Everything about chikungunya is painful. Even the virus's name comes from a Kimakonde word describing the contortions of someone suffering severe joint ache. Fever, rash, cramps, headache, nausea and fatigue are just some of the symptoms of the mosquito-borne illness.
Nor is tracking the spread of the disease across the Caribbean any easier. English-language reports on the transmission of the virus at the sub-regional level are put out by public health authorities, including the Caribbean Regional Public Health Agency (Carpha), the Pan American Health Organization (Paho) and the Centers for Disease Control (CDC).
But keeping up with information from all of these sources can be time-consuming, especially if you just want to keep an eye on the spread of the disease in your own country, or get a sense of the broader regional picture.
"It's easy to point a finger and criticise but I thought it would be better to actually demonstrate that something better could be done," said Vijay Datadin, founder and lead consultant at Guyana-based Caribbean GIS.
Datadin should know. He's made a career of applying geographic information systems (GIS) to the complex interrelationships between human and natural resources.
"When I looked at the outputs of Carpha, Paho and even the CDC, I thought they could be enhanced. Specifically, Paho is putting out data reports in PDF format, which is really less than ideal. Where there are maps, they could be made more informative and charts would help citizens understand the situation more easily. I felt it could be done better, because they're still doing it in the old-fashioned way."
Datadin is co-lead on a new open data project that aims to fix two major pain points associated with the "old-fashioned way" of sharing public health data.
First, as a one-stop resource for official chikungunya numbers, the online tracker seeks to cut out the hassle of having to check multiple Web sites, in order to get the latest collated statistics on the spread of the virus.
The second pain point is how chikungunya transmission data is presented by regional public health authorities. Cutting-edge web-based services like Boston Children's Hospital's HealthMap Web site and Outbreaks Near Me app aggregate news reports in real-time and push notifications to subscribers, filtering by relevance based on geolocation. They are built with responsive design to dynamically adapt to different form factors such as mobile devices, tablets and desktop screen displays. Plus they are mobile-optimised for lightweight browsing, and social-friendly for maximum user engagement.
By comparison, the region's official public health Web sites are far less impressive. The CDC Web site provides a static map showing countries where local transmission has been documented, and says that "chikungunya case counts are publicly released every Wednesday." Paho provides a weekly report every Friday afternoon of chikungunya counts for most countries of the Americas and a static map showing countries with local and imported cases. Carpha provides a weekly update of chikungunya counts every Monday. The Carpha site also has an interactive map with a useful timeline feature illustrating the progression of the disease through the region and mouse-over info boxes showing the number of cases in a country.
The region's public health services could learn from the open data approaches that are becoming the expected standard for providing public information, Datadin said.
"Around the world, public organisations are no longer simply publishing their data in PDF format or static maps but in open-data formats and interactive maps. The value in doing it this way is that data scientists, researchers and other interested parties are then able to not just see the data but actually use it," Datadin said.
His latest project, a joint initiative of Caribbean GIS and the T&T Guardian's new media unit, brings to traditional public health reporting the transparency of open-data formats and the interactivity of data visualisation. The end-product is an online map-based chikungunya tracker that makes it easy for anyone with Internet access to follow the regional diffusion of the disease, using public health data extracted from official sources. The tracker is online at www4.guardian.co.tt/map-chikungunya-caribbean.
Data for the map and charts on this page were extracted from PDF reports published by PAHO, reformatted and combined with a GIS base map. The improved chikungunya dataset is also made freely available as a Fusion Table so that other researchers, students and citizen scientists can view, filter or merge with other data with just a browser, or download for further analysis.
On Datadin's Caribbean GIS Health site the map is accompanied by other charts and timelines that provide historical context and make each country's demographic situation easier to grasp at a glance.
Top 12 ways to scare away mosquitoes
Previously we looked at different ways to deal with the chikungunya virus, from vaccines to bush medicines. But of course, the only sure way to deal with chikungunya is not to get it. That means stopping those pesky mosquitoes from reaching you, to bite you and infect you. Here are some tips on how to do just that.
�2 Encourage the bats. A single bat can eat up to 1,200 insects every hour, and each bat usually eats 6,000 to 8,000 insects each night. Now that's a lot of mosquitoes! Building a bat house in the back yard can be your new hobby (lots of instructions online)–and you'll also be helping the environment, as bats pollinate many delicious fruits.
�2 Invest in a fan. The kind with wind speeds so high, it's like being in a wind tunnel which ripples the skin over your cheeks. (This advice need not apply if you have air-conditioning, securely closing windows and/or insect screens.) Aim fan at bed; combine with lightweight but hole-free sheet. Cover up totally, like a funeral shroud, with just a tiny funnel opening for your nose to breathe (purists may want to use a straw or other breathing apparatus). Better yet, use two fans (angled well for maximum blast).
�2 Light a cockset (mosquito coil). You will smell like nasty old socks in the morning–and the smoke fumes can get overpowering–but it kills mosquitoes. Advantages: Cheap, portable, effective. Disadvantages: Some scientists say the extra chemicals they put in coils are bad for you, even carcinogenic–like smoking 100 cigarettes a night! So research your product.
�2 Make your own garlic spray. Mosquitoes hate the pungent smell. You can crush up a few cloves of garlic, boil it in water (or just soak for a few hours in the sun), and use the water to spray around the room. If you are adventurous, you can even spray it on yourself, or make your own garlic perfume. This will not only keep mosquitoes and vampires away, it will also limit unwanted attention from the opposite sex.
�2 Use neem oil. Mosquitoes hate the smell; and neem oil is natural and will not make you sick. A study published in the Journal of the American Mosquito Control Association found that mixing neem oil with coconut oil is a really effective way to keep mosquitoes at bay. Neem is a potent antibacterial, anti-fungal, antiviral and anti-protozoal agent. Just mix neem oil and coconut oil in equal portions, and rub it on all your exposed body parts. Said to repel mosquitoes for eight hours.
�2 Use other natural oils. Use these on your skin, or in a vaporiser: lavender, mint, tea tree, or a 1:1 mix of eucalyptus and lemon oils. These all repel mosquitoes naturally; and they are safer than Deet, for those wary of chemicals or with allergic, sensitive skin.
�2 Burn citronella candles. They contain citronella oil made from tropical lemon-scented plants (Cymbopogon, various species) that are native to Asia, where this oil has long been used as an insect repellent. The candles have been shown to reduce mosquito bites by up to 42 per cent while being burned, according to a study done by researcher Guy Surgeoner at the University of Guelph in Ontario.
�2 Plant tulsi, mint, marigold, lemon, neem, catnip, and citronella grass. Plant them especially near windows. These plants are all effective in preventing the breeding of mosquitoes. Tulsi plants are especially good for killing mosquito larvae and keeping mosquitoes away–tulsi is recommended by both ancient Ayurvedic medicine and the more modern Parasitology Research Journal (study published April 25, 2008).
Bonus: you can use the tulsi leaves in teas and lots of homeopathic remedies, too.
�2 Use camphor. Camphor is a waxy white solid found in the wood of the camphor laurel, a large evergreen tree from Asia (especially in Taiwan, Sumatra and Borneo). Camphor also occurs in other plants like dried rosemary leaves (up to 20 per cent camphor).
Today, camphor can be synthetically made from oil of turpentine. Vicks contains camphor, which, among other properties, works wonders to repel insects. Some say camphor is the best natural mosquito repellent. Light camphor in a room and close all the doors and windows. Leave it this way for about 15-20 minutes and go back to a mosquito-free environment.
�2 Keep little fish in any permanent ponds or tubs. Do you have a permanent small outdoor pond you like? Or even a tub of water outside where you keep a pet turtle? Or a big tank you use to collect rainwater, because you are fed up with Wasa? Then make sure these ponds, tubs or tanks are stocked with a few small fishes. (Guppies or platies eat up any mosquito larvae–but are prolific breeders.)
�2 Protect the good critters. In your yards, never use broad-spectrum insecticides, which often contain toxic pyrethrins. Pyrethrins kill off the good guys–the dragonflies, ants, ground beetles, spiders, water striders, frogs and snails that all help to eat up too many mosquitoes. (Pyrethrins in insecticides can also make some people and pets sick.)
�2 Clear the yard. Once and for all, get rid of all those rusty hubcaps, old dustbins, broken soap-powder buckets, empty beer and rum bottles, empty fast-food boxes and old toilet bowls littering your yard.
And clean out clogged gutters and drains. Anything that can fill with water can breed mosquitoes. This includes any objects that can hold as little as one tablespoon of water for seven to ten days–the time it takes for eggs to hatch and larvae to mature.
–Compiled by Shereen Ali
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Vijay Datadin and data journalism
The joint project isn't Datadin's first foray into data journalism. In 2003, he founded Red Spider, a small web development startup, which today maintains the Guyana Crime Reports, an open data tracker for several categories of serious crime in Guyana.
The Web site is part news aggregator, part crowd-sourced citizen journalism platform.
In 2013, Guyana Crime Reports collaborated with the now-defunct Bullet Points, an earlier open-data journalism project involving the T&T Guardian's new media desk, which tracked intentional homicide as well as deaths caused by shootings involving police officers.
Datadin, who was at the time working on Guyana Crime, worked with Bullet Points to develop a GIS-powered map of 384 murders in its 2013 dataset.
"I feel that the Caribbean is better off when its citizens are better informed," Datadin said.