A set of training materials for professionals working in intervention epidemiology, public health microbiology and infection control and hospital hygiene.
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Jean Claude Desenclos
Maps are using geographic coordinates to locate events, for example cases by place of onset or residence. Field epidemiologists frequently use maps to illustrate or analyse the occurrence of a disease by place.
Most maps contain these elements : Map Title: Focuses attention on the primary content of the map, but may be omitted where captions are provided.
Map Legend: The principal symbol-referent description on the map; subordinate to the title, but a key element in map reading; describes all unknown symbols.
Map Symbols: Most important elements of the map, along with the geographical areas being shown. Symbols are the primary means for communicating on maps; they orient the reader on the map (what, where, when, why, etc.)
Map Scale: Usually included on a thematic map.
Credits: Map's data source, basemap source, reliability of data, dates, the map maker, and other explanatory text.
Mapped and Unmapped Area: The figure (what is being mapped) and the ground (the background).
Graticule: Lines of latitude and longitude are included if their locational information is crucial to the map's purpose
Borders and Neatlines: Borders serve to restrain eye movement; neatlines are finer and drawn inside borders, they are used often for decoration
In a spot map, a dot or any other symbol on the map is located at the exact place the event occurred. This can be very precise when using geographical positing system to locate events. A spot map is useful to locate an event but since a spot map does not take into account the size of a population it does not allow showing the risk of occurrence of the event by place. Even when many dots are located in an area, it does not tell us if it simply reflects population density or risk of occurrence or the event.
Source: Denis Coulombier, InVS, France, 1996
Source: InVS, Saint Maurice, France
Area maps (also known as choropleth or thematic maps) use shaded or coloured areas to show counts, risks or rates of an event by area. A distinctive colour or shading is applied to artificial collection units (chorograms) which are statistical or administrative areas. Shading or colour patterns are organised in a logical order. Usually the darker the area, the higher the count, risk or rate. If risks or rates are used, they are computed for each area by taking into account the numerator (number of event in the area during a specific period of time) and the denominator (persons living in the area or person-time experienced by the area population). The range of the risk distribution by areas is divided into exclusive categories and shaded/coloured accordingly. This type of map displays aggregate data and allows for easy, general comparison of neighbouring areas.
The following area map illustrates rates of tuberculosis cases in France in 1996. Rates are expressed as the number of new cases per 100 000 population per year. Differently shaded coloured patterns are used to describe categories of magnitude of incidence rates in each of the 100 French health districts.
Source: InVS, Saint Maurice, France
Density maps (also known as isarithmic, contour or intensity maps) allow for displaying disease occurrence over statistical units or administrative boundaries, therefore provide more details as regard to geographical occurrence of the disease. Raw data (e.g. distribution) should not be mapped with this method, but instead derived values, such as densities. Changes in tone from dark to light reflect the density of disease, in this way one may visualise the effective locations at risk.
See an example below that shows the incidence of diarrhoeal cases in France in 1995. Locations where most cases occurred are being coloured dark red, while the darkest green parts represent the least cases.
1. Course material, University of Minnesota
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