(1). https://doi.org/10.1186/s41182-023-00523-x
- Osano, R. (2022, June 23). State of calamity declared in SoCot town amid dengue surge. Philippine News Agency. https://www.pna.gov.ph/articles/1177359
- Pangilinan, M. A. P., Gonzales, D. P. G., Leong, R. N. F., & Co, F. F. (2017). Spatial analysis of the distribution of reported dengue incidence in the National Capital Region, Philippines. Acta Medica Philippina, 51(2). https://doi.org/10.47895/amp.v51i2.610
- Pasaribu, A. P., Tsheten, T., Yamin, M., Maryani, Y., Fahmi, F., Clements, A. C. A., Gray, D. J., & Wangdi, K. (2021). Spatio-Temporal patterns of dengue incidence in Medan City, North Sumatera, Indonesia. Tropical Medicine and Infectious Disease, 6(1), 30. https://doi.org/10.3390/tropicalmed6010030
- Philippine Atmospheric, Geophysical and Astronomical Services Administration. (n.d.). Climate of the Philippines. GOV.PH. https://www.pagasa.dost.gov.ph/information/climate-philippines
- Queiroz, E. R. d. S., & Medronho, R. d. A. (2022). Overlap between dengue, Zika and chikungunya hotspots in the city of Rio de Janeiro. PLoS ONE, 17(9), e0273980. https://doi.org/10.1371/journal.pone.0273980
- Rejuso, A. J. M., Sampayan, S. C., Petallo, K. V., Pulaw, F. A., Rodriguez, K. C., Rosales, Z. G., Mumtaz, M., Saber, N. I., Salonga, E. L., Sente, A. R., Silvela, A. B., Krishna, K. R., Pepito, Z. P., Masalunga, M. C., & Banaay, A. L. (2024). Spatiotemporal analysis of dengue cases in Cebu City from year 2015 to 2022. The International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences, 48(4), 417–424. https://doi.org/10.5194/isprs-archives-XLVIII-4-W8-2023-417-2024
- Save the Children. (2019, August 15). Nearly half of all dengue deaths in the Philippines are children under nine years old. https://www.savethechildren.net/news/nearly-half-all-dengue-deaths-philippines-are-children-under-nine-years-old
- Singh, P. S., & Chaturvedi, H. K. (2021). Temporal variation and geospatial clustering of dengue in Delhi, India 2015–2018. BMJ Open, 11(2), e043848. https://doi.org/10.1136/bmjopen-2020-043848
- Undurraga, E. A., Edillo, F. E., Erasmo, J. N. V., Alera, M. T. P., Yoon, I.-K., Largo, F. M., & Shepard, D. S. (2017). Disease burden of dengue in the Philippines: Adjusting for underreporting by comparing active and passive dengue surveillance in Punta Princesa, Cebu City. The American Journal of Tropical Medicine and Hygiene, 96(4), 16-0488. https://doi.org/10.4269/ajtmh.16-0488.
- World Health Organization. (2024, April 23). Dengue and severe dengue. https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue