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PLOS One logoLink to PLOS One
. 2023 Mar 1;18(3):e0281624. doi: 10.1371/journal.pone.0281624

Geospatial distribution and predictive modeling of onchocerciasis in Ogun State, Nigeria

Olabanji Ahmed Surakat 1,*,#, Ayodele S Babalola 2,#, Monsuru A Adeleke 1, Adedapo O Adeogun 2, Olufunmilayo A Idowu 3, Sammy O Sam-Wobo 3
Editor: Shawky M Aboelhadid4
PMCID: PMC9977021  PMID: 36857325

Abstract

Onchocerciasis caused by infection with Onchocerca volvulus is a disease of public health importance and is highly associated with disability. As Nigeria is aiming at eliminating onchocerciasis by 2030, there is a need to develop newer tools to map disease prevalence and identify environmental factors driving disease prevalence, even in places that have not been previously targeted for preventive chemotherapy. This study produced predictive risk-maps of onchocerciasis in Ogun State. Georeferenced onchocerciasis infection data obtained from a cross-sectional survey at 32 locations between March and July 2015 together with remotely-sensed environmental data were analyzed using Ecological Niche Models (ENM). A total of 107 field occurrence points for O. volvulus infection were recorded. A total of 43 positive occurrence points were used for modelling. ENMs were used to estimate the current geographic distribution of O. volvulus in Ogun State. Maximum Entropy distribution modeling (MaxEnt) was used for predicting the potential suitable habitats, using a portion of the occurrence records. A total of 19 environmental variables were used to model the potential geographical distribution area under current climatic conditions. Empirical prevalence of 9.3% was recorded in this study. The geospatial distribution of infection revealed that all communities in Odeda Local Government Area (a peri-urban LGA) showed remarkably high prevalence compared with other LGAs. The predicted high-risk areas (probability > 0.8) of O. volvulus infection were all parts of Odeda, Abeokuta South, and Abeokuta North, southern part of Imeko-Afon, a large part of Yewa North, some parts of Ewekoro and Obafemi-Owode LGAs. The estimated prevalence for these regions were >60% (between 61% and 100%). As predicted, O. volvulus occurrence showed a positive association with variables reflecting precipitation in Ogun State. Our predictive risk-maps has provided useful information for the elimination of onchocerciais, by identifying priority areas for delivery of intervention in Ogun State, Nigeria.

Introduction

Onchocerciasis also known as river blindness is a tropical disease caused by the filarial nematode O. volvulus and transmitted through repeated bites of Simulium blackflies. The epidemiology of the disease is greatly influenced by the presence of adequate vector breeding sites [1]. The vector of onchocerciasis breeds in fast-flowing rivers where they attach to rocks, plants and suspended particles, or smaller river habitats of freshwater crab (Potamonautes spp.) [2,3]. Members of the Simulium damnosum complex have however been implicated as the only vectors of human onchocerciasis in West Africa [4]. Clinical manifestation of the diseases could either be ocular or dermal with symptoms such as nodules, itching, skin thickening, visual impairment, and blindness [5].

Onchocerciasis is of public health concern in 31 sub-Saharan African countries. However, Yemen, South America, Ecuador, Colombia, and Mexico have been verified by World Health Organization (WHO) to have successfully interrupted the transmission of O. volvulus [1]. Nigeria has one of the heaviest burdens of onchocerciasis in the world, accounting for almost one-third of the global prevalence [6,7]. Nodules removal (nodulectomy), vector control and mass drug administration (MDA) with ivermectin are some of the interventions that have been implemented in the control of morbidity of onchocerciasis and interruption of transmission of parasite with varying degrees of success [1,8]. In most areas of Africa, annual community-directed treatment with ivermectin (CDTI) is the primary intervention for control of onchocerciasis, with the exception of a few foci where semi-annual treatment is implemented [1]. In Ogun state, Nigeria, eight local government areas (LGAs) have been reported to be endemic for onchocerciasis, with two suitable vector habitats (Ogun and Osun rivers) with submerged rocks and vegetation, traversing several of the communities in these LGAs [7]. Following rapid epidemiological mapping of onchocerciasis (REMO), control strategy using CDTI have been implemented in Ogun state since 2004 [9], however, despite the intensified global efforts to eliminate onchocerciasis and the success achieved with MDA in Ogun state, the presence of microfilaria (mf) observed amongst adult population is a reflection that mass treatment may not really be effective [7], or a result of varying degrees of acceptability of medicines in the communities [10]. In line with the elimination targets set by WHO, there is a need to produce a model-based estimates of level of risk of Onchocerciasis across the communities or regions of Ogun state and this will invariably help policy makers to know where intervention strategies may require modifications and intensification. In this study, the geographical information system (GIS) and remote sensing (RS) technology were employed utilizing O. volvulus infection data from a cross-sectional survey across 8-endemic LGAs in Ogun State Nigeria, to produce model-based estimates of infection risk for the whole of the State.

Advancement in geospatial technology have made it possible to conduct disease mapping, surveillance, outbreaks prediction and evaluating infectious diseases spread pattern, particularly epidemic or pandemic prone-diseases [11–13]. Geospatial technology is now being adopted by experts in the public health field and decision makers to make visualization and analytical tools in order to carry out disease control programs in affected and/or suspected regions. It can also be used to perform analysis and predictions that were previously technologically impossible [13]. This technology is valuable as it is helpful in generating maps which are useful in comprehending the geographical distribution of disease for case frequency study, disease mapping and disease correlation with environmental factors and so on. These geospatial tools can forecast infection across a vast geographical zone by integrating a range of possible disease drivers which include remotely sensed climatic and environmental data in addition to the applicable socio-demographic information to advance model predictions [14].

In Nigeria, onchocerciasis programme has progressed from control to elimination in line with the objective of the WHO-Neglected Tropical Diseases (NTD) 2030 roadmap. To achieve elimination, there is a need to develop newer tools to map disease prevalence, identify socio-demographic and environmental factors driving disease prevalence and to forecast estimates of infection risk even in places that have not been previously targeted for preventive chemotherapy. In this study, we mapped the distribution of onchocerciasis (based on rapid diagnostic test (RDT) and skin snip data for mf prevalence) at community and local government level in Ogun state while also broadening the geostatistical methods to consider and integrate important environmental inferential covariates. The objective of this study was to present a geospatial map of onchocerciasis infection in Ogun state, identify the major environmental factors that correlate with onchocerciasis infection and to produce model-based estimates of infection risk of onchocerciasis for the whole of Ogun state.

Materials and methods

Study area, design and population

This study was conducted in Ogun State, Nigeria (Fig 1). Details of the study area, design and population surveyed have been described elsewhere [7]. In brief, the study was carried out between March and July 2015 during the wet season. We designed a cross- sectional survey, and employed a systematic grid sampling method in the selection of communities to ensure an unbiased representation across the selected endemic LGAs [7]. A total of 3,895 children and adults, from 32 spatially selected communities participated in the study [7]. In each community, all households and their occupants were considered eligible for participation and invited to participate in the study. Only participants who gave their consent and were willing to participate were included in this study.

Fig 1. Map showing the study locations and LGAs in Ogun State.

Fig 1

This figure was created by the authors in R programming software (R version 4.1.2, Vienna, Austria). Available at https://www.R-project.org/. The Nigerian shapefile was obtained from World BankDataCatalog (https://data.humdata.org/dataset/geoboundaries-admin-boundaries-for-nigeria) an Open license standardized resource of boundaries (i.e., state, county) for every country in the world.

Onchocerciasis infection data

The field and laboratory procedures have been previously described in [7]. In brief, both RDT and skin snip methods were employed to determine prevalence of onchocerciasis. For the RDT, participants were serially arranged in a census form and the corresponding number was written on each Alere™ SD Bioline IgG4 test kit (Abbott Laboratories, Abbott Park, IL, USA) cassette using a permanent marker for easy identification. The kit was used according to the manufacturer’s instruction [6]. For the skin snip examination, two bloodless skin biopsies of each participant were obtained from the left and right posterior iliac crest with the aid of a 2 mm corneoscleral punch (Holth and Modified Walser) and placed on a glass slide with a drop of saline water. The tissues in the slides were examined under a x40 binocular microscope after 30 min for micro-filarial manifestation. Each skin tissue was incubated in a 96-well microtitration plate containing a normal saline solution and when the column was full the wells were covered with a transparent adhesive film and kept for re-examination within 24 h. Mf results were expressed as positive (mf present) or negative (mf absent); mf prevalence was expressed as number of persons positive divided by the total number of persons examined [7,15].

Environmental data

The climatic variables such as temperature and precipitation influenced global and meso scales and topographic variables such as altitude and aspect that likely affects species distributions at meso and topo-scales while land-cover variables like percent canopy cover influence distributions at the micro-scale [16,17]. Hence, the use of the climatic and topographic variables in the prediction of distributions of O. volvulus infection was used in Ogun State.

To determine the possible distribution of O. volvulus infection in Ogun State using the prediction model, a total of 107 positive occurrences for O. volvulus infection were recorded from the field study. The autocorrelation problems were addressed by eliminating redundant presences on the scale of the bioclimatic variables used in each 1 × 1 km grid [18]. In addition, records for spatial autocorrelation were screened in ArcGIS 10.7.1 using average nearest neighbor analyses to remove spatially correlated data points [19,20]. After this selection, a total of 43 O. volvulus positive occurrence points were used to create a prediction model. We considered 19 environmental variables as potential predictors of the target species habitat distribution [21,22]. These variables were chosen based on their biological relevance to the target species distributions and other habitat modeling studies [17,23–26]. Nineteen bioclimatic variables, biologically more meaningful to define eco-physiological tolerances of a species [27,28], with a 30 arc-second spatial resolution (about. 1 km2) were downloaded from the WorldClim database (http://www.worldclim.org/) [29].

Then we utilized the standard geographic coordinates in decimal degrees (to four decimal places) in WGS 84. Then we spatialized and checked the geographic coordinates on Google Earth. After downloading the climatic files (covering the period 1950–2000), the Nigeria layer was extracted by using a boundary mask. After that, extracted files were converted to ASCII format via using ArcGIS 10.7.1 software to be use later with Maxent software.

All combinations of the 19 environmental variables have been tested for multi-collinearity through the calculation of R-squared in linear regression analysis in R software ver. 4.1.2. In this study, because some of these bioclimatic variables were strongly correlated (R2 ≥ 0.7), only those variables that showed little correlation with other predictors were retained; following [30,31]. A total of 8 environmental variables were selected in this study (R2 < 0.7); Annual Mean Temperature (bio 1), mean diurnal range (max. temp–min. temp) (bio2), Isothermality (bio 3), min temperature of coldest month (bio 6), mean temperature of wettest quarter (bio 8), Annual Precipitation (bio12), Precipitation seasonality (Coefficient of variation) (bio 15), and precipitation of coldest quarter(bio19) (Table 1).

Table 1. Environmental variables used for modeling the potential distribution of Aedes spp. in the present study.

No Variable Code/Unit Source
1 Annual mean temperature Bio1°C) WorldClim
2 Mean Diurnal Range (Mean of monthly (max temp—min temp)) Bio2°C) WorldClim
3 Isothermality Bio3°C) WorldClim
4 Min Temperature of Coldest Month Bio6°C) WorldClim
5 Mean Temperature of Wettest Quarter Bio8°C) WorldClim
6 Annual Precipitation Bio12(mm) WorldClim
7 Precipitation Seasonality (Coefficient of Variation) Bio15(mm) WorldClim
8 Precipitation of Coldest Quarter Bio19(mm) WorldClim

Modeling procedure

The modeling technique maximum entropy distribution or Maxent were used in this study; which has been found to be the most effective among several different modeling methods [22,32,33], and may continue to be effective even with small sample sizes [21,25,34–36]. For the study area, it only requires species presence data (not absence) and environmental variable (continuous or categorical) layers. We used the freely available Maxent software, version 3.3.3, which generates an estimate of the probability of the presence of the species that varies from 0 “unsuitable” to 0.99 “best habitat suitability”. ASCII files of the 8 selected environmental variables and a CSV file of species presence coordinates in decimal degrees were used to create the module. Maxent’s performance was assessed using a threshold independent Receiver-Operating Characteristic (ROC) analysis and Area Under Receiver- Operating Characteristic Curve (AUC) values (0.5 = random to 1 = perfect discrimination). The algorithm either runs 1000 iterations of these processes or continues until convergence is reached (threshold 0.00001).

For the model, the relative importance of each environmental predictor was evaluated using the percentage contribution of the Jackknife test, which is the best index for small sample sizes [25]. The default logistic output format was chosen, i.e. related to the probability of suitable conditions, ranging from 0 to 1. A total of 75% of the location point data were used for training, and the remaining 25% to test the predictive ability of the model, in addition 10 replicates were considered. Average and Standard deviation values for training and test AUC for the 10 models were extracted from the Maxent text result output. The ASCII output map for the average model for the target species was loaded in ArcGIS 10.7.1 where the prediction models of habitat suitability were divided based on Choudhury et al. (2016) into 5 classes; very low (0–0.1), low (>0.1–0.2), moderate (>0.2–0.4), high (>0.4–0.6) and very high (>0.6) using natural breaks in the symbology tools to produce the habitat suitability model picture [37].

Ethical clearance and permission

Ethical approval for the study was obtained from the Ethics Review Committee (ERC) of Ogun State Hospital Management Board, Abeokuta (trial registration number: SHA/RES/VOL.2/153). Informed consent forms were duly signed by voluntary participants and by parents or guardians of child participants during the skin snip and Ov16 RDT study. Consent to participate in either skin snips, finger prick or both was contained in a questionnaire administered to each participant prior to the study. Participants were allowed to freely decide their preference without coercion. All methods including recruitment of participants, collection of participant’s data and samples, laboratory analysis and data management were performed in accordance with the 1964 Declarations of Helsinki.

Results

Data summaries

A total of 3,895 infection data was included in the survey. The demographic characteristics of the study population have been described elsewhere [7]. However, Table 2 summarized the prevalence of O. volvulus infection among the examined participants. In short, an overall prevalence of 9.3% (95% confidence interval (CI) 7.2, 11.4) was recorded for O. volvulus infection. The geographical distribution of the empirical prevalence for O. volvulus infection is presented in Fig 2. The geospatial distribution highlighted higher prevalence in Odeda LGA, Abeokuta North and Obafemi Owode LGA compared with the other LGAs. Equally, O. volvulus infection was prevalent at all the selected communities in Abeokuta North and Odeda LGAs while only two communities were prevalent for O. volvulus infection at Obafemi-Owode and Imeko-Afon LGAs respectively. A zero percent prevalence was recorded at Yewa North LGA. A high proportion of the participants, 3374(87.3%) have never taken a single dose of ivermectin at the time this study was conducted.

Table 2. Summary of Onchocerciasis prevalence across the selected LGAs.

LGAs No. Examined No. infected Prevalence (%) 95% CI
Odeda 442 138 31.2 27.2–35.2
Abeokuta North 440 82 18.6 15.7–21.5
Yewa North 459 1 0.2 -0.1–0.5
Obafemi Owode 333 35 10.5 9.3–11.7
Imeko 634 66 6.6 4.9–8.3
Ewekoro 501 19 3.4 2.6–4.1
Abeokuta South 587 21 3.6 3.1–4.2
Ifo 499 2 0.4 0.3–0.5
3985 364 9.3 7.2–11.4

Fig 2. Geospatial distribution of onchocerciasis at LGA and community level.

Fig 2

This figure was created by the authors in R programming software (R version 4.1.2, Vienna, Austria). Available at https://www.R-project.org/. The Nigerian shapefile was obtained from World BankDataCatalog (https://data.humdata.org/dataset/geoboundaries-admin-boundaries-for-nigeria) an Open license standardized resource of boundaries (i.e., state, county) for every country in the world.

Geospatial distribution of onchocerciasis by age and sex across the selected LGAs

The distribution of O. volvulus infection by age and sex is presented in Fig 3. The results showed that there was no regular pattern of infection with respect to age across all the LGAs. For instance, prevalence was generally higher (p<0.05) among adults (25 years and above) compared with those below 25 years at the two highly onchocerciasis endemic LGAs (Odeda and Abeokuta North), while there seems to be no difference (p>0.05) in prevalence of O. volvulus infection with respect to age across the other LGAs (Fig 3).

Fig 3. Geospatial distribution of onchocerciasis by age and sex in the selected LGAs.

Fig 3

This figure was created by the authors in R programming software (R version 4.1.2, Vienna, Austria). Available at https://www.R-project.org/. The Nigerian shapefile was obtained from World BankDataCatalog (https://data.humdata.org/dataset/geoboundaries-admin-boundaries-for-nigeria) an Open license standardized resource of boundaries (i.e., state, county) for every country in the world.

In the same vein, there was no observable pattern in prevalence of O. volvulus infection with respect to gender across all the LGAs. Prevalence was higher among females in some LGAs (Imeko-Afon and Odeda) while it was higher in males in other LGAs (Abeokuta North, Ewekoro, Abeokuta South, Ifo and Obafemi-Owode) (Fig 3).

Logistic regression model for O. volvulus infection risk

Except for sex, all other covariates, in Table 3 (LGAs and Age) were significant predictors of O. volvulus infection in the models. Prevalence risk of O. volvulus infection was highest among participants from Odeda LGA Crude odd ratio (COR) = 112.8, Adjusted odd ratio (AOR) = 86.0). Infection risk is 52, 35 and 20 times higher among people from Abeokuta North (AOR = 52), Obafemi-Owode (AOR = 35.2), and Imeko-Afon (AOR = 19.6) LGAs respectively compared with Ifo LGA, while risk of infection was 8 and 10 times higher among people from Abeokuta South (COR = 9.2, AOR = 7.8) and Ewekoro (COR = 8.7, AOR = 9.7) (Table 3).

Table 3. Logistic regression model for predictors of O. volvulus infection among the study participants.

Variables COR (95% CI) p-values AOR (95% CI) p-values
LGAs
Odeda 112.8 (27.7–458.9) <0.0001* 86.0 (21.1–351.3) <0.0001*
Abeokuta North 56.8 (13.9–232.3) <0.0001* 52.0 (12.7–213.1) <0.0001*
Yewa North 0.5 (0.1–6.0) 0.618 0.6 (0.1–6.3) 0.642
Obafemi Owode 29.2 (7.0–122.2) <0.0001* 35.2 (8.4–147.9) <0.0001*
Imeko—Afon 17.6 (4.2–73.2) <0.0001* 19.6 (4.7–81.3) <0.0001*
Ewekoro 8.7 (2.0–38.0) 0.004* 9.7 (2.2–42.5) 0.002*
Abeokuta South 9.2 (2.2–39.5) 0.003* 7.8 (1.8–33.4) 0.006*
Ifo Ref Ref
Gender
Male 1.2(0.9–1.5) 0.129 1.1(0.8–1.3) 0.673
Female Ref
Age
5 -14y 0.3 (0.2–0.4) <0.0001* 0.2(0.2–0.3) <0.0001*
15—24y 0.8 (0.6–1.2) 0.324 0.7 (0.5–1.0) 0.084
25—34y 1.3 (1.0–1.8) 0.091 1.1 (0.7–1.5) 0.761
35—44y 1.1 (0.8–1.5) 0.652 1.0 (0.7–1.4) 0.829
>44 Ref Ref
Ivermectin treatment
No 0.2 (0.2–0.3) <0.0001* 1.5 (1.3–1.5) <0.0001*
Yes Ref Ref

Those who are within the age range of 5-14years were 0.3 times likely to be infected with O. volvulus, while risk of infection was 0.8, 1.3, and 1.1 times higher in those who are within the age range of 15-24years, 25-34years and 35-44years respectively compared with those who are above 44years. Furthermore, risk of infection was 2-folds higher (COR = 0.2, AOR = 1.5) among those who did not receive preventive chemotherapy (ivermectin) compared with those who received (Table 3).

Predicted risk of onchocerciasis in Ogun State

The predicted high-risk areas (probability > 0.8) of O. volvulus infection were all parts of Odeda, Abeokuta South, and Abeokuta North, southern part of Imeko-Afon, a large part of Yewa North, some parts of Ewekoro and Obafemi-Owode LGAs. The estimated prevalence for these regions were >60% (between 61% and 100%). The prediction showed that some part of Yewa North was expected to have high prevalence of onchocerciasis in contrast to the geospatial distribution with zero percent prevalence from the sampled location (which differs from the area predicted for high prevalence) (Fig 4).

Fig 4. Predicted prevalence of O. volvulus infection in Ogun State Nigeria.

Fig 4

This figure was created by the authors in R programming software (R version 4.1.2, Vienna, Austria). Available at https://www.R-project.org/. The Nigerian shapefile was obtained from World BankDataCatalog (https://data.humdata.org/dataset/geoboundaries-admin-boundaries-for-nigeria) an Open license standardized resource of boundaries (i.e., state, county) for every country in the world.

The other parts of Imeko-Afon has between very low (0–10%) and moderate (21–40%) prevalence risk. Areas with very low to moderate predicted prevalence includes; Ipokia, Egbado South, Ifo, Ikenne, Shagamu, Remo-North, Ijebu North (with higher prevalence in areas sharing boundaries with adjoining highly endemic LGAs. Areas with very low (0–10%) to low (11–20%) prevalence risks include; Ado-odo ota (very low risk in major areas) and Odogbolu LGAs. Areas with very low prevalence risk are Ijebu North East, Ijebu East, Ijebu Ode, and Ogun waterside LGAs (Fig 4).

Model performance and influencing factors

The average percent contribution (PC) and permutation importance (PI) of the 8 variables used in the modeling of onchocerciasis in this study were also assessed. In this study, precipitation seasonality (coefficient of variation) had the highest PC and PI of 53.6 and 49.7 respectively, followed by annual precipitation with PC of 43.5 and PI of 43.0 and precipitation of coldest quarter with PC of 1.7 and PI of 7.3. The results showed that both precipitation seasonality (coefficient of variation) and annual precipitation are strong predictors of O. volvulus distribution in Ogun State, accounting for 97.1% of the variations in distribution observed (Table 4).

Table 4. Average percent contribution and permutation importance of the variables used in the modeling of O. volvulus infection.

Environmental Variable % Contribution Permutation Importance
Bio15 (Precipitation Seasonality (Coefficient of Variation) 53.6 49.7
Bio12 (Annual Precipitation) 43.5 43.0
Bio19 (Precipitation of Coldest Quarter) 1.7 7.3
Bio6 (Min Temperature of Coldest Month) 1.1 0.0
Bio3 (Isothermality) 0.2 0.0
Bio8 (Mean Temperature of Wettest Quarter) 0.0 0.0
Bio2 (Mean Diurnal Range) 0.0 0.0
Bio1 (Annual mean temperature) 0.0 0.0

The ROC curve obtained as an average of the 10 replications runs is shown in Fig 5, and specificity was calculated. The average and standard deviation of the AUC for the 10 replicate runs was 0.843±0.01. This value shows an excellent performance of the model as an AUC value of greater than 0.70 shows higher sensitivity and specificity for the presence of O. volvulus.

Fig 5. Area under the curve (AUC) for O. volvulus prevalence.

Fig 5

Red line indicates the mean value for 10 MaxEnt replicate runs.

The relative importance of each variable to the prevalence of O. volvulus infection was also computed with the jackknife test in Fig 6 which gave a training gain of 0.65 and an area under the curve (AUC) value of 0.81 (red bar). The jackknife test also showed that bio15 (precipitation seasonality (coefficient of variation) and Bio 12 (annual precipitation) are the two variables that will affect the prevalence of onchocerciasis when used alone. The jackknife test also showed that bio15 (precipitation seasonality (coefficient of variation) decreased the gain the most when removed from the model.

Fig 6. The highest environmental variables that estimate to control the geographical distribution of O. volvulus in Ogun State.

Fig 6

Variable contributions (bio15, bio12 and bio19). This figure was created by the authors in R programming software (R version 4.1.2, Vienna, Austria). Available at https://www.R-project.org/. The Nigerian shapefile was obtained from World BankDataCatalog (https://data.humdata.org/dataset/geoboundaries-admin-boundaries-for-nigeria) an Open license standardized resource of boundaries (i.e., state, county) for every country in the world.

Figs 6 and 7 shows the main highest estimated environmental variables (contributions) that determines the prevalence of O. volvulus infection in Ogun State. Spatial distribution analysis was done to determine the geographical variability with regards to the selected environmental variables in the State. The response curves of three variables to O. volvulus habitat suitability are shown in (Fig 8). We found out that precipitation seasonality (bio15) ranged from 61 to 77 mm, annual precipitation (bio12) ranged from 1901 to 2014 mm while precipitation of the coldest quarter (bio19) ranged from 323 to 704 mm. The response curves showed that between annual precipitation of 1100 and 1200 mm favors the potential transmission of O. volvulus. Similarly, precipitation seasonality of 60 to 64 mm significantly and potentially favoured the distribution of O. volvulus while precipitation of the coldest quarter ranging between 400 and 450 mm significantly favoured the transmission of O. volvulus in Ogun State (Fig 8).

Fig 7. Jacknife analysis (a) training gain (b) AUC.

Fig 7

The dark blue, light blue and red bars represent results of the model with each individual variable, all the remaining variables and all variables respectively.

Fig 8. Response curves of three environmental predictors used in MaxEnt model for O. volvulus.

Fig 8

The prediction model of prevalence risk was divided into 5 classes; very low (0–10%), low (11–20%), moderate (21–40%), high (41–60%) and very high (>60%). Ogun state has an estimated landmass of 16,980.55 km2 in which potential distribution of O. volvulus infection cover an area of 10, 952.32 km2 (about 64% of the total land mass). This area divided as; 2706 km2 low prevalence probability, 2455 km2 moderate prevalence probability, 2040 km2 high prevalence probability, and 6028 km2 very high prevalence probability.

Discussion

In this study, we utilized O. volvulus infection data from a cross-sectional survey across eight-endemic LGAs in Ogun State Nigeria, to produce model-based estimates of infection risk for the whole State. To the best of our knowledge, this is the first predictive geospatial-model for prevalence of O. volvulus infection in Ogun State, using empirical data.

The empirical prevalence of 9.3% recorded in this study, with higher prevalence in certain LGAs is an indication that elimination of onchocerciasis may still be a problem in Ogun State if control efforts are not geared up. The geospatial distribution of infection revealed that all communities in Odeda LGA (a peri-urban LGA) showed remarkably high prevalence compared with other LGAs having either low or zero prevalence at the community level. Our regression model further suggested an incredibly high risk of infection in Odeda LGA. This has serious implications for elimination. MDA has been on-going for over ten years in the state [7,38], it is quite worrisome that prevalence among children 5–14 years is still incredibly high or at par with adults across different LGAs in the State. This result showed that transmission is still actively on-going in the affected LGAs despite on-going MDA. This may be as a result of poor uptake of preventive chemotherapy with ivermectin observed among the study population. Our regression model also indicated a double-fold increase in risk of infection among those who did not take ivermectin compared with those who did. Studies have reported the efficacy of ivermectin in reducing mf load and subsequently reduce transmission [39,40]. Therefore, there is a need to investigate the reasons for this shortfall and how to subsequently improve geographical coverage if we are to meet the elimination target.

Modelling the baseline endemicity of infection is very germane in determining where and how to scale up control programmes. In order to raise adequate awareness and develop proper framework for advocacy in areas of community/institutional engagement, there is dire need to have good knowledge of the extent of disease burden [41]. In view of this, we used our model to predict the hotspots for onchocerciasis in Ogun State. It is important to note that predicted prevalence in locations that are not currently occupied by humans can increase risk of transmission when people with infection establish communities in such places [42].

Our model showed varying degrees of predicted prevalence across Ogun State. The predicted high-risk areas (probability >0.8) of onchocerciasis infections were all parts of Odeda, Abeokuta South, and Abeokuta North, southern part of Imeko-Afon, a large part of Yewa, some parts of Ewekoro and Obafemi-Owode LGAs. One thing that these LGAs had in common and could possibly explain the high prevalence recorded in this study is the availability of fast flowing rivers which is a potent breeding sites responsible for consistent bites by the S. damnosum s.l [7]. The higher risk of infections in Odeda communities, Abeokuta South, and Obafemi-Owode can be attributed to their proximity to Ogun river, while that of Abeokuta North and Yewa North is the proximity to Arakanga and Yewa river respectively. It is therefore expected to have higher risk of onchocerciais prevalence in communities along river system due to the preponderance of the Simulium vectors in these areas [43].

The prediction showed that some part of Yewa North was expected to have high prevalence of onchocerciasis in contrast to the geospatial distribution with 0 prevalence from the sampled location (which differs from the area predicted for high prevalence). This is quite possible and this calls for proper evaluation. Eight LGAs are known to be endemic for onchocerciais in Ogun State, however, a prevalence of 26.4% was reported by [44] in a community in Ijebu North East, a LGA that was thought to be non-endemic for onchocerciasis. It is therefore important to extend control programmes across all the LGAs if we want to effectively disrupt onchocerciais transmission in Ogun State. We also noticed in our predictive maps that some LGAs (that were previously considered as non-endemic) with high infection risk were from areas sharing boundaries with adjoining highly endemic LGAs. This suggest that when planning for control programmes, communities sharing boundaries with highly endemic LGAs should be given as much attention as possible if we are to drive the elimination of onchocerciasis in Ogun State.

It is equally important to stress, that our model revealed that transmission could have spread to additional eight LGAs in Ogun State, with low to moderate infection risk. This finding corroborates that of [45], who recently reported a prevalence of 1.64% in Yewa South LGA, which was presumably considered as non-endemic. The findings from this study should be taken as warning alert, requiring drastic and deliberate actions in other not to frustrate the existing and limited control efforts within the state.

Three variables; precipitation seasonality (coefficient of variation), annual precipitation and precipitation of coldest quarter were strongly associated with prevalence of onchocerciasis in this study. A study by [46] also stressed the association between precipitation and prevalence of onchocerciasis. This finding suggests that optimum condition for breeding of blackflies and transmission of onchocerciais may be present in areas which the majority of precipitation occurs in the cooler parts of the year.

This study has predicted the prevalence of O. volvulus infection in Ogun State using a robust geospatial modeling approach, and as well the spatial pattern of disease spread. The empirical and predicted prevalence for O. volvulus infection was very high at some LGAs while infection may have spread to previously thought non-endemic LGAs. The empirical data used for this model was limited to 8 LGAs (32 communities) with 107 occurrence data points, hence may have present a limitation to this rigorousness of the model if the value for AUC is not up to 0.75. The MaxEnt modeling used in this study is a general-purpose method for making predictions of inferences from incomplete information [16,27]. The model used in this study is a present only modeling algorithm (i.e. absence data are not required). More so, the performance has been reported to be relatively better than other modeling methods [17,32]. The report that the model has been hardly influenced by small sample sizes with relatively robust prediction hence putting it among the top performing modeling tools [32] made it the choice model for our study.

Conclusion

In Nigeria, the focus of onchocerciasis programs has shifted from control to elimination of O. volvulus transmission, prompting the need to employ newer tools to aid in efficient prioritization of decisions regarding elimination mapping and interventions [42] especially in areas that were not previously considered for intervention. As a result, we have generated a baseline prevalence map for Ogun State using geospatial modeling technique. Knowing that elimination mapping of any disease can be expensive, hence the map presented here could be used by the state onchocerciasis elimination programs to direct resources for elimination mapping. Coupled with that fact the method described here may be an inexpensive first step that can extrapolate state-wide prevalence from existing data, the national onchocerciasis elimination programs can also employ this mean in providing a better situational analysis of onchocerciasis in Nigeria from known prevalence data.

Supporting information

S1 File

(XLSX)

Acknowledgments

We would want to express our gratitude to the community leaders and members who volunteered to take part in our research. We would also want to thank the health care professionals who, despite their hectic schedules, volunteered to assist us in this study.

Data Availability

All relevant data are within the paper and its Supporting information files.

Funding Statement

The author(s) received no specific funding for this work.

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Decision Letter 0

Shawky M Aboelhadid

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23 Aug 2022

PONE-D-22-16005Geospatial distribution and predictive modeling of Onchocerciasis in Ogun State, NigeriaPLOS ONE

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Reviewer #1: I read the manuscript PONE-D-22-16005 entitled "Geospatial distribution and predictive modeling of onchocerciasis in Ogun State, Nigeria" with interest. In this study, the authors obtained georeferenced onchocerciasis infection data from a cross-sectional survey collected between March and July 2015 from locations in Ogun State, Nigeria. However, it could have been a very interesting work if communicated earlier, as the MDA interventions in the past seven years might have changed the epidemiological situation of the disease in the area. Though it is possibly losing its merit, this will provide useful information for identifying priority areas for delivery of intervention and eventually contribute to the elimination of onchocerciais in the study area.

The authors followed appropriate statistical methods and modelling to analyse the data. My comments on the manuscript are on the use of abbreviations and punctuation throughout the manuscript. There are many small errors in punctuation and improper use of abbreviations throughout the manuscript. For example, in the abstract portion, the abbreviation "LGA" should be written in its long form as it appears first, then in its abbreviated form. The same is true for the phrases "mass drug administration", "community-directed treatment with ivermectin", "Onchocerca volvulus" etc.. whereas WHO, GIS, RS, WHO-NTD, RDT, mf, AOR etc ... are written in abbreviated form in their first appearance in the manuscript. These and other terms in the manuscript have to be critically looked and corrected. If the manuscript is to be accepted, there may be a need for a language check by a professional editor for errors in punctuation in the manuscript.

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Reviewer #1: No

**********

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

PLoS One. 2023 Mar 1;18(3):e0281624. doi: 10.1371/journal.pone.0281624.r002

Author response to Decision Letter 0


21 Nov 2022

. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at 

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 

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2. We noticed you have some minor occurrence of overlapping text with the following previous publication(s), which needs to be addressed:

- https://www.medrxiv.org/content/10.1101/2022.01.10.22269016v1.full

Response: This has been adjusted and highlighted within the text (See lines 407-409 and 459-462)

In your revision ensure you cite all your sources (including your own works), and quote or rephrase any duplicated text outside the methods section. Further consideration is dependent on these concerns being addressed.

Response: This has been addressed, all sources have been cited within the text including my own works

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Response: This was previously included in the manuscript (Line 199-208).

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We will update your Data Availability statement to reflect the information you provide in your cover letter.

Response: The minimal data sets has been attached as a supporting information file in the revised submission

5. We note that you have stated that you will provide repository information for your data at acceptance. Should your manuscript be accepted for publication, we will hold it until you provide the relevant accession numbers or DOIs necessary to access your data. If you wish to make changes to your Data Availability statement, please describe these changes in your cover letter and we will update your Data Availability statement to reflect the information you provide.

6. We note that you have referenced (ie. Bewick et al. [5]) which has currently not yet been accepted for publication. Please remove this from your References and amend this to state in the body of your manuscript: (ie “Bewick et al. [Unpublished]”) as detailed online in our guide for authors

http://journals.plos.org/plosone/s/submission-guidelines#loc-reference-style

Response: This has been amended to reflect unpublished

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We require you to either (1) present written permission from the copyright holder to publish these figures specifically under the CC BY 4.0 license, or (2) remove the figures from your submission:

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We recommend that you contact the original copyright holder with the Content Permission Form (http://journals.plos.org/plosone/s/file?id=7c09/content-permission-form.pdf) and the following text:

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In the figure caption of the copyrighted figure, please include the following text: “Reprinted from [ref] under a CC BY license, with permission from [name of publisher], original copyright [original copyright year].”

b. If you are unable to obtain permission from the original copyright holder to publish these figures under the CC BY 4.0 license or if the copyright holder’s requirements are incompatible with the CC BY 4.0 license, please either i) remove the figure or ii) supply a replacement figure that complies with the CC BY 4.0 license. Please check copyright information on all replacement figures and update the figure caption with source information. If applicable, please specify in the figure caption text when a figure is similar but not identical to the original image and is therefore for illustrative purposes only.

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USGS National Map Viewer (public domain): http://viewer.nationalmap.gov/viewer/

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Maps at the CIA (public domain): https://www.cia.gov/library/publications/the-world-factbook/index.html and https://www.cia.gov/library/publications/cia-maps-publications/index.html

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USGS EROS (Earth Resources Observatory and Science (EROS) Center) (public domain): http://eros.usgs.gov/#

Natural Earth (public domain): http://www.naturalearthdata.com/

Response: The maps were originally created by the authors; hence no permission was required. However, a statement indicating this has been added as a footnote to the maps.

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I read the manuscript PONE-D-22-16005 entitled "Geospatial distribution and predictive modeling of onchocerciasis in Ogun State, Nigeria" with interest. In this study, the authors obtained georeferenced onchocerciasis infection data from a cross-sectional survey collected between March and July 2015 from locations in Ogun State, Nigeria. However, it could have been a very interesting work if communicated earlier, as the MDA interventions in the past seven years might have changed the epidemiological situation of the disease in the area. Though it is possibly losing its merit, this will provide useful information for identifying priority areas for delivery of intervention and eventually contribute to the elimination of onchocerciais in the study area.

The authors followed appropriate statistical methods and modelling to analyse the data. My comments on the manuscript are on the use of abbreviations and punctuation throughout the manuscript. There are many small errors in punctuation and improper use of abbreviations throughout the manuscript. For example, in the abstract portion, the abbreviation "LGA" should be written in its long form as it appears first, then in its abbreviated form. The same is true for the phrases "mass drug administration", "community-directed treatment with ivermectin", "Onchocerca volvulus" etc.. whereas WHO, GIS, RS, WHO-NTD, RDT, mf, AOR etc ... are written in abbreviated form in their first appearance in the manuscript. These and other terms in the manuscript have to be critically looked and corrected. If the manuscript is to be accepted, there may be a need for a language check by a professional editor for errors in punctuation in the manuscript.

Moreover, the authors need to follow the PLOSONE authors’ guide to format the manuscript, especially the ethical clearance and permission subsection, which needs to be placed before the result section of the manuscript.

Response: All punctuation errors have been addressed and abbreviations have been spelt out during first mention.

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Attachment

Submitted filename: Response to Reviewers.docx

Decision Letter 1

Shawky M Aboelhadid

3 Jan 2023

PONE-D-22-16005R1Geospatial distribution and predictive modeling of Onchocerciasis in Ogun State, NigeriaPLOS ONE

Dear Dr. Surakat, 

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

==============================

ACADEMIC EDITOR: The abbreviations in the manuscript should be revised as recommended by the reviewers.

==============================

Please submit your revised manuscript by Feb 17 2023 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.

  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Shawky M Aboelhadid, PhD

Academic Editor

PLOS ONE

Journal Requirements:

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: (No Response)

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: There are improvements from the previous version of the manuscript. However, the comments I raised in the previous review are not fully addressed. As mentioned earlier, most of the problem in the current version of the manuscript is with the use of abbreviations. There is improper use of abbreviations throughout the manuscript. The authors' have to critically look the manuscript for other similar errors and correct it accordingly.

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

**********

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.<quillbot-extension-portal></quillbot-extension-portal>

Attachment

Submitted filename: Comments_PONE_D_22_16005_R1.docx

PLoS One. 2023 Mar 1;18(3):e0281624. doi: 10.1371/journal.pone.0281624.r004

Author response to Decision Letter 1


13 Jan 2023

Response to reviewers comment

Line 31: The abbreviation "LGA" should be written in its long form as it appears first, then in its abbreviated form.

Response: The abbreviation has been re-written in the long form as Local Government Areas

Line 33: Please write onchocerca volvulus in its abbreviated form, i.e., "O. volvulus".

Response: This has been changed in all places it appeared as O. volvulus to O. volvulus

Line 55: Please write onchocerca volvulus in its abbreviated form, i.e., "O. volvulus" . Similar comments to lines 76, 142, 143, 144, 214, 252, 254, 261, 267, 268, and 397.

Response: This has been changed in all places it appeared as O. volvulus to O. volvulus

Lines 66 and 67: The phrase "community-directed treatment with ivermectin", should be written in abbreviated form, as it had already been abbreviated in line 61 of the manuscript.

Response: The phrase has been written in the abbreviated form

Line 68 and 69: The phrase "mass drug administration" should be written as "MDA" as you have already started using the abbreviated form of it in line 58 of the manuscript. Also, similar comment to line 407 of the manuscript.

Response: The phrase has been written in the abbreviated form

Line 69: Write the abbreviated version of microfilaria in parantheses i.e. microfilaria. Also, use the abbreviated form of microfilaria in lines 97 and 127 of the manuscript.

Response: The abbreviated form of microfilaria has been written in parenthesis

Line 111: Use "LGAs" instead of "Local Government Areas".

Response: Local Government Areas has been re-written as LGAs

Line 118 and 119: Use the abbreviated form of Rapid Diagnostic Test i.e. "RDT".

Response: The abbreviated form of Rapid Diagnostic Test has been used

Line 150: Please use "19" instead of "nineteen".

Response: Line 150 has been corrected to reflect 19

Line 262: Abbreviate the "Crude Odd ratio" as "COR", then, start to use this abbreviation following it.

Response: Crude Odd ratio has been abbreviated to reflect as "COR”

Line 219: Please use "two" instead of "2".

Response: Line 219 has been corrected to reflect two

Line 221: Add "percent" next to "zero" i.e. zero percent prevalence.

Response: Percent has been added to zero

Lines 267 and 269: replace "y" with "years".

Response: Years has been used to replace y in all places it appears

Line 299: Please replace "0" with "zero percent".

Response: O has been replaced with Zero percent

Line 317: Please use the abbreviated version for "Receiver Operating Characteristics".

Response: The abbreviated version for "Receiver Operating Characteristics" has been replaced with ROC

Line 319: Please use the abbreviated version of "Areas under curve". Similar comment to lines 323 and 324.

Response: The abbreviated version for " Areas under curve " has been replaced with AUC.

Line 394: Replace "8" with "eight".

Response: 8 has been replaced with eight

Line 404: Please replace "it’s" with "it is".

Response: It’s has been replaced with it is

Line 426: Please use the abbreviated version of the species name. i.e. S. damnosum s.l.

Response: The abbreviated version of the species name has been used

Line 461 and 462: Please use the abbreviated form of "maximum entropy Modelling" only .i.e. "MaxEnt".

Response: MaxEnt has been replaced with maximum entropy Modelling

Attachment

Submitted filename: Reviewers response D_22_16005_R1.docx

Decision Letter 2

Shawky M Aboelhadid

30 Jan 2023

Geospatial distribution and predictive modeling of Onchocerciasis in Ogun State, Nigeria

PONE-D-22-16005R2

Dear Dr. Surakat,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Shawky M Aboelhadid, PhD

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The authors have fully addressed my concerns and comments raised in the previous version of their manuscript.

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

**********

<quillbot-extension-portal></quillbot-extension-portal>

Acceptance letter

Shawky M Aboelhadid

10 Feb 2023

PONE-D-22-16005R2

Geospatial distribution and predictive modeling of Onchocerciasis in Ogun State, Nigeria

Dear Dr. Surakat:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Professor Shawky M Aboelhadid

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 File

    (XLSX)

    Attachment

    Submitted filename: Response to Reviewers.docx

    Attachment

    Submitted filename: Comments_PONE_D_22_16005_R1.docx

    Attachment

    Submitted filename: Reviewers response D_22_16005_R1.docx

    Data Availability Statement

    All relevant data are within the paper and its Supporting information files.


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