Geographic Information Systems for Public Health and Epidemiology
T.Z.Bregvadze, S.I.Tabagari
I. Javakhishvili Tbilisi State University, Geography-Geological Faculty
«AIETI»
Medical School
Geographic Information Systems (GIS)
are “automated systems for the capture, storage, retrieval, analysis, and
display of spatial data” [1]. GIS has also been described as the
technology side of a new discipline, geographic information science [2],
which is defined as “research on the generic issues that surround the use of
GIS technology, impede its successful implementation, or emerge from an
understanding of its potential capabilities”.
The competent parts of a GIS include net just a database, but also
spatial or map information and some mechanism to link them together. Recently,
GIS has emerged as an innovative and important component of many projects in
public health and epidemiology.
Epidemiologist have traditionally used maps when
analyzing associations between location, environment, and disease. GIS is particularly
well suited for studding these associations because of its spatial analysis and
display capabilities. Recently GIS has been used in the surveillance and
monitoring of vector-borne diseases [3], water-borne diseases [4],
in environmental health [5], and the analysis of disease policy and
planning [6]. In this investigations the spatial and ecologic data are
combined with epidemiologic data to enable analysis of variables that play
important roles in disease
transmission. This integration of data is essential for health policy planning,
decision making, and ongoing surveilance efforts. So GIS enabled researchers to
locate high prevalence areas and populations at risk, identify areas in need of
resources, and make decisions on resource allocation [6].
GIS applications show the power and potential of such
system for addressing important health issues at the international, national,
and local levels. It allow users to examine and display health data in new and
highly effective ways. Spatial analysis refers to the ability to manipulate
spatial data into different forms and extract additional meaning as a result.
There are three general types of spatial analysis tasks: visualization,
exploratory data analysis, and model building.
Among
the most important exploratory methods for epidemiology and public health are
methods for identifying space-time clusters or “hot spots” of disease.
Modeling, the final class of spatial analysis methods, includes procedures for testing hypothesis about the causes of disease and the nature and processes of disease transmission. In general, modeling involves the integration of GIS with standard statistical and epidemiological methods. GIS can assist in generating data for input to epidemiologic models, displaying the results of statistical analysis, and modeling processes that occur over space. The first two points are evident in recent regression-based analyses of disease risk, such as the study of Lyme disease [3].
Abone all, GIS should be seen as improving the set of tools to promote public health. Good epidemiologic science and good geographic information science go hand in hand. The base of research and scholarship using GIS in the health sciences cannot be ignered. A first step would be to integrate instruction on GIS into educational programme in public health.
1. Clarke K.C. Analytical and
computer cartography. 2nd ed. Englewood Cliffs, N.J; Prentice-Hall.,
1995
2. Goodchild M.F.
Geographical information science. International Journal of Geographical
Information Systems 1992; 6(1)
3. Glass G.F, Schwarts B.S, Morgan J.M III,
Johnson D.T, Noy P.M, Israel E. Environmental risk factors
for Lyme disease identified with geographic information systems. Am J Public
Health 1995; 85;944-8
4. Clarke K.C, Osleeb J.R, Sherry J.M, Meert J.P,
Larsson R.W. The use of remote sensing and geographic information
systems in UNICEF’s dracunculiasis (Guinea worm) eradication effort. Prew Vet.
Med. 1991; 11; 229-235
5. Barnes S, Peck A.
Mapping the future of health care: GIS applications in Health care analysis.
Geographic Information systems 1994; 4; 31-33
6. Tempalski B.J. The case of Guinea worm: GIS as a tool for
the analysis of disease control policy. Geographic Information Systems 1994; 4;
32-8
Географические Информативные Системы для Общественного
Здравоохранения и Эпидемиологии
Т.З.Брегвадзе,
С.И.Табагари
Тбилисский Государственный Университет,
Факультет Географии-Геологии
Высшая Медицинская Школа «АИЭТИ»
Географические Информативные Системы (ГИС) –
эта технологическая сторона новой дисциплины, географической информативной науки, определяемое как « автоматические системы добычи, хранения,
воспроизведения, анализа и демонстрации пространственных данных. ГИС представлен, как инновационный и важный компонент многих проектов по общественному
здравоохранению и эпидемиологии. Предложено обучение ГИС в рамках учебной
программы по общественному здравоохранению.