{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:22:59Z","timestamp":1790821379422,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T00:00:00Z","timestamp":1689811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p><jats:italic>Taenia solium<\/jats:italic> is ranked the most significant global foodborne parasite and the leading cause of epilepsy in low and middle\u2010income countries. Diagnostic challenges have hampered disease control efforts to date and WHO has called for the development of risk mapping tools to assist endemic countries. This study describes the application of multicriteria decision analysis to map the risk of <jats:italic>T. solium<\/jats:italic> in Lao PDR and acts as a case study for other endemic countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multicriteria decision analysis was completed using census data on relevant risk factors in Lao PDR. Factors were weighted using an analytical hierarchy process. Village risk scores were calculated using a weighted linear combination and categorised using the Fisher\u2010Jenks algorithm into low, medium, and high risk. District risk scores and categories were calculated using the mean village risk score for a district. Sensitivity analysis was completed by doubling and halving risk factor weights, one at a time, and assessing the standard deviation of scores and categories across all scenarios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2017 (23.7%) villages were classified as high risk, with 3312 (39.0%) medium and 3170 (37.3%) low risk. This resulted in 21 (14.2%) high\u2010risk districts, 83 (56.1%) medium and 44 (29.7%) low\u2010risk districts. The risk maps highlight two areas of interest which are high risk and low variation. The first is the northern province of Phongsaly, which is consistent with literature and anecdotal reports. The second is the southern Salavan and Xekong provinces, which have yet to be investigated in detail.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multicriteria decision analysis has provided a simple, rapid, and flexible approach to mapping the risk of <jats:italic>T. solium<\/jats:italic> in Lao PDR. The nature of the method means that it can be completed in any endemic country with available and appropriate risk factor data.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13917","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T01:59:37Z","timestamp":1689904777000},"page":"736-741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Risk mapping for <i>Taenia solium<\/i>: Applying multicriteria decision analysis in Lao <scp>PDR<\/scp>"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2741-1059","authenticated-orcid":false,"given":"Andrew","family":"Larkins","sequence":"first","affiliation":[{"name":"School of Medical, Molecular and Forensic Sciences Murdoch University  Perth Australia"},{"name":"Centre for Biosecurity and One Health, Harry Butler Institute Murdoch University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3176-2094","authenticated-orcid":false,"given":"Mieghan","family":"Bruce","sequence":"additional","affiliation":[{"name":"Centre for Biosecurity and One Health, Harry Butler Institute Murdoch University  Perth Australia"},{"name":"School of Veterinary Medicine Murdoch University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rattanxay","family":"Phetsouvanh","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control, Ministry of Health  Vientiane Lao PDR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8218-7048","authenticated-orcid":false,"given":"Amanda","family":"Ash","sequence":"additional","affiliation":[{"name":"School of Medical, Molecular and Forensic Sciences Murdoch University  Perth Australia"},{"name":"Centre for Biosecurity and One Health, Harry Butler Institute Murdoch University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3812-y"},{"issue":"17","key":"e_1_2_10_3_1","first-page":"169","article-title":"WHO Taenia solium endemicity map\u20132022 update","volume":"97","author":"WHO","year":"2022","journal-title":"Wkly Epidemiol Rec"},{"key":"e_1_2_10_4_1","volume-title":"Multicriteria\u2010based ranking for risk management of food\u2010borne parasites","author":"FAO, WHO","year":"2014"},{"key":"e_1_2_10_5_1","volume-title":"Preventable epilepsy: Taenia solium infection burdens economies, societies and individuals: a rationale for investment and action","author":"WHO","year":"2016"},{"key":"e_1_2_10_6_1","unstructured":"FAO OIE WHO.Meeting to accelerate prevention and control of neglected foodborne parasitic Zoonoses in selected Asian countries. Luang Prabang: WHO Regional Office for the Western Pacific 2018 RS\/2018\/GE\/50(LAO)."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(14)70094-8"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001152"},{"key":"e_1_2_10_9_1","unstructured":"WHO.Taenia solium\u2010use of existing diagnostic tools in public health programmes: report of a virtual meeting of experts 17 May 2022. Geneva: WHO.2022."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000400"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-017-2362-7"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-018-3203-z"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-015-0938-7"},{"key":"e_1_2_10_14_1","unstructured":"WHO.Launch of new tools for the control ofTaenia solium. 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