Spatio-Temporal Analysis of Dengue in the Philippines: The Case of South Cotabato

Authors

DOI:

https://doi.org/10.32871/rmrj2513.01.03

Keywords:

spatiotemporal analysis, dengue, cluster analysis, hotspot analysis, South Cotabato Province

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

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Published

2025-04-23

How to Cite

Ygoña, J., Deligero, E., & Ceballos, R. (2025). Spatio-Temporal Analysis of Dengue in the Philippines: The Case of South Cotabato. Recoletos Multidisciplinary Research Journal, 13(1), 33–43. https://doi.org/10.32871/rmrj2513.01.03

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