Identification of risk areas for foot and mouth disease in Thailand using a geographic information system-based multi-criteria decision analysis.

In our study, we used geographic information system (GIS)-based multi-criteria decision analysis (MCDA) to predict suitable areas for foot and mouth disease (FMD) occurrence in Thailand. Eleven experts evaluated 10 spatial risk factors associated with the occurrence and spread of FMD in Thailand during 2014-2015. The analytic hierarchy process was used to conduct problem structuring and prioritising of pairwise comparisons with criterion weighting. Important spatial risk factors were converted to geographical layers using standardised fuzzy membership. Thus, weight linear combination was used to combine and create suitability and uncertainty maps as well as to perform sensitivity analysis. We identified areas in northern, north-eastern, western, and central Thailand as hotspots of FMD occurrence. In the predictive map, the suitable areas presented a moderate degree of agreement with those after FMD outbreaks in the year 2016 (AUC = 0.71, 95 %CI: 0.68-0.75). In conclusion, GIS-based MCDA mapping well supported veterinary services in identifying hotspot areas of FMD occurrence in Thailand. This tool was very useful for disease surveillance.