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Peer reviewedOpen accessPertussisQ feverCOVID-19

Dot map cartograms for detection of infectious disease outbreaks: an application to Q fever, the Netherlands and pertussis, Germany

Eurosurveillance·

Loes Soetens, Susan Hahné, Jacco Wallinga

DOI
10.2807/1560-7917.es.2017.22.26.30562
PMID
28681721
PMCID
PMC5779165
OpenAlex
W2730699851
Study type
Journal article
Publisher
European Centre for Disease Control and Prevention (ECDC)
Article type
journal-article
Integrity
current

Why this research matters now

Dot map cartograms may support outbreak detection and visualization by public health professionals, facilitating informed decisions for investigation and control activities.

01

Structured evidence summary

Research question

The study evaluates whether dot map cartograms can improve detection and visualization of infectious disease outbreaks compared to standard dot maps and incidence maps.

Study design

The authors compared dot map cartograms with standard dot maps and incidence maps across four criteria, applying the methods to two example datasets: Q fever in the Netherlands and pertussis in Germany.

Population and setting

The method was applied to Q fever cases in the Netherlands and pertussis cases in Germany.

Main findings

Dot map cartograms displayed both incidence and absolute case counts, revealed potential source locations for Q fever and high-incidence clusters for pertussis, and were insensitive to spatial scale choices unlike incidence maps. The method ensured case privacy through spatial distortion, though this reduced the recognizability of specific locations.

Public-health relevance

Dot map cartograms may support outbreak detection and visualization by public health professionals, facilitating informed decisions for investigation and control activities.

Important limitations

The spatial distortion that protects case privacy reduces the ability to recognize specific geographic locations. This summary is limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation.

GIDS interpretation

This article was linked to Q fever and pertussis as example datasets for methodological comparison, and to outbreak investigation and surveillance topics, reflecting its focus on cartographic methods for visualizing disease events.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 14 auditable classifier relationships to diseases, places, topics, and study design.

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