1. Executive Summary: The “Centrality” Risk

The primary finding of this analysis is the significant role of urban centrality. Children living or attending school in “Central+” areas (characterized by high connectivity and density) show a substantially higher exposure to dengue compared to those in peripheral or “Central-” areas. The classification of “Central+” and “Central-“ areas is a way to categorize urban locations not just by their geography, but by their functional risk within the epidemic network.

Central+ Areas (High Connectivity & Density)

These areas represent the “hubs” of Bangkok’s mobility system. They are characterized by:

  • High Population Density: Districts like Din Daeng, where the concentration of people creates an “explosive” transmission potential.
  • Structural Connectivity: These locations act as primary bridges or anchors in the transportation network, meaning they have a high frequency of people moving in and out daily.
  • Increased Risk: Children living in these areas have 1.78 times higher odds of having been exposed to dengue compared to other areas.
  • Mosquito Pressure: These areas show a trend towards higher mosquito densities (average of 5.77 mosquitoes per home compared to ~4.0 in other categories).

Central- Areas (Low Connectivity & Sparse Density)

These areas are typically located in the suburban or residential “belts” surrounding the city core. They are characterized by:

  • Lower Spatial Interaction: They are less “central” to the city’s daily movement, meaning the virus travels there less frequently through human mobility.
  • Stochastic Data: Because population and transmission are lower, the data from these areas is often “sparse” or noisy, requiring different statistical models (like Poisson models) to estimate risk.
  • Lower Seroprevalence: In these areas, only about 25% to 27% of children tested positive for IgG antibodies, compared to 30% to 33% in Central+ areas

Key Seroprevalence Results (IgG Positive)

The study utilized GLMM Binomial regression to identify risk factors for prior infection:

  • Home Location: Living in a Central+ area increases the odds of being seropositive by 1.78 times.
  • School Location: Attending a school in a Central+ area increases the odds of being seropositive by 1.77 times.
  • Age: While age shows a positive trend with exposure (P=0.059), the location effects are much more statistically dominant (P<0.001).

2. Statistical Data Tables

The following tables provide the raw evidence used to build our predictive models.

Table 1: Risk Category Analysis (Home vs. School)

We combined Home and School categories to see where the highest risk overlaps.

CategoryMeaningNProportion IgG+Upper/Lower CI
AACentral Home & Central School2410.2970.058
ACCentral Home & NOT Central School790.4050.108
CANOT Central Home & Central School1720.1800.057
CCNOT Central Home & NOT Central School4450.2930.042

Table 2: Comparative T-Tests between Groups

Significant differences were found when comparing specific living/schooling arrangements.

ComparisonT-ValueP-ValueSignificance
AA vs CA2.66< 0.01Significant
AC vs CA3.71< 0.001Highly Significant
CA vs CC-2.80< 0.01Significant

3. Mosquito Population Dynamics

We monitored Aedes aegypti density in both schools and homes to correlate vector presence with human infection.

School Environment

While weekly variation was highly significant (P<0.001), the differences between school types were less pronounced in the raw counts.

ClassMean Aedes CountS.E.M.
Central+ / Env+3.30.209
Central+ / Env-4.210.207
Central- / Env+3.10.181
Central- / Env-2.760.256

Home Environment

Data suggests that “Central+” homes tend toward higher mosquito densities, reaching near significance (P=0.075).

Home ClassMeans (Log)Backtransformed Mean
A (High Centrality)1.7525.768
B1.3984.048
C1.3723.943
D1.3954.036

Scroll to Top