RESUMO
The novel and unprecedented Coronavirus disease (COVID-19) pandemic has negatively impacted most nations of the world within a short period. While its disproportionate social and spatial variability has been established, the reality in Nigeria is yet to be studied. In this paper, advanced spatial statistical techniques were engaged to study the burden of COVID-19 and its risk factors within the first quarter (March-May) of its incidence in Nigeria. The spatial autocorrelation (Moran's I) test reveals a significant but marginal cluster of COVID-19 occurrence in Nigeria (I = 0.11, p < 0.05). A model comparison between ordinary least square (OLS) and spatial error model (SER) was explored having checked for multicollinearity in the dataset. The OLS model explained about 64% (adjusted R2 = 0.64) of variation in COVID-19 cases, however with significantly clustered residuals. The SER model performed better with randomly distributed residuals. The significant predictors were population density, international airport, and literacy ratio. Furthermore, this study addressed the spatial planning implications of the ongoing disease outbreak while it advocates transdisciplinary approach to urban planning practices in Nigeria.
RESUMO
Malaria ranks high among prevalent and ravaging infectious diseases in sub-Saharan Africa (SSA). The negative impacts, disease burden, and risk are higher among children and pregnant women as part of the most vulnerable groups to malaria in Nigeria. However, the burden of malaria is not even in space and time. This study explores the spatial variability of malaria prevalence among children under five years (U5) in medium-sized rapidly growing city of Akure, Nigeria using model-based geostatistical modeling (MBG) technique to predict U5 malaria burden at a 100 × 100 m grid, while the parameter estimation was done using Monte Carlo maximum likelihood method. The non-spatial logistic regression model shows that U5 malaria prevalence is significantly influenced by the usage of insecticide-treated nets-ITNs, window protection, and water source. Furthermore, the MBG model shows predicted U5 malaria prevalence in Akure is greater than 35% at certain locations while we were able to ascertain places with U5 prevalence > 10% (i.e. hotspots) using exceedance probability modelling which is a vital tool for policy development. The map provides place-based evidence on the spatial variation of U5 malaria in Akure, and direction on where intensified interventions are crucial for the reduction of U5 malaria burden and improvement of urban health in Akure, Nigeria.