development of a prototype of a gis-based web site to assist the control of chagas disease in (2002)

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Copyright City University Virtual Library City University, London Department of Information Science DEVELOPMENT OF A PROTOTYPE OF A GIS-BASED WEB SITE TO ASSIST THE CONTROL OF CHAGAS DISEASE IN COLOMBIA. Maria Cristina Arciniegas Lopez MSc in Geographic Information September 2002

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Copyright City University Virtual Library

City University, London

Department of Information Science

DEVELOPMENT OF A PROTOTYPE OF A GIS-BASED WEB

SITE TO ASSIST THE CONTROL OF CHAGAS DISEASE IN

COLOMBIA.

Maria Cristina Arciniegas Lopez

MSc in Geographic Information

September 2002

2

I ABSTRACT

Chagas disease affects between 16 - 18 million people, with a further 100

million people at risk in South America. To effectively tackle the Disease, control

actions to prevent its spreading or possible reinfestation are needed.

Therefore, in Colombia, in 1998 a National Program of Control of Chagas

Disease and Children’s Cardiopathy was carried out in nine States. This Program

surveyed information about house quality and triatomine presence as well as

took serological test. However, all this surveyed information does not have any

worth if some kind of access to them is given.

In order to overcome this problem a prototype web site was implemented. With

this prototype, the local health authorities in Colombia may count on with a tool

that allows them to query and georeference on political maps all these

information. Moreover, being an Internet based tool, it offers the possibility to

be accessed at any time in any place.

3

II ACKNOWLEDGES

I wish to acknowledge my particular indebtedness to Diarmid Campbell for his

endless patience and support throughout my time studying in London. Also, I

wish to thank Jo Wood for his extraordinary lectures and his invaluable advices

throughout my master course but specially during the dissertation stage.

I owe many thanks to my husband to be Pedro Hernandez for his love, endless

support and encouragement to pursue my dreams. I should also like to thank

my mother Esther Lopez, my brothers Fausto and Gustavo Arciniegas and all

my family in Colombia, for their affection and moral support.

4

III TABLE OF CONTENTS

I ABSTRACT ......................................................................................2

III TABLE OF CONTENTS.....................................................................4

IV LIST OF FIGURES ...........................................................................7

V LIST OF TABLES..............................................................................8

1 INTRODUCTION .............................................................................9

2 AIMS AND OBJECTIVES................................................................10

3 SCOPE AND DEFINITION..............................................................11

4 BACKGROUND AND RESEARCH CONTEXT ....................................12

4.1 CHAGAS DISEASE......................................................................... 12

4.1.1 Transmission of Chagas disease.............................................. 13

4.1.2 What Type of Lesions the parasite causes................................ 15

4.1.3 Risk ...................................................................................... 15

4.1.4 Control of Chagas Disease ...................................................... 16

4.2 TECHNOLOGICAL ELEMENTS NEEDED TO BUILD A GIS-BASED WEB

SITE 18

4.2.1 Geographic Information GI and Geographic Information System

GIS 19

4.2.2 Connective Elements: Web Server, Web Browser and Internet .. 20

4.2.3 Programming Technologies..................................................... 21

4.2.4 Data Repositories................................................................... 22

4.3 GIS IN HEALTH SECTOR................................................................ 23

4.3.1 Health GIS in United Kingdom................................................. 23

4.3.2 Health GIS in South America and Caribbean Zone..................... 24

5 METHODOLOGY............................................................................26

5.1 PLANNING STAGE ........................................................................ 28

5

5.2 ANALYSIS AND DESIGN STAGE...................................................... 30

5.2.1 Analysis ................................................................................ 30

5.2.1.1 Descriptive information about Chagas Diseases..................... 31

5.2.1.2 Georeferenced information.................................................. 37

5.2.2 Design .................................................................................. 39

5.2.2.1 Architectural design ............................................................ 39

5.2.2.2 Information Design............................................................. 42

5.2.2.3 Data Structure Design......................................................... 43

5.2.2.4 Interface Design................................................................. 48

5.3 IMPLEMENTATION STAGE............................................................. 51

5.3.1.1 Home Page ........................................................................ 51

5.3.1.2 Query Data Form Page........................................................ 52

5.3.1.3 Display Form Page.............................................................. 54

5.3.1.4 User Connection From Page ................................................ 56

5.3.1.5 Management Data Form Page.............................................. 56

5.3.1.6 Control Map Display Page.................................................... 57

6 THE PROTOTYPE APPLICATION IN ACTION.................................58

6.1 GEOGRAPHIC DATA...................................................................... 58

6.2 CONTROL PRIORITY INDEX MAP ................................................... 60

6.3 WEB SITE .................................................................................... 61

6.4 STRENGTHS AND WEAKNESS ........................................................ 66

7 FINDINGS AND IMPROVEMENTS .................................................67

7.1 FINDINGS.................................................................................... 67

7.2 IMPROVEMENTS .......................................................................... 67

8 CONCLUSIONS .............................................................................69

9 REFERENCES ................................................................................71

9.1 REFERENCES ............................................................................... 71

9.2 WEB SITES .................................................................................. 71

APPENDIX A: CHAGAS_STYLE_SHEET.CSS FILE CODE.......................73

6

APPENDIX B: INDEX.HTML FILE CODE .............................................75

APPENDIX C: QUERY_DATA_FORM.PHP FILE CODE........................77

APPENDIX D: DISPLAY.PHP FILE CODE.............................................79

APPENDIX E: USER_CONNECTION_FORM.PHP FILE CODE ..............82

APPENDIX F: DATA_MANAGEMENT_TOOL.PHP.................................83

APPENDIX G: CONTROL_MAP_DISPLAY.PHP....................................85

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IV LIST OF FIGURES

FIGURE 1 PRESENCE OF CHAGAS DISEASE IN SOUTH AMERICA .................... 13

FIGURE 2 CYCLE OF THE T. CRUZI IN HUMANS AND MAMMALS ................... 14

FIGURE 3 RHODINUS PROLIXUS TRIATOMINE ........................................ 14

FIGURE 4 COMPONENTS PROPOSED FOR THE APPLICATION ........................ 18

FIGURE 5 PROCESS OF PROTOTYPE DEVELOPMENT .................................. 28

FIGURE 6 PROTOTYPING PLAN.......................................................... 29

FIGURE 7 REQUIREMENT SELECTION FLOW CHART.................................. 30

FIGURE 8 POLITICAL MAP OF COLOMBIA.............................................. 37

FIGURE 9 PROTOTYPE'S ARCHITECTURAL DESIGN.................................... 40

FIGURE 10 PROTOTYPE'S PURE WEB STRUCTURE .................................... 43

FIGURE 11 ER MODEL FOR THE PROTOTYPE'S DATABASE.......................... 44

FIGURE 12 EXAMPLE OF AN ARCIMS INTERFACE ..................................... 49

FIGURE 13 TWO INTERFACES IN THE PROTOTYPE ................................... 50

FIGURE 14 LINKING SHP FILE TO A MSACCESS TABLE .............................. 59

FIGURE 15 CLASSIFIED SHP FILE........................................................ 59

FIGURE 16 PROTOTYPE HOME PAGE .................................................. 62

FIGURE 17 QUERY SYSTEM INTERFACE ................................................ 63

FIGURE 18 DISPLAY'S RESULT INTERFACE ............................................ 64

FIGURE 19 USER'S AUTHENTICATION INTERFACE.................................... 64

FIGURE 20 DATA MANAGEMENT TOOL INTERFACE ................................... 65

FIGURE 21 CONTROL PRIORITY INDEX MAP INTERFACE............................. 65

8

V LIST OF TABLES

TABLE 1 SEROLOGICAL FILE'S STRUCTURE ............................................ 32

TABLE 2 HOUSE QUALITY FILE'S STRUCTURE ......................................... 34

TABLE 3 TRIATOMINE PRESENCE FILE'S STRUCTURE................................. 36

TABLE 4 POPULATION FILE'S STRUCTURE ............................................. 36

TABLE 5 NBI FILE'S STRUCTURE........................................................ 37

TABLE 6 ENTITIES IN THE ER MODEL ................................................. 47

TABLE 7 LEVELS OF CPI ................................................................. 60

TABLE 8 TOTAL COMPONENTS OF HQI................................................ 61

TABLE 9 WEIGHTS FOR THE ROOF TYPE............................................... 61

9

1 INTRODUCTION

This report describes the development of a prototype of a gis-based web site to

assist the control of Chagas disease in Colombia. This project was conceived

during the development of the project “A comparison of targeting strategies for

Chagas disease control in the Andean Region”, funded by the Welcome Trust

Foundation and co-ordinated by London School of Hygiene and Tropical

Medicine (LSHTM) and several Universities in Colombia. The idea was born due

to the necessity to have a tool allows to amalgamate and map the vast amount

of information generated by the Welcome Trust project and previous projects

carried out by the Ministry of Health in Colombia.

Within the development of the prototype are applied two revolutionary

concepts: Internet and geography information system GIS. The union of these

two offers the possibility to have access throughout the web to maps and

descriptive information about a specific topic. Many solutions to public maps

and data base information on the Web can be found, however this report

mainly addresses an off-line map solution. This solution may not have all GIs

oriented tools offer by a map server solution, however it is a solution that fits to

the developing country needs where in many occasion economical factors like

availability of financial resources overwhelms functionality and usefulness.

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2 AIMS AND OBJECTIVES

To develop a Website based on information managed on the project “A

comparison of targeting strategies for Chagas disease control in the Andean

Region”. This would provide potential users (Health Offices at the States and

Municipality levels in the affected States of Colombia) with a useful tool that

informs them about the risk of Chagas disease within their own regions, and

helps them to make decisions about how to most effectively control the

disease.

At a practical level, the objectives contributing to this aim are:

1. Easy access to project information such as maps of administrative

boundaries and village locations, raw survey data on disease risk, and the

results of predictive risk maps generated during the project.

2. Let users make queries involving variables such as population, poverty and

risk of the disease.

3. Define processes that allow users to manipulate different themes to create

new maps.

4. Grant privilege to some users to submit new surveillance data to update the

database.

5. Create processes to validate new data before they are added to the

database.

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3 SCOPE AND DEFINITION

The Welcome Trust project in which the prototype project idea was born, aims

to produce control maps for Chagas disease in the Andean Region of Colombia,

as well as, to generate strategies based on information surveyed by local

research centres. The type of information already collected varies from

geolocation, population, and poverty to quality of the houses in surveyed

villages. This information joins with control and boundaries map could offer a

new vision of the Chagas disease cannot be seen in a written report and paper

maps.

Although, if they do not have a tool allows people know about the findings and

surveyed information on the project, the foreseeable destination for this

invaluable information might be a place on shelves in states offices, rather than

being made directly accessible to the local Ministry of Health Offices. Where,

control activities are currently carry out.

As a prototype development, this project will design a Web Site that allows the

people who work at the secretaries of health of some municipalities in Colombia

to make queries and display maps related with Chagas Disease, in order to

support them in the decision making process. In consequence, this information

will allow the authorities to be informed about the risk of Chagas disease and

help them to take the best control decisions possible. This means that this

information will be taken into account to design the most effective strategies to

control the disease.

However, this project will not only implement a series of specific functions on a

Web site. The parallel aim is to serve as a pilot project to demonstrate the

usefulness and effectiveness of this kind of tool. The unseen aim is to generate

a full project to size up the prototype, and let the health authorities in Colombia

have a starting point in the control of Chagas diseases.

12

4 BACKGROUND AND RESEARCH CONTEXT

To undertake the development of a Web site prototype project, the first step is

to think about all key components need to be assembled in order to create a

meaningful, useful and well worthy site. Summarizing, the implementation

involves handling information about Chagas disease, which can be either

georeferenced information like risk maps or descriptive information like

serological test data. Therefore, to manage these two kinds of input

information, the proposed web site has to be based on GIS principles mixed

with technological components, which can vary from web server, database

management system, map base, map server to a programming language.

Each technical element has a specific role within the implementation process;

their sensible selection is a crucial factor in the success or failure of the project.

For each these elements must be defined a clear selection criterion according to

available hardware and software resources, within the context in which the

web site will be working in.

This chapter describes Chagas disease principles, GIS and GI theory, the

architecture of web site implementation and the front line of the gis-based web

site in health area.

4.1 CHAGAS DISEASE

It is a chronic and incurable parasitic infection wide spread in South American.

Current, WHO estimates its affects between 16 - 18 million people, with a

further 100 million people at risk. This represents an average prevalence of

about 4% of the total population of Latin America, although in some areas the

local prevalence may exceed 75%.

13

Figure 1 Presence of chagas disease in South America

The disease is more prevalence in the open savanna like regions of Central and

South America, such as the llanos in Venezuela and Colombia, the ‘norte chico’

of Chile, the cerrados and caatinga of Brazil, and the chaco of northern

Argentina, southern Bolivia and western Paraguay, as it is seen in Figure 1.

Presence Chagas disease in South America.

4.1.1 Transmission of Chagas disease

The disease is caused by a flagellate protozoan parasite, Trypanosoma cruzi,

transmitted to humans in the faeces of its triatomine bug vectors. The bugs

acquire the infection by feeding on an infection mammal but then retain the

infection for life. The domestic cycle results from human-vector contact,

involving the colonization of artificial places to live by the triatomines like

houses, dog, cats and some rodents, and a series of social and ecological

modifications in the environment Pinto(1992). As it is depicted in Figure 2, the

parasite that lives in the vector, is transmitted to humans and domestic

14

mammals by the vector’s faeces producing an acute stage, which appears

shortly after the infection, or asymptomatic chronic stage, which appears after

a silent period that may last several years.

Figure 2 Cycle of the T. Cruzi in Humans and Mammals

Amongst the 60 species of triatomine that can be considered as potential

vectors, the Rhodinus Prolixus (Figure 3) is the main domestic vector of Chagas

Disease in Colombia.

Figure 3 Rhodinus Prolixus Triatomine

In Colombia it is found in silvatic habitats such a palm tree crowns, as well as in

houses. This triatomine can complete its egg to adult development in 3-4

months and can reach very high population densities in houses – over 9.000

individuals were collected from a single house in Santander, Colombia.

A part of Vectorial transmission, exist the possibility to acquire the infection

through blood transfusion from an infected blood donors. However, all

information handles to produce the web site is focused on the Vectorial form,

therefore this second type will not be further addressed.

15

4.1.2 What Type of Lesions the parasite causes

Infection can be fatal, and often leads to severely debilitating lesions of the vital

organs – especially the heart and intestinal tract. Since the infection is

incurable – except during its earliest stags – and vaccines are unavailable,

control relies heavily on elimination of domestic populations of the insect

vectors.

Chagas disease shows acute and chronic stages. The acute stage of the disease

is generally seen in children, and is characterized by fever, swelling of lymph

glands, enlargement of the liver and spleen, or local inflammation at the site of

infection. The lesions of the chronic phase irreversible affect internal organs

namely the heart, oesophagus and the colon and the peripheral nervous

system. Patients at this stage become progressively more ill and ultimately die,

usually from heart failure.

The WHO statistics shows that after several years of an asymptomatic period,

27% of those infected develop cardiac symptoms which may lead to sudden

death, 6% develop digestive damage mainly megaviscera, and 3% will present

peripheral nervous involvement.

4.1.3 Risk

The risk of infection with Chagas Disease is directly related to the poverty. The

parasite finds a favourable habitat in crevices in the walls and roofs of poor

houses constructed with mud, stones or wood in rural areas or in the peripheral

urban slums. All these characteristics are observed in Central and South

America as result of their economical and social problems, making the disease

in high percentage a consequence of poor live conditions.

16

According to Pinto(1992), social and political development of endemic region is

sufficient to achieve control of Chagas Disease. Thus, the Control mainly relies

on three different strategies:

1. The systematic elimination of domestic vector population (by using

insecticides of long residual action).

2. Housing improvements

3. Control of transfusional Chagas disease.

Following these statement Latin-American governments sponsored by

international organizations established transmission control programs in order

to control the disease and indirectly bring the people in rural and suburban

areas better life conditions in terms of housing and health care. Looking at the

statistics an estimated 45,000 deaths per year was attributed to Chagas'

Disease-associated pathogenesis before the transmission control programs were

implemented WHO (2002).

4.1.4 Control of Chagas Disease

Until the 80s, the real scale of the Chagas disease problem in Colombia was

unknown, and there were not any policy concerning the disease. Control

activities were very sporadic, although small-scale control with insecticides were

carried out in highly endemic regions, and limited serological surveys were

undertaken.

However, based on information surveyed by national programs effective

control programmes have been implemented in the Southern Cone, basically by

spraying houses with insecticides, identifying low and medium risk for

monitoring and control to avoid possible reinfestations and stop the disease

spreading. Consequently, after some years of controlled spraying, countries

such as Argentina have succeeded in decreasing Chagas disease to a very low

level.

17

Due to the successful seen in Argentina, the Colombian Ministry of Health and

WHO launched the Andean Countries Initiative for Vectorial Control of Chagas

disease in 1997. Countries like Venezuela, Ecuador, Peru, Bolivia and Chile met

in Bogotá-Colombia in order to prepare draft of national action plans. After

this meeting, the delegates considered to launch a multinational programme to

halt the transmission of Chagas disease, primarily by eliminating vectors and

controlling the national blood transfusion systems.

To comply with the international commitment, Colombia started in 1998 the

National Program of Control of Chagas Disease and Children’s Cardiopathy in

nine states (covering 45% of the area). It aimed at the interruption of disease

transmission by vectorial routes, mainly through the application of residual

insecticides in domiciles and screening proactive blood donors. This included a

national project to survey information about zones of high risk, and to identify

social conditions in these areas.

The National Vector Control Program has been generating invaluable

information not only about the presence of Chagas disease, but also about

quality of life of the people who live in the surveyed areas. These have been

the raw material for the Welcome Trust project which main aim is to synthesise

and produce a predictive control map. With this map the local health

authorities in Colombia will count on a tool to base theirs decision about where

and how attack the Chagas disease spreading.

Analysing Chagas disease scenario in Colombia including National Vector

Control Program and the Welcome Trust project as an information backbones,

many ideas can rise about how everything can be articulated.

Stepping in that direction the idea of having an Internet site arose. This site

might a powerful tool that make available of the information surveyed and

generated maps. Thus, taking into account all factors from social,

18

environmental to economical might influence the spread of the Chagas disease,

is easy to realize that all them have a special feature of being associated with a

position on a map. Therefore, many conclusions can be revealed if all these

features are putting altogether in a map, even better in a map based web site

that allows the user takes advantage of georeferenced factor.

4.2 TECHNOLOGICAL ELEMENTS NEEDED TO BUILD A GIS-

BASED WEB SITE

From the technological point of view the web site “application”1 is designed

following client-server model where a client makes requests to the server and

the server deals with these requests sending relevance answers.

Figure 4 Components proposed for the application

Figure 4 shows all components proposed for the client-server application.

According to the figure a user needs a browser, which acts as client to the

server system. Through the browser the user accesses the web sever that hosts

the application, in this case a side server application written in PhP language.

The PhP application established the connection with the database and the

1 Now on, the GIS-BASED WEB SITE will be called application in order to avoid repetition.

DATA REPOSITORIES

INTERNETDATA BASE

Descriptive information

Geographic Information

G.I BASE Maps and Images

Server Side

Application

(PhP)

Make Request

Result Sent

Browser

Client

Web Server

19

geographic base to extract and send a set of information according to user’s

requests.

These requests involve querying and displaying of geographic and descriptive

information in such a way that allows users gain new insights into all stored

information about Chagas disease. The whole interchange between the web

browser and the server takes place over Internet allowing many users access

the application and data at the same time.

The next sections delineate components’ roles into the application’s architecture

scheme.

4.2.1 Geographic Information GI and Geographic Information System

GIS

Every time we look at surround us is inevitable to observe that almost

everything has a geographic position associated with, a position which every

object on earth is directly or indirectly associated. This kind of information

known as Geographic Information offers a wide range of possibilities to

manipulate the existed information in order to extract unseen information.

Many examples can be mentioned to depict the GI usefulness. Looking at

hospital and city maps, it is possible to know which is the closest hospital to

certain zone or which area has not medical presence. Embracing other kind of

activities, with a borough map classifies according to post code zones and with

the address of all borough residents is easy to create a dot density map which

depicts the population density assigning X number of dots per Y number of

people. Even better, during the outbreak of a disease with a postcode zone

map and the address of all positive patients is very likely to produce a new map

where postcode zone are classified by low, medium and high risk.

Almost every single activity can be associated with the use of GI. However, in

all examples mentioned, to produce new maps by hand is time-consuming task,

20

which also demand human and economical resources. During the sixties, in

order to overcome this kind of drawback a system to identify nation’s land

resources was developed in Canada. It was named Canada Geographic

Information System CGIS and it is known as the first Geographic Information

System GIS.

GIS is a special class of information systems that keeps track not only of

events, activities, and things, but also of where these events, activities and

things happen or exist Longley(2001). The use of GIS overcame the problem

to manipulate vast amount of GI and data, speeded up the time of produce

maps and delivered new tools like zoom, pan, buffer, overlap and network

analysis.

Some of distinguishing GIS features and principles are being used to design an

application, which offers the user certain functionalities at the moment to

manipulate GI about Chagas disease. Hence, the application must have the

capability to link maps with health data and displaying the results. Expecting

the prototype application points out how similar tools could enable local health

authorities in different parts of Colombia to access up-to-date information about

control programs of Chagas disease.

To achieve this aim, the application should be easily delivered to users, being in

this part of the puzzle where Internet is the optimal solution since it has

become the society’s mechanism of information exchange.

4.2.2 Connective Elements: Web Server, Web Browser and Internet

There are two essential components in the client-sever model, the web server

and the web client. The former is a piece of software installed and configured in

the host machine that is in charge of reading client’s requests, determining if it

should fulfil them or not; web servers can be found free of charge or full price

in the market place, offering different features and tools. The latter software,

better known as browser makes requests for web pages or application objects

21

in the server. Nowadays, browsers come along with the operating system

installed on the Pcs.

In order to communicate server with client and make the information available

for everybody, the use of Internet arises as a solution. Internet is the largest

computer network composed of millions of computers, which each has its own

unique network address to identify itself to the other computers. Even in

Colombia, a developing country, figures about computers having accesses to

Internet are increasing daily. In the counter, there are more people willing to

connect to the global network, including governmental offices. Therefore, it is

not difficult to find in a tiny town at least one computer with Internet connexion

within the local authority office. In contrast with an Intranet or LAN that needs

to be built, all Internet applications are ready to be used.

To sum up, the client server model and Internet meet the requirements for an

easy delivered application available for everybody.

4.2.3 Programming Technologies

The programming technologies deliver different angles and tools to build any-

purpose application e.g. standalone, multi- user or web site applications. The

application to be built belongs to web site class. Web programming

technologies can be grouped into two basic groups: client-side and server-side.

On the one hand, client-side technologies, in which applications almost run on

the web client side. Among them, plug-ins, java applets, activex controls and

javascript and VBSscript applications. On the other hand, server-side

technologies, in which applications are executed on the server, like java

servelets, active server pages and php applications

Therefore, either of them has to be selected in order to build the application.

The choice has to take into account, which one is more suitable according to

the application’s requirements.

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4.2.4 Data Repositories

The application’s scenario involves storing and updating of GI and alphanumeric

information, therefore there must exist two different repositories for each type.

Storing GI can be done in different ways depend upon how this information will

treat and the class of Internet GIS to be build. If the development stage is

leading a 100% Internet GIS, a special kind of software called in general Map

Server will be need. In this option, the Map Server offers the way to storage,

update and manipulate GI. In contrast, if the application leads to handling off

line produced GI, the generated maps will be storage in a specific folder into

the web server space.

In relation to descriptive information, there are many structures to storage and

handle it, but the most widely used is the Entity Model EM. The design of EM

model involves various steep. The first steep is to define an entity model where

the entities are key objects into the context of the reality that wants to be

modelled. For example, if the reality is a Bank, the entities might be

costumers, accounts, transactions or employees. All these entities must be

completely identified within a unique key. Thus, for an account is key is its

number, for an employee is employee code and so on.

The second steep is to define all relationship among entities. These relations

are described according to how many entities one entity is related to. For the

bank case, one customer might have more than one account so the relationship

is described as one to many relationship degree (1-m), all customers in the

banks might do many transactions during a day being the relationship many to

many. However, one bank branch has only one manager and a manager can

be manager of only one branch, so the relationship degree is one to one (1-1).

The third steep is to generate the EM itself, drawing the relationship between

entities into a diagram. Four steep is to generate the Relational Model RM

where the entities are converted into tables and the relationships into inherited

keys to the tables pointed by the “many” in the relationship notation. For

23

example, in the ideal case of a costumer can only have one account the

relationship is 1-m, therefore account table inherits customer identification from

the customer table in the RM.

To implement RM there are software tools known as Relational Data Base

System Manager RDBSM. The complexity and prices of the RDBSM are directly

related, varying from simple low price tools like access, moving up more

expensive and elaborate ones like Sybase and Informix, to tools like Oracle that

can handle tetra bytes of information but with high market prices.

RDBSM for the prototype has to combine reliability, low prices with a high

performance on handling vast amount of information and maps.

4.3 GIS IN HEALTH SECTOR

GIS has becoming one of the key technologies in health globalisation. During

the last two decades, it has evolved as a powerful tool for understanding spatial

relationships between various phenomena. GIS has been opening new windows

into the character and mobility of virus, revealing previously unseen

relationships between diseases, demographics and the environment, and

enabling researchers to develop and test new hypotheses regarding their

interaction. Besides, with the rapidly spreading of Internet, which allows much

more people the access to the information, GIS has ample its usefulness.

4.3.1 Health GIS in United Kingdom

Among all new development of GIS-based Internet application, one is an

outstanding achievement. It is attempt to improve the overall health of

people and to help reduce the existing health inequalities in England by

government agencies through a co-operative working.

24

The Multi-Agency Internet Geographic Information Service (MAIGIS) project is a

3-yr pilot project funded by the Public Health Development Fund to establish an

interactive map-based web site for sharing health and health related data for

the West Midlands Region (http://maigis.wmpho.org.uk). Data sets within the

MAIGIS project follow three broad themes of health, socio-economic and

environmental information. Data are made available by different organisations

and shared using geography as the linking theme. MAIGIS (2002).

MAIGIS is a well design application that allows user to gain a deep insight

about key aspect of the health sector in West Midlands’s area. This application

was developed in ARC IMS, ESRI software that acts as a map server allowing

users make queries linking various health variables online. Besides it offers all

tools proper to GIS like zoom, pan, theme overlaps or on-off theme.

4.3.2 Health GIS in South America and Caribbean Zone

The Universidad de Guatemala has been developed a project that is focused on

two vector-borne diseases of significant public health and economic importance

within the region: Malaria and Chagas Disease. It consists in the development

of a georeferenced database, which will be used to identify appropriate

interventions for given areas, target resources to those areas at greatest need,

and foster regional cooperation and collaboration. Guatemala(2002).

Neither specific information about the GIS tool to be developed nor any URL

address of the tool was found, however it could be established the system

tends to be a tool, which allows sharing health GI, tracking health inspections,

makes disaster planning and response, management and preparedness. The

project delivers to the health employees, a GIs based web site where they can

see pertinent data represented spatially and perform spatial queries. The

different levels within the health department’s structure like inspectors, specific

project managers and even elected officials, who need real time information,

might find the system an irreplaceable tool within their daily basis.

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Generally speaking, in Brazil where the chagas disease was more spread

affecting millions of people, the use of GIS, particular Internet based GIS, was

seen as a panacea for the lacking of information about the researches carried

out and for fresh information about the control actions taken within different

States affected by the Disease.

The undertaking of all these kinds of projects is shown how is increasing the

public awareness of GI use. Day to day GI has became a key part in the

development of Information System. Therefore, GIS is slowly taking the place

of the traditional Information System that only manages alphanumeric of

descriptive information, enriching the decision-making process by adding of

georeferenced information. Even more, taking advantage of the role that

Internet is playing into human’s communication processes, the limits of GI and

GIS use and spreading seem does not have any barriers.

All these good attempts have been a useful starting point for to think about a

similar project to manage Chagas disease information in Colombia. However, it

have to bear in mind the economical limitations that the Country is having

today, in order to state a feasible solution that can be running as soon as

possible without involving a considerable investment of money.

26

5 METHODOLOGY

Web site development is a challenging endeavour that has similar implications

of building software, therefore its development, which ever is its purpose, has

to undertaken under the principles of software engineering.

Software engineering is an engineering discipline whose goal is the cost-

effective development of software system. Hence, software engineering

process has become vital tools at the time to develop a software system

avoiding in many cases that project lasts many years or costs much more than

originally predicted. The key relies on planning, and the software engineering

delivers some techniques and methods to control the complexity inherent in any

software system development. These methods have been developing and

constantly perfecting in an attempt to help minimize problems and provide a

framework to manage the project.

Although, the Proposal states the software life cycle or waterfall method as a

methodology to be followed, the choice was changed to software prototyping

due to:

● Waterfall model is based on an inflexible partitioning of the project into

these distinct stages. It means any change into the user’s requirements can

be fatal and intermediate software products cannot be realised.

● The aim of the project is to build a prototype instead of full size software

system. Although, waterfall methodology can be applied, software

engineering offers a specific methodology in which efforts are made to build

a prototype as a first step to the implementation of the whole system.

When the idea of having a web site system was born, many questions about

what have to be in, functionality, scope, users or usefulness arose. It is almost

impossible to predict how the system will work, what user operations should be

27

automated or if it will have the expected impact. In these cases is where

system prototype is a decisive tool.

A prototype is an initial version of a software system which is used to

demonstrate concepts, try out design options and, generally, to find out more

about the problem and its possible solutions. Rapid develop of the prototype is

essential so that costs are controlled and users can experiment with the

prototype early in the software process Sommerville(2001).

One of the most chaotic parts within the development process of mainstream

software is the definition of user’s requirements. It is not rare to find out

misunderstandings between users and software developers at late stages of the

process like evaluation or even worst installation. Prototype developments

allow users to experiment to see how the system supports their work. During

the use of the prototype, users might get new ideas for requirements and can

find areas of strength and weakness within it.

Analysing the prototype’s performance is possible to state whether the

mainstream system will be well worth or its development will be just a waste of

time, human and financial resources. Furthermore, a software prototyping

might help to demonstrate the feasibility and usefulness of the application,

which in this specific project is the pursed aim.

The process model for prototype development comprises four stages: planning,

analysis and design, implementation and evaluation. Their interactions are

depicted in Figure 5. on the next page.

The process starts with planning stage that establishes a clearly problem

definition. Questions like what for the prototype is, or which are user’s

requirements are solved generating a prototyping plan. After, the analysis and

design phase is conducted based on the prototyping plan. At this stage

objectives and users requirements are translated into system’s functionality

28

specifications, which will be foundations to carry out the system’s design. This

design should depict how the prototype will achieve the proposed objectives

and requirements. Additionally, the design will reflect the limitations and

constraints of the prototype.

Figure 5 Process of prototype development

Having a clearly prototype’s outline definition, the implementation stage can be

undertaken. This is the phase where software developers join hands in order

to build the prototype itself. Therefore, this stage will generate an executable

prototype it is ready to be tested and evaluated.

Finally, a decisive evaluation stage is carried out. It aims to test and evaluate

the built prototype in terms of functionality and usefulness, as well as to

discover its possible weakness or magnifying its strengths. The next sections in

this chapter will consider how each stage was carried out during the

development of the gis-based web site.

5.1 PLANNING STAGE

This phase involved a close interaction with the project’s sponsorships and end-

users through talks with the former and interviews and emails with the latter.

Everybody knew what in terms of application’s functionality wanted but it was

Establish Prototype Objectives

Define Prototype

Functionality

Develop

Prototype

Evaluate Prototype

Prototyping

Plan

Outline

Definition

Executable

Prototype

Evaluation

Report

ANALYSIS AND DESIGN

PLANNING STAGE

IMPLEMENTATION STAGE

EVALUATION STAGE

29

necessary to put all ideas together in order to pursue a single objective that

satisfied everybody. Therefore, the aim was to define a complete, detailed

problem definition that stated the key issues without proposing solutions.

The whole process started with the aim and specific objectives definitions as

well as a scope for the project (see chapters 5 and 6). Many ideas arose out

during brainstorm process with the leader of the project but each one was

considered according to its practically and feasibility. Clearly, the project was

constrained by the three-month time available for its development.

Consequently, the project was focused on developing a prototype that could be

used to depict the possible usefulness of a mainstream application.

Figure 6 Prototyping Plan

Figure 6 describes the prototyping plan defined for the development of the gis-

based web site project. The input data for the development process is the

project’s definition, in this case is a prototype system aims to demonstrate the

feasibility and usefulness of the application as is stated in the figure. Based on

it, the prototype will be built in the implementation state. As soon as the

System Adequate

Prototype’s development (3 months)

Prototype aims to demonstrate the feasibility and usefulness of the application

Use prototype

system

NoYesProject rejectedSystem deliver project

Reusable components

30

prototype is ready, the evaluation state will be undertaken in order to ascertain

the real worth of the application. The evaluation process involves the use of

prototype by end users; them in conjunction with the managerial level will be in

charge of to determine whether start delivering or reject the system.

5.2 ANALYSIS AND DESIGN STAGE

In this stage was decided first, the functionality of the prototype, what to put

into and more importantly, what leave out of the prototype system, and

second, the description of the structure of the software to be implemented. The

former tasks encapsulate the analysis stage and the latter ones the design

stage.

5.2.1 Analysis

During this stage was clearly defined what functionalities the prototype will

have, according to the needs of end-users in the research centre groups and

local health authorities in Colombia. Here, it was important to emphasize the

time constraint, in order to prioritise requirements. The Figure 7 shows a flow

Figure 7 Requirement Selection Flow chart

No

Prototype‘s system requirements ● Internet based system that offers some GIS features. ● To georeference information available in order to reflect it in

maps. ● See maps and information linked. ● Maps with information about serology, house quality and

triatomine presence and related with population, poverty and altitude and land use images.

● Update the database. ● Generate new maps.

User’s requirements

Indispensable and Feasible

Rejected Requirements ● Pan and zoom and tools. ● Switch on/ off layers ● Overlap two thematic

layers. Yes

31

Chart followed to select which user’s needs were translated into system

requirements. Besides, it depicts the system requirements to be implemented

and which users’ needs were rejected because they were unfeasible or required

too much time to be implemented.

All system requirements defined accomplish two features, one they are feasible

in terms of implementation time and well worthy in terms of adding valuable

functionality to the system.

Other task involved during the analysis stage was identified which sort of

information will be manipulated by the system. As it was stated before, the

system will be involved with two different kind of information. Descriptive

information about Chagas disease and concerned subjects and geoferenced

information or digital maps about Colombia and surveyed zones.

5.2.1.1 Descriptive information about Chagas Diseases

The National Program in Colombia through local research Centres in Santander,

Cundinamarca and Antioquia states collected information by carrying out survey

and blood tests in endemic areas in certain regions of theses states. The houses

to be visited were chosen in a draw: The surveys’ results generated some files

that contained information about:

● Serological Test: Adults and children from villages visited were appointed at

the local schools in order to determine whether they are infected or not. It

was carried out analysing theirs blood tests using ELISA techniques. Within

the Chagas disease’s control is important to know which children (under 12

years of age) are already infected in order to undertake the disease’s

treatment in early stage. The results of these actions are compiled in a

serological file that contains approximately 42.000 records. Table 1 shows

the serological file’s structure.

32

FIELD NAME DESCRIPTION

State Name of the state in which the municipality is located.

Region Name of the region, in which the states were divided into,

by the Research Centre.

Municipality Name of the municipality in which the village is located.

Village Name of the village in which the patient lives.

Patient Age Years of age of the patient

Gender Gender of the patient. 1 male, 0 female, 3 undefined

Result Result of the Elisa test carried out over the patient. The

positive result represented by 1 shows the presence of the

parasite, 0 otherwise.

Name Name of the Patient

Bugs Result of the question. Does the patient know the bugs? 1

yes, 0 no.

Research Centre

Name

Name of the Research Centre that analysed the blood

sample.

Table 1 Serological file's structure

● House Quality

The house’s quality is a crucial factor within the prevalence of Chagas Disease.

There are some house’s features more likely to give the right livening conditions

for the triatomines. It signified, that a house with mud walls, straw roof,

without plastering and with animals living is more likely to have triatomines

living in that one with brick walls, plastered, zinc roof, tile floor and without

animals living in. Additionally, this file stores the information about presence of

triatomines inside as well as outside parts in the surveyed houses.

Based on the survey conducted about houses’ quality and triatomine presence,

the house quality file was created showing the structure depicted in the Table

2.

33

FIELD NAME DESCRIPTION

State Name of the state in which the municipality is located.

Region Name of the region in which the states were divided into,

by the Research Centre.

Municipality Name of the municipality in which the village is located.

Village Name of the village in which the patient lives.

House Id Id assigned to each house participating in the survey.

Date Survey’s date

Head Household

Name

Name of the head of the household.

Time of

Residence

Number of years living in this municipality

Spraying Answer to the question. Has your house been sprayed for

the last 6 months?. 1 yes, 2 no, 3 does not know, 9 not

answered. For each answer there is a column the file

Sort of spraying 1 does not know, 2 domestic, 3 official programme, 4 both,

9 not answered. For each type there is a column on the file.

Number of

household

How many people live in the house

Type of wall

materials

Answer to the question: With which material are the house’s

walls built? 1 adobe, 2 barheque, 3 brick, 4 wood, 5

tinplate, 6 tapia pisada, 7 without wall, 8 others, 9 mud. For

each type there is a column on the file.

Plastered Answer to the question: Have the house’s walls been

plastered?. 1 has done, 2 partially done, 3 has not done.

For each type there is a column on the file.

Roof Answer to the question: With which material is the house’s

roof built? 1 zinc, 2 palm, 3 mud tile, 3 eternity (type of

tile), 5 straw, 6 wood, 7 others, 8 mixture. For each type

there is a column on the file.

Floor Answer to the question: With which material is the house’s

34

floor built?. 1 ground, 2 concrete, 3 tile, 4 others, 9 not

answered. For each type there is a column on the file.

House’s front Approximate measurement in meters of the front of the

house.

House’s depth Approximate measurement in meters of the depth of the

house.

House’s area Approximate measurement in square meters of the house’s

area.

Type of annexe Answer to the question: Which type of annexe has the

house got?. 1 attic, 2 chicken coop, 3 granary, 4 others, 5

none. For each type there is a column on the file.

Animals Answer to the question: Are there animals are living in the

house?. 1 yes, 2 no, 9 not answered.

Type of living in

animals

Answer to the question: Which type of animals are living in

the house?. 1 dog, 2 cat, 3 hens, 4 pork. For each type

there is a column on the file.

Bug knowledge Answer to the question: Do you know the bug?. 1 yes, 2 no,

0 does not know, 9 not answered.

Seen bug in Answer to the question: Have you seen the bug inside the

house?. 1 yes, 2 no, 0 does not know, 9 not answered.

Places inside the

house

Answer to the question: In which place inside the house

have you seen the bug?. 1. bedroom, 2 roof, 3 attic, 4

walls, 5 others. For each type there is a column on the file.

See bug outside Answer to the question: Have you seen the bug outside the

house?. 1 yes, 2 no, 0 does not know, 9 not answered.

Places outside

the house

Answer to the question: In which place outside the house

have you seen the bug?. 1 chicken coop, 2 granary. For

each type there is a column on the file.

Research Centre

Name

Name of the Research Centre that analysed the blood

sample.

Table 2 House quality file's structure

35

● Collection of triatomines

This data shows the real presence of triatomine inside and outside the houses.

Plastic containers were left in the houses where the house quality survey was

carried out. In the case of any household found a bug it would be kept in the

plastic containers. When the time for keeping the container is over, it has to be

sent it up to the Research Centre’s offices in order to carry out some DNA

analysis over the bugs. After, all required analyses were conducted at the

respective Research Centre, a triatomines’s presence file was generated to

reflect the results with the structure showing in Table 3.

FIELD NAME DESCRIPTION

State Name of the state in which the municipality is located.

Region Name of the region, in which the states were divided into,

by the Research Centre.

Municipality Name of the municipality in which the village is located.

Village Name of the village in which the patient lives.

House Id Id assigned to each house participating in the survey.

Head Household

Name

Name of the head of the household.

Specie sent Triatomine specie sent: Pgeniculata, Rcolombu, Rpallences,

Rprolixus, Tdimidiata, RPS, Tvenosa. For each type there is

a column on the file

Presence of adult

triatomine

Answer to the question: Are there adult bugs in the house?.

1 yes, 2 no, ND indeterminate

Amount of adults Amount of adult bugs found inside the house.

Presence of

nymph triatomine

Answer to the question: Are there nymph bugs in the

house?. 1 yes, 2 no, ND indeterminate

Amount of

nymph

Amount of nymph bugs found inside the house.

Positives Answer to the question: Were there infected bugs into the

sample sent?. 1 yes, 2, no, ND indeterminate

36

Amount of

Positive bugs

Number of bugs infected by the parasite

Parasite Species of Trypanosoma identified among the infected

triatomine. TC Tcruzi, TR T rangeli, TCTR T cruzi and T

rangeli, TSP indeterminate Trypanosoma.

Research Centre

Name

Name of the Research Centre that analysed the blood

sample.

Table 3 Triatomine presence file's structure

● Population

In 1993, a general census was carried in Colombia, being the last official

information about the Colombian population. This information is distributed by

the National Office of Statistics (DANE acronym in Spanish). To have a figure

about population in Colombia, some information was extracted and compiled

into a single file. Its structure is showed in Table 4.

FIELD NAME DESCRIPTION

State Name of the state in which the municipality is located.

Municipality Name of the municipality in which the village is located.

Women Numbers of women in the municipality

Men Number of men in the municipality

Total men in

town

Total men in the urban area in the municipality.

Total woman in

rural area

Total women in rural area in the municipality

Total population Total population in the municipality

Table 4 Population file's structure

● Poverty

In Colombia the poverty is measured according to the percentage of dissatisfied

basic need (NBI acronym in Spanish). It means if a certain state shows a high

NBI, its habitants are living under the level of subsistence. It is due to many of

37

theirs basic needs like decent house, education or basic public utilities, are not

being satisfied. DANE provides this information consolidated by state level. The

structure of NBI file is shown in Table 5.

FIELD NAME DESCRIPTION

State Name of the state

Index of

dissatisfied basic

need

Index used in Colombia to measure in which percentage the

basic needs for living are dissatisfied.

Table 5 NBI file's structure

5.2.1.2 Georeferenced information

Colombia is divided into 32 states as is shown in Figure 8. Each state is made

up to municipalities and each municipality is composed of villages. The number

of municipalities and villages vary in number from state to state.

Figure 8 Political Map of Colombia

Santander State

38

For the project’s development, there are available in shp format, state map of

Colombia, municipality map of Santander and village Map of Florida2

Municipality. If the system would want to be implemented for whole Colombia,

it will be necessary to have shp format maps of every state, every municipality

(approx 1200) and every village (unknown amount). This option is almost

impossible because even in some municipalities the local authorities do not

have paper maps of the villages in theirs jurisdiction. Therefore, it would be a

utopia think about digital map of every single village in Colombia. However, if

the project will be broke into stages covering certain number of states.

Besides shp format maps, there is a classified land use image of 1 kilometre of

resolution for whole South America available. Due to the image’s extension is

whole South America, when it is overlapped with any state, and viewing in a

more detail scale, the image looks like a bit map rather than smooth

classification map.

Finally, there is a one-band altitude image for the north part of Colombia,

including the Santander state, with which the prototype will be tested. With

this image occurs the problem stated before. The resolution is not enough to

work with state level maps. This problem will be sorted out with a more

precision scale image but it will imply the investment of a decent amount of

money buying it. Nevertheless, the two images were downloaded for free

saving a great amount of money.

In summary, there is some descriptive information about the disease although

there is not georeferenced. However, it might be done linking them with the

digital maps available, offering the possibility to see unseen relations between

the variables stated.

2 This municipality belongs to Santander State

39

5.2.2 Design

The system design process partitions the requirements to either hardware or

software systems. It establishes an overall system architecture. A software

design is a description of the structure of the software to be implemented, the

data which is part of the system, the interfaces between system components

and, sometimes, the algorithms used Sommerville(2001).

Besides, due to the project’s nature, development of a web site, is important to

determine what the site will look, like, both structurally and graphically, and

how it will work are developed. Here, it is necessary to bear in mind that user’s

interface and web page are almost synonymous, because through some web

pages the user will interact with the system. This stage was broken into some

sub stages: Architectural design, information design, data structure design and

interface design.

5.2.2.1 Architectural design

As a result of the analysis stage, two constrains were established to the

development of the prototype’s project. First, financial resources, there is no

money to buy software or hire new staff and second, there are only three

months available for the development. These two constrains were had into

account during the analysis stage, hence they must have into account at this

stage as well.

In Chapter 8, through the Figure 4 Components proposed for the

application was articulated possible components for a GIs based web site

prototype. Therefore, it is time to express this proposed model in terms of real

components. Based on the Prototype‘s system requirements and design

principles, the following elements were selected in order to create an

architectural design for the prototype, shown in Figure 9.

● Hardware System: this is element was not reflected in Figure 4 because

of the machine where the system will be running on, have already been

40

bought. The machine presents workstation standard features. Nothing can

be done in respect of the hardware aspect.

Figure 9 Prototype's architectural design

● Client Browser: it might any among, Netscape, Explorer, Mosaic and so.

Nobody can control with which browser the user will be connected.

However, the web site must be designed and implemented bearing in mind

that some browser’s versions do not accept certain html tags or they might

not work well with some scrip languages and do not accept activex controls

or plug-ins. Therefore, the web site should be as much general as possible.

● Web Server: All web server packages may exhibit different responsiveness

on equivalent hardware. Different kinds of web server can be found in the

market vary from less powerful but ease of administration like Microsoft

solution (Internet information server) to high performance solutions but little

complicated administration like Apache, prices varying with the number of

functionalities incorporated.

For the project, Apache was the option selected due to its powerful

administrative capabilities, its image handling performance and because it is

DATA REPOSITORIES

INTERNET MySql DATA BASE

IMAGE BASE

FOLDER IN THE WEB SERVER’S

ROOT

PhP Server Side

Application

Make Request

Result Sent

Any Client Browser

Apache Web Server

41

a free software with strong technical support through the Web. There are

different versions of Apache, therefore the appropriate version that runs

over the host machine’s operating system should be downloaded from

www.apache.org web site.

● Server Side Programming Language: After the place where the

application will be executed is selected, next steep is to define which of the

Server Side Programming Language is fitted to project’s needs in term of

functionality implementations. According to the analysis stage, the prototype

needs to work with images, use http protocol and link with a database to

extract information. To fulfil these requirements the PHP language was

selected to write the code for the prototype.

Php is a combination of programming language and application server. The

programming language is similar to many others in that it has to variables to

store temporary values and operands to manipulate the variables. The real

value of Php lies in its role as an application server Medinets(2000).

Php was chosen because it is a robust programming language, can establish

access to different databases, supports http protocol, there is a PHP module

in Apache and is free software with strong development support.

● Data Repositories: the prototype manages two types of information hence

two kind of data repository have to be selected.

1. Georeferenced Information: One possible solution, spatial database

modules can be found to manage G.I offering great spatial capabilities.

Though, as modules of well-known database engines like Oracle (spatial

data object) or Informix (spatial data blades), there are quite expensive

becoming unaffordable tools for the prototype’s development. Other

possible solution, map sever software, are special tool to public maps on

42

Internet and make queries, however its price varies from £3.200 to

£16.000 Longley(2001) being unaffordable software as well.

To manage GI the proposed solution is a series of map images created

off-line according to all possible queries results; the images will be

stored in a special folder in the Server’s root space. The complete

process will be elaborated in Chapter 6 item 6.1 GEOGRAPHIC DATA .

2. Descriptive Information: Many database engines to handle information

can be found. As any piece of software, theirs prices varies directly with

the number of theirs capabilities rising up to thousand of pounds for the

powerful ones. Names like Oracle, Informix, Sybase or Access can be

identified as the more known and used. However, free database engine

MySql was selected for the project. Based on Structure Query Language

Standard SQL, easy connection with PhP and its widely development

support, were the decisive features for the decision. After the PHP

installation on the Web server, some features have to be configured in

some PHP variable created for the MySql management.

5.2.2.2 Information Design

Information design describes the organization of information which provides

clarity, meaning, and context for the information Mok(1996). It involves taking

data like text, pictures, multimedia elements, and programming elements in

order to organize them, in a way that is meaningful and hopefully useful. As it

seen, there is two sorts of elements should be organized and mixed, they are

the normal design elements and programming elements. The former expresses

graphically the web site’s intentions and the latter adds capability to do

something according to the scope of the web site.

Particularly, the prototype in this project is more oriented towards programming

elements than aesthetical ones. Although, the design is focused on

programming elements some actions like Cascade Style Sheet CSS layouts are

applied to care about the web site presentation.

43

Figure 10 Prototype's pure web structure

According to the hypertext theory in Powell(1998), the developed prototype

web site structure can be classified into Pure Web Category, where a collection

of documents seems to have no discernible structure. Figure 10 depicts pure

web structure designed for web site prototype, showing with normal line two-

direction relationship and dotted line one-direction relationship. Among the

advantages of this model are the information can be accessed quickly,

because every page can be accessed through the rest, and the fact of this kind

of site provides a great deal of expressiveness.

However, its detractors argue that this design may cause the users lost focus

making difficult for them to form a mental map of the site. Nevertheless, this

module structure fits perfect to the prototype, due to its lack of logic flow to

access the information by the users and they can not get lost because there is a

navigation bar allows them to move with the overall site.

5.2.2.3 Data Structure Design

The data structure design corresponds to the logical design of the database will

store the descriptive information about Chagas disease within the project.

Analysing the information available for the project, some alterations were made

into the given files, in order to create an efficient database structure that avoids

duplication of data in the future database and to offer low response times.

Prototype Home Page

Query Data Form Result Display

Form

User Connection Form

More About Chagas Disease

Control Map Display

Management Data Form

44

The EM for the prototype’s database is depicted in the Figure 11.

Figure 11 ER Model for the prototype's database

A detailed explanation about all entities included in the ER model is stated in

the Table 6 (shown below).

TABLE NAME TABLE DESCRIPTION

States To store state’s identification and name, and research centre in

charge of survey in it.

Municipalities To store municipality’s identification and name, and

identification of the state that the municipality belongs to.

Villages To store village’s identification and name, and identification of

the municipality that the village belongs to

Population Information about population given by municipality level.

45

NBI Information about NBI index given by state level.

Control_map_d

ata

Amalgamated information about infection, presence triatomine,

house and real triatomine presence indexes3. Indexes necessary

to calculate the risk unit about chagas disease for each state,

municipal or village.

Research_centr

es

To store information about all research centres in Colombia,

which participated into the National Program.

Con_serology_s

tates

To store amalgamated information about serological test result

by state. It includes state identification, number of positive

patients, number of negative patients, total of people surveyed

and year of the survey.

Con_serology_

mun

To store amalgamated information about serological test result

by municipality. It includes municipality identification, number

of positive patients, number of negative patients, total of people

surveyed and year of the survey.

Serology To store all the information about serological tests applied. This

information is given by village level and contains village

identification, name, gender and gender of the patient, result of

the blood test and date of the survey.

Gen_inf_houses To store general information about the houses surveyed by

village level. This information includes: village identification,

number of surveyed houses, average area per house, average

households per house, average annexe number per house,

number of houses with annexe, average area per house,

average perimeter per annexe, number of houses with domestic

animals, number of houses have been spaying during the last 6

months, number of house with domestic spray, number of

house with official spray, number of houses with both official

and domestic spray, number of houses without spray and year

of the survey.

3 How calculate these indexes are explained in detail in 6.2 CONTROL INDEX MAP section.

46

House_interior_

features

To store general information about the interior features of the

surveyed houses, given by village level. This information

includes: village identification, number of house with zinc roof,

number of houses with palm roof, number of house with clay

tile roof, number of houses with eternity4 roof, number of

houses with straw roof, wood roof, number of houses with

other types of roof, number of houses with soiled floor, number

of houses with concrete floor, number of houses with tile floor,

number of houses with other types of floor and year of the

survey.

House_walls To store information about type of material that surveyed

house’s walls are made, given by village level. This information

includes: village identification, number of houses with brick

walls, number of houses with barheque5 walls, number of

houses with block walls, number of houses with wood walls,

number of house with thin plate, number of house with tapia

pisada walls, number of houses without walls, number of

houses with clay walls, number of houses with totally plastered

walls, number of houses with partially plastered walls, number

of houses without plastered walls, and year of sample.

Triatomine_spe

cies

To store information about type of triatomine species found in

the surveyed houses and sent back to the research centre

offices; the information is given by village level. This

information includes: village identification, number of surveyed

houses, number of Pgeniculata triatomine sent, number of

rcolomb triatomine sent, number of rpallaences triatomine sent,

number of rprolixus triatomine sent, number of tdimidiata

triatomine sent, number of tvenosa triatomine sent, number of

4 Thing concrete tile used to build roofs. 5 Special type of material made with clay and water, used in poor areas to build houses

(barheque and tapia pisada have similar features).

47

rps triatomine sent and year of the survey.

Triatomine_pre

sence

To store information about presence of the triatomine with the

surveyed houses, by village level. This information includes

number of houses surveyed, number of houses where the

triatomine was seen inside, number of houses where the

triatomine was seen in the bedroom, number of houses where

the triatomine was seen in the roof, number of houses where

the triatomine was seen in the attic, number of houses where

the triatomine was seen in the walls, number of houses where

the triatomine was seen in others parts inside, number of

houses where the triatomine was seen outside, number of

houses where the triatomine was seen in the chicken coop,

number of houses where the triatomine was seen in the granary

and year of the survey.

Table 6 Entities in the ER Model

The following were the arrangements made to design the database structure:

● Three entities were created to States, municipalities and villages to describe

the general information of each one. It means that table’s only need to have

the parent’s identification, and through sql statements the rest of

information might be accessed.

● In the state entity was created a field called Research centre, to avoid the

repetition of its information in every single entity that describes the surveyed

information. Now, with the state’s name or code is possible to know which

research centre carried out the surveyed for this specific zone.

● A year sample field was added for almost every table in order to allow the

system to make multi-temporal analysis, although there is only information

for one survey year. This feature will facilitate to add the information when

more surveys would be carried out.

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● The id field join with the year sample formed a compound primary key for

the population, serology, con_serology_mun, con_serology_states,

tratomine_presence, house_walls, house_interior_features,

triatomine_species, gen_inf_house, NBI and control_index_map entities.

● There are three amalgamated tables to handle the control index map query

and the serology by municipality and state queries. These tables were

created due to the high complexity presented by the sql statement to query

serology information and to create the indexes for the control map. The

queries were made almost manually, dividing the main sql query into

intermediated queries that created new tables with the results. All these

new tables were joined in a single table. After the process all intermediate

table were delete leaving only the tables generated. This was the specific

case for Control_map_data, Con_serology_states and Con_serology_mun

tables.

● During the survey, all information about house quality and triatomine

presence were stored in one file. It generated a 50 column file that may

make slow response time for the queries willing to extract their information.

For this reason this file was broken into four entities: general information

about the houses, triatomine presence, walls and interior features in the

houses. Having the files separated facilitates the process of making queries

and may produce quickest time’s response.

5.2.2.4 Interface Design

The first idea was to created a similar interface to any of the map sever

software in the marketplace. These interfaces almost offer a layout where the

map is displayed in a frame and the map utilities like pan, zoom or identify

bottom are displayed like kind of tool bars next to the map frame. A map server

interface is shown in the Figure 12. However, the idea was dismissed because

the aim of the prototype is to build an inexpensive Internet tool that offers

some GIS capabilities rather than built map server software that already exists.

49

Figure 12 Example of an ArcIms interface

Hence, the web site prototype should not have a unique interface. The interface

has to vary depending upon functionality offers by the specific web page where

the user is. However, this functionality can be classified in 3 interface

categories:

● Information display interface: Page uses to display information and

available links; the home page and control map display are examples of this

type of interface. Although, control map display interface displays

descriptive information as well as GI information result of a internal query.

● Input data interface. Pages where some variable values are asked in

order to make queries or execute some actions based on them. Examples:

● Result display interface: These pages display the results of queries or

actions taken. If the interface is query type, it displays the result of a query

made thought an Input data interface. This result is made up two parts, GI

part where descriptive variables are georeferenced and the consolidated

value variables used to produce the map; example, query data interface. In

contrast, if the interface is action taken, it displays other interface related in

Typical Gis features

On-off layer tool

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some how with the previous interface thorough the variable values typed in.

Example of this type, user’s authentication interface.

Examples of input data and result display interface categories are depicted on

the Figure 13.

Figure 13 Two interfaces in the prototype

Moreover, all web pages appear to keep the same style. This feature is

achieved introducing the Cascading Style Sheet concept. CSS defines how

elements are displayed, just like the font tag and the colour attribute in HTML.

Styles are normally saved in files external to the HTML documents. These

External style sheets enable the web site designer to change the appearance

and layout of all the pages in the Web, just by editing a single CSS document.

CSS is a breakthrough in Web design because it allows developers to control

the style and layout of multiple Web pages all at once. The Web developer can

define a style for each HTML element and apply it to as many Web pages as

he/she wants. To make a global change, simply change the style, and all

elements in the Web are updated automatically CSS(2002).

For the development stage, a CSS external file was created and linked to each

web page. This file contains the web site’s style in terms of heading, font, list

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element or paragraph format. With Using CSS is definitely true that lot of work

can be saved.

In addition with the style, there is an important element in all pages. It is t the

navigation bar that allows users to navigate throughout the web site and reach

every page available, avoiding the user gets lost.

5.3 IMPLEMENTATION STAGE

The first steep within the Implementation stage was a four-week process of

Php language learning. During this process the learning curve behaved like an

exponential curve, with slow progress during the first week but good progress

during the following three weeks. Due to its similarity with C language, the php

syntax is easy to learn, although as a result of being embedded in html tags the

debugging process is complicated and time consuming. Any php syntax error

impedes web page being displayed, when there is a php syntax error,everything

stops working.

The second steep was to start writing the php code base on the functionality

described in the analysis stage and the web site structure generated in the

design stage. The following sections describe the most striking part of code

written.

5.3.1.1 Home Page

The home page is the simplest one, having only html tags. However, there are

two code blocks all pages have in common:

● The code to link the CSS file called chagas_style_sheet.css that defines the

unique stile of the web site. The html code to link a html page with a CCS

is depicted on the next paragraph . The whole CSS code is shown on the

Appendix A chagas_style_sheet.css file code.

<head> <link rel="stylesheet" type="text/css"

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href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title> Chagas GIS </title> </head>

The code has to be located in the head section of the html code and has to

make reference to the CSS file’s location on the web server.

● The navigation bar code allows the user to access all pages in the web site

do not care in which page he/se is.

<h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php"> Data Managment Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a>| </h5> The code composes of <a href> </a> tags referencing all pages want to be

accessed, notice that the navigation bar uses <h5></h5> heading style

redefined in the CSS file. Refer to Appendix B Index.Html File Code to see

whole home page code.

5.3.1.2 Query Data Form Page

Query Data Form Page allows the user to make queries about test, house,

quality or triatomine presence variables, in either all states or specific state and

for a specific surveyed year.

Apart from the main variable selection, the user has to select the target zone.

Here, the code search into states table into the database in order to see for

which states information is available. This functionality cannot be achieved with

html tags; hence the following php code was written to create a dynamic pull

down menu based on state table.

<td width = 100% > <p class="margin"><b>Target zone: </b> <?php $db = mysql_connect("localhost", "at705", "m0d13");

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if ($db) { mysql_select_db("at705",$db); $sql = "SELECT name FROM states ORDER BY name"; $result = mysql_query($sql,$db); echo "<select name= name size = 1>"; echo "<option value =\"all states\">All States</option>"; while ($row = mysql_fetch_array($result)) { $name = $row["name"]; echo "<option value=\"$name\">$name</option>"; } echo "</select>"; } else { echo "Unable to connect to database!"; } ?> </p> </td> However, the first row of the pull down menu is all states option that it is not in

the states table. Nevertheless, this option allows querying the information

consolidated by all states instead of by a single state. Other important feature

of this piece of code is the connection with the database established by the

following instruction.

$db = mysql_connect("localhost", "at705", "m0d13");

The php variable to manage the database connection is named localhost,

at705 is the database name and m0d13 is a valid user password. After, the

database connection is successfully established the SQL is executed in order to

fetch the relevant data to fill the pull down menu. This set of instructions is

depicted in the next piece of code.

$sql = "SELECT name FROM states ORDER BY name"; $result = mysql_query($sql,$db);

In the event of an updating action over the state table, the pull down menu will

show automatically the new records. After, the variable and the target zone are

selected, it is necessary to specify a base map that will serve as a background

for the Chagas disease data results. Finally, the user has to select the year for

which the information is wanted. The code to achieve the year selection is

similar to the pull down men varying only in the sql statement. Following code

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depicted the sql statement written, using con_serology_mun table in instead of

states table.

$sql = "SELECT DISTINCTROW year_sample FROM con_serology_mun ORDER BY year_sample"; $result = mysql_query($sql,$db);

Refer to Appendix C query_data_form.php File Code to see the whole code.

5.3.1.3 Display Form Page

Display form page in conjunction with the Query Data Form Page are the most

important parts of prototype because it is in these two pages where the main

functionality is shown. After the selection of the main variable (house quality,

blood test or triatomine presence), target zone, base map and year values, the

next step is to call the display.php that is in charge of making the query, based

on the information stipulated

The first step is to make the query with all stipulated information. This is

achieved by the following code.

if ($infection_var == 'blood') { if ($name == "all states") { } } else { $sql =

"SELECT municipality_name, number_positive, number_neative, total_sampled, states.name,round(((100*number_neative)/total_sampled),2) as negatives,

round(((100*number_positive)/total_sampled),2) as positives FROM municipalities, con_serology_mun, states WHERE ((municipalities.municipality_id = con_serology_mun.municipality_id) and (municipalities.state_id = states.state_id) and (states.name = '$name')and

(con_serology_mun.year_sample = '$year')) ORDER BY $sort_var"; ); } This sql statement makes a query over municipalities, states and

con_seology_mun tables. The query displays the municipality name, number of

positive, calculate positive %, number of negative, calculate negative % and

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total of sampled. The, all information will be displayed for a specific year and

ordered by an specific variable.

To overcome the possibility to turn on-off layers, a link to different base maps

is made available. It allows the user to see the same query with different base

maps as background. Therefore, poverty, altitude, land use, NBI or population

are available as background for any query made. This particular functionality is

achieved with the following php code.

echo("<tr><th><table border=0 width=100%><tr><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=alt&infection_var=$infection_var\">Altitud</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=land&infection_var=$infection_var\">Land Cover</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=pop&infection_var=$infection_var\">Census</a></td></tr></table></th><th

The code might look a bit complicated but in reality is very simple. The principle

is based on call the display.php page itself varying the map base variable

depending on the link chosen and passing all the parameters used to make the

query at the first time. Other functionality that display.php offers, is the

possibility to arrange the query’s result by state name, percentage of positive,

percentage of negatives or total people sampled. This functionality is based on

the same principle followed to change the base map background.

A particular form to handle the maps was created. It consists in select the

image to be displayed according to the target zone and base map selected.

The map name is automatically generated by the php code. The code for this

task is shown below.

if ($name == "all states") { $image_name = "all_states_".$infection_var."_".$base_map.".jpg";

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To show the data result for any query, the php code generates a table that will

contain on the left side the map and on the right side, the data. The data will

be expanded automatically according to the number of rows on the query

result. The following code shows how the php code creates the display result

table.

$result = mysql_query($sql,$db); $num_records = mysql_num_rows($result); echo("<tr><td valign=top rowspan=\"$num_records\">"); echo("<img src=\"http://www.student.city.ac.uk/~at705/images/blood/$image_name\" width=\"365\" height=\"483\"></td>"); while ($row = mysql_fetch_array($result)) { $s_name = $row["municipality_name"]; $positive = $row["number_positive"]; $negative = $row["number_neative"]; $total = $row["total_sampled"]; $p_negative = $row["negatives"]; $p_positive = $row["positives"]; echo("<td align = left><a href=\"http://www.student.city.ac.uk/~at705/php/municipality.php\">$s_name</a></td><td align = center>$positive</td><td align = center>$p_positive</td><td align = center>$negative</td><td align = center>$p_negative</td><td align=center>$total</td></tr>\n"); } All functionalities implemented on this page, is the proposed way to emulate

GIS capabilities on the prototype. Refer to Appendix D to see the whole

display.php file code.

5.3.1.4 User Connection Form Page

This page allow to right users to connect to the data management tool. A right

user is who has a valid user name and password. This special kind of user can

access the database structure in order to modify the records. Not everybody

can have a user name and a password, there is a privilege reserved to the

people in charge to updating process on the database. Refer to Appendix E to

see the whole user_connetion_form.php file code.

5.3.1.5 Management Data Form Page

Once, user name and the password have been typed, they need to be

validated in order to get access to the management data form. The php code

57

to validate this information is a simple sql statement joins with a If loop. The

php code is shown below.

$sql = "SELECT user_name, user_pass FROM users WHERE ((user_name= '$user') and (user_pass='$pass'))"; $result = mysql_query($sql,$db); $num_records = mysql_num_rows($result); if ($num_records == 0) echo "User or password invalid. Use the <b>Data Managment Tool</b> option on the navigation bar"; else {} The else block of instructions seen empty in the above, but it is used to show

all the available tables in the database. Next php code are the else block

instructions.

else { $sql = "SHOW tables"; $result = mysql_query($sql,$db); echo "<select name= Tables_in_at705 size = 7>"; while ($row = mysql_fetch_array($result)) { $name = $row["Tables_in_at705"]; echo "<option value=\"$name\">$name</option>"; }

This code will fill a fixed size list with all tables available on the data base. The

code to select one specific task as edit, add or delete, was not developed. It

might be part of a future development stage. Refer to Appendix F to see the

whole management_data_form.php code file.

5.3.1.6 Control Map Display Page

Map control is the option that amalgamates the stored information about

serology, house quality and triatomine presence. This page has a similar logical

structure with the display page. The difference varies on the sql statement

made to query the information. The sql statement is shown below.

$sql = "SELECT name, infection_index, presene_triatomine_index, house_index, real_triatomine_presence_indez FROM states, control_map_data

WHERE (states.state_id = control_map_data.state_id) ORDER BY name";

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Like display.php, the control_map_display.php shows a table with two columns,

one for the risk map and the other for the information about all risk indexes.

Refer to Appendix G to see the whole control_map_display.php file code.

The evaluation stage is omitted in this section because all Chapter 6 is

dedicated to explain the prototype in action, including an analysis of its

strengths and weakness.

6 THE PROTOTYPE APPLICATION IN ACTION

This chapter describes three important features about the prototype. First, how

prepared the geographic data to be used and linked with other data; Second,

how should be the process to create the control priority index map and third,

how the prototype is currently working.

6.1 GEOGRAPHIC DATA

The geographic data (or GI) in conjunction with the descriptive information

about serology, house quality and triatomine presence, are raw material to the

prototype’s functionality. To fit it with the proposed solution where there is not

specialize software to handle GI, it was necessary to design a specific procedure

to handle GI. The GI acquisition for the prototype is an off-line process that

uses Arcview shp files link to an MsAccess database in order to generate the

maps used in the display interface. It is composed of the following steps.

1. The Ms access database has to have the same structure of the MySql

database designed to the prototype. Using MsAccess, a sql statement is created

based on the asked-query. After, the sql statement is executed and a results

table is generated. Here, it is necessary that the MsAccess table has a join field

with the shp file. It may be the municipality_id or state_id depended on the

kind of target zone has been selected.

59

2. In Arcview, a connection with the database in MsAccess is established in

order to gain access to the created table. With the join tool in Arcview, the

attributes table of the shp file with the MsAccess table are linked through the

common field as it seen on Figure 14.

Figure 14 Linking shp file to a MsAccess table

3. After the linking step, the shp is classified according to a specific field on

the MsAccess table. A classified map by NBI index is shown on the Figure 15.

Figure 15 classified shp file

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4. The finally step is to export this image as a jpg file. Here, it is necessary

to have care about the image name. The notation for the image name is

image_name = "all_states_".$infection_var."_".$base_map.".jpg" or

image_name = $name."_".$infection_var."_".$base_map.".jpg";

Where, $infection_var can be blood, house or triatomine, and $base map can

be land, population, poverty or altitude.

6.2 CONTROL PRIORITY INDEX MAP

The data to elaborate the control priority index map is made up of the

calculation of some indexes. They are infection index II , triatomine presence

index TPI, house quality index HQI and real triatomine presence index RTPI.

The risk level name as Control Priority Index, for any municipality is calculated

through the following formula.

CPI = (II x 0.5) + (HQI x 0.2) + (PT x 0.1) + (RTPI x 0.2)

To classify a municipality according to risk presented, three levels of CPI were

established. These values are shown on the Table 7.

LEVEL OF RISK CPI RANGE

Low 0 – 30

Medium 31 – 60

High 61 –100

Table 7 Levels of CPI

However, to calculate the CPI, first, the II, TPI, HQI and RTPI indexes need

to be calculated. Here, it is the most complicated part of the process. Each

index has its own values to weight all variables defined as possible risk factors.

An example of some values to calculate HQI are depicted on the Table over

the page .

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Component Weight (in Risk Unit)

Walls and plaster 35

Roof 35

Floor 5

Annexes 10

Presence of Animal 5

Density of people living on the house 10

Table 8 Total components of HQI

Each component will take a value according to information = surveyed during

the National Program. For example, for each roof typed found there a specific

has to be assigned. If the roof is made up straw or palm its contribution with

the risk will be weighted with 35 risk units, on the other hand if the roof is

made up with wood, its contribution will only be 10 risk units . The list of

values for roof component are shown o the Table 9.

Type of roof Weight (in Risk Unit)

Straw and palm 35

Mud tile 20

Wood 10

Other types 0

Table 9 Weights for the roof type

According to the Table 9, a house with palm roof will get more unit risk than a

house that has a thin plate roof.

6.3 WEB SITE

To describe the currently prototype’s functionality, it is necessary to have in

mind some details about the data and the functionality already implemented.

● The prototype only works with serology variable option.

62

● About target zone variable, the prototype can only make queries for all

states and for Santander state. (it is due to maps and data availability).

● As it is warned on the query system page, poverty as a base map is only

available for all states target zone.

● In the display page, all base map options are working to Santander state

target zone.

● In the display page, only poverty and census base map options are working

to all states target zone.

● The user name and password in the user’s authentication page are cristina

and cristi02 respectively.

● Finally, the submit and clear buttons on the data management tool are not

implemented.

The prototype can be accessed through the temporal URL

www.student.city.ac.uk/~at705. This Internet address retrieves the prototype’s

home page shows on the Figure 16.

Figure 16 Prototype Home Page

63

The home page has some figures about the disease and offers links to all pages

available on the web site as well other links to external pages related. Query

system link retrieves a form to make queries; data management retrieves the

form that allows right users a connection with the database management tool;

and control priority index map retrieves the control map with its associated

information. The navigation bar can be used instead to access the same pages.

If the query system link is selected, the query system interface appears as it

depicted on the Figure 17.

Figure 17 Query system interface

To make any query select the values to type of infection variable, target zone,

base map and a surveyed year. After, all variable values are selected, click on

the submit button. According to selected values, the display interface shows the

query’s results as it is shown on Figure 18 over the page.

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Figure 18 Display's result interface

To change the base map, click on any link on the top of the currently map.

After, a new base map for the same query values is shown. To change the

order of the displayed data on the right side of the page, click on the new link

option. For a new query use the navigation bar to reach the query system

interface.

To update the database, click on data management tool on the navigation bar

or click on data management link on the home page. This interface is depicted

on the Figure 19.

Figure 19 User's authentication interface

65

On the user’s connection interface, type the user name and password, then

click on login button. If the information is correct, the data management tool

interface appears otherwise an error message is displayed. The management

tool interface is shown on the Figure 20. Have in mind that any functionality on

this interface was implemented.

Figure 20 Data management tool interface

Finally, to see the control priority index map, click on the respective navigation

bar option or reach the home page and click on control priority index map link.

The displayed interface is depicted on Figure 22.

Figure 21 Control priority index map interface.

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So far, all interfaces altogether constitute the prototype’s functionality and can

be shown as a example of what may be done.

6.4 STRENGTHS AND WEAKNESS

To establish what the prototype’s strengths are, it is necessary to think about

how much useful it might be for the potential users. So far, the local health

authorities in Colombia have not tool a part from the digital files resulted from

the surveys and later analyses carried out. With the prototype, they may count

on with a tool that allows them to query and georeference on political maps all

these information. The decision making process is easier to carry out when all

information needed is graphically displayed and linked. Moreover, being an

Internet based tool it offers the possibility to be accessed at any time in any

place.

As a prototype the tool is in constant improvement stage, therefore it is not

right to establish the lacking of any kind of functionality as a weakness.

However, the GI acquisition process must be improved. It is almost manual and

time-consuming process. Besides, it needs a considerable number of

predefined maps.

A further factor to consider is the consolidated tables like con_serology_mun or

con_serology_state. They are the result of off line queries. In the case of a

database update, these changes will be automatically reflected on the input

tables (con_serology_mun or con_serology_state) rather than on the

consolidate tables, that will need to be generated again.

The main strength of the development project itself is related to the discovery

of what things should be improved or what things need a crucial change.

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7 FINDINGS AND IMPROVEMENTS

The followings two sections are a compilation of findings and improvements

reached after carried out the whole prototype’s development project.

7.1 FINDINGS

The web site might look like simple but an important amount of code is needed

to produce the prototype’s functionality. Although, the development time

seemed to be short, a couple of key things were done in order to demonstrate

how much important GI might be when is related to descriptive information.

Even more, when it can be used during the decision making process.

Moreover, factors like the possible influence of altitude or particular vegetation

type on the number of positive people in a specific region can be easily

detected on the prototype’s display result interface. These two basic but

meaningful details depicts how much useful GI may be in health sector.

7.2 IMPROVEMENTS

As it is expected for a prototype development, many improvements need to be

done. First of all, it is necessary to add the functionality for the other two main

variables house quality and triatomine presence. Second, as it was stated on

the strengths and weakness section is important to rewrite the sql statement

used to create the serological query and to create the index control map.

Therefore, instead of using off-line sql statements to create the

con_serology_mun, con_serology_state and control_map_data tables, it will be

convenient to use on line queries. In this way, all off line sub queries needed to

generate these tables can be executed online using make a table query option

available on the sql syntax. This kind of query will allow to have amalgamated

tables up to date, showing instantly all changes made to the database. In

respect to the database, it is necessary to add all the functionality for the tool

68

management form. This new functionality allows the right users to keep up to

date the database and hence, the information depicted on the web site.

GI information is input data to the prototype and invaluable asset for the user.

Hence, all process related with GI have to be carefully planned and done. As it

was seen in previous 6.2 geographic data section, the GI designed process has

some drawbacks. First, it is a time consuming off line process that does not

reflect changes made to the database into the generated maps and second, as

a result of its design the process needs a massive number stored images.

The first disadvantage can be solved establishing a connection between Arcview

and MySql instead of use Arcview and MsAccess. It can be done using the

MyODBC module available within MySql database. The second one does not

seem as a real disadvantage due to the maps can not need much space.

Many new and unthinkable functionalities can be added to the prototype.,

however, the more useful would be to create a completely online process to

generate the index control map. An index control map process that generates

the indexes for each main variable and allows the user to weight and combine

all variables in a single table. This table will be used as input data to create

the control index map.

It is not difficult to imagine how many lives could be saved if a local authority in

a tiny village in Colombia would know exactly in which direction oriented the

control action of Chagas disease, thanks to a online control map that depicts

the low, medium and high risk zones.

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8 CONCLUSIONS

Nowadays, it is a well-known fact that GI might mark the difference between a

well-oriented and wrong decision. When GI and descriptive data are available,

the uncertainty about taken the right or wrong decision can be reduced. To

reach this stage it is necessary to have a tool that allows this information’s

availability at any time.

As a way to solve this situation a prototype was developed. The prototype has

the essential features to display GI and query its related data. Besides, as it

was built almost with free software, its cost about developer software is almost

nil.

However, some GIs features like zoom, pan, layers overlap and online map

creation are not present. If these are indispensable features to the health

authorities in Colombia, this prototype lost its validity and must be replaced by

any map server application. Map server applications include Autodesk Map

Guide, Esri ArcIms, Intergraph GeoMedia Web Map and Map Info Map Xtreme

can deliver all these functionality and more. However, according to

Longley(2001), the cost of these kind of Internet GIS varies from £3.200 to

£16.000, for small to medium sized systems, to well beyond for large

multifunction multi-user systems. Having the price as a constraint, this is a

utopian solution.

Searching for information about Gis Internet software a third solution called

MapServer, was located. It achieved the two sought features, Internet GIs

tools and free of cost. According to information found in its home page (

http://mapserver.gis.umn.edu/home.html ), “MapServer is not a full-featured

GIS system, however, provide enough core functionality to support a wide

variety of web applications. Beyond browsing GIS data, MapServer allows users

to create "geographic image maps", that is, maps that can direct users to

content”.

70

Although, MapServer is seen as the optimal solution for the Chagas disease-

displaying problem, there is still one fact in favour of the prototype solution. It

is related to user’s behaviour.

Map server solutions like ArcIms, Autodesk or Map Server itself can deliver

unbelievable GIs features, however, there are still complicated tools to use by a

user who does not anything about GIS. Therefore, the percentage of the users

that used all these GIs tools is low. The user is limited to make simple queries

and manually analyse the result displayed. This lack of simplicity on the map

server solution converts the prototype’s simplicity in its main strength.

Simplicity is the feature needed in a tool that will be used by people with

different levels of education and Gis understandings. The most important

feature to have is the tool delivers the essential GI and descriptive data that

may help to make well-oriented decisions about Chagas disease control actions.

71

9 REFERENCES

9.1 REFERENCES

Carter John, Carter(2000), “Database Design and Programming – Database

Process”, McGraw Hill. London.

Gordon, V.S. and Bieman, J.M. Gordon and Bieman(1995). “Rapid prototyping:

lessons learned”. IEEE software, 12(1), 85-95. (Ch. 8).

Longley P A, GoodChild M F, Maguire D J, and Rind D W, Longley(2001),

“Geographic Information System and Science”.

Medinets David, Medinets(2000) “PHP 3. Programming Browser-based

Applications”. McGraw Hill. United States of America.

Mok, C. Mok(1996) “Designing Business”, Adobe Press, San Jose, CA.

Powell Thomas A., Powell(1998), “Web Site Engineering”, Prentice Hall. Upper

Saddle River.

Schofield C.J., Schofield(1994), “ TRIATOMINE Biology & Control”. London.

Sommerville Ian, Sommerville(2001), “Software Engineering”, 6th Edition,

Pearson Education Limited, Harlow. England, 172-191 (Ch.8)

9.2 WEB SITES

W3Schools.com, CSS(2002). “CSS Tutorial”, http://www.w3schools.com/css,

(accessed 24/09/2002).

72

Fiedler Kendall, Fiedler Stephanie. Fiedler(2002). “Internet GIs Solution For

Bermuda's Environmental Health Department “.

www.gita.org/members_only/downloads/kendell.pdf, (accessed 15/09/2002).

London School of Hygiene and Tropical Medicine, “A comparison of targeting

strategies for Chagas disease control in the Andean Region”, LSHTM(2002)

.http://www.lshtm.ac.uk/itd/units/dcvbu/research/colombia_menu.htm,

(accessed 15/09/2002).

Multi-Agency Internet Geographic Information Service (MAIGIS), MAIGIS

(2002) http://maigis.wmpho.org.uk (accessed 15/09/2002).

Pinto Dias J. C., Pinto(1992), “Epidemiology of Chagas Disease”,

http:dbbm.fiocruz.br/tropcical/chagas/chapter4.html, (accessed 22/07/2002).

Universidad del Valle de Guatemala Project, Guatemala(2002).

http://cc.cdc.uvg.edu.gt/MAIN/program%20review/GEOGRAFIC.htm, (accessed

15/09/2002).

WHO - World Health Organisations, “Infectious Diseases Home, Chagas”,

WHO(2002), http://www.who.int/health_topics/chagas_disease/en/, (accessed

22/07/2002) .

73

APPENDIX A: CHAGAS_STYLE_SHEET.CSS FILE CODE

body {background-color: EEEEEE}

h1 {color: #0033cc; text-align: center; text-decoration: overline; font-family: tahoma;font-size:

150%}

h2 {color: #0066cc; text-align: center;font-family: tahoma;font-size: 130%}

h3 {color: #0099cc; text-align: center;font-family: tahoma;font-size: 120%}

h4 {text-align: left; font-family: tahoma; font-size: 80%}

h5 {text-align: center;font-family: tahoma;font-size: 80%}

p {text-indent: 0cm;font-family: tahoma;font-size: 80%}

p.margin {margin-left: 0.5cm; margin-right: 0cm}

td {padding-left: 0cm;padding-right: 0cm;padding-top: 0cm}

ul.disc

{

list-style-type: disc

}

ul.circle

{

list-style-type: circle

}

ul.square

{

list-style-type: square

}

ul.none

{

list-style-type: none

}

img.normal

{

height: auto;

width: auto

}

img.big

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{

height: 80px;

width: 100px

}

img.small

{

height: 252px;

width: 438px

}

a:link {color: #0000cc}

a:visited {color: #cc3399}

a:hover {color: #FF00FF}

a:active {color: #0000FF}

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APPENDIX B: INDEX.HTML FILE CODE

<html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title> Chagas GIS </title> </head> <body> <table border="1" width=80%> <tr> <td align = center> <h1>CHAGAS DISEASE - COLOMBIA</h1> </td> </tr> <tr> <td align = center> <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <tr> <td><table border= 0 width=100%> <tr> <td> <table> <tr>

<td><h5>What is Chagas Disease? </h5><p class="margin">It is a chronic and incurable parasitic infection wide spread in South American. Current WHO estimates, its affects between 16 - 18 million people and with a further 100 million people at risk. This represents an average prevalence of about 4% of the total population of Latin America, although in some rural areas the local prevalence may exceed 75%. </p>

</td> <td valign=top rowspan=3><IMG class="small" SRC="http://www.student.city.ac.uk/~at705/images/chagas_presence.gif" WIDTH=520 HEIGHT=316</td> <td align = left> <p> The following links are part of a <b>Prototype Project</b> that allows you to query and display maps and relevant information about the presence of Chagas Disease in Colombia. </p>

<ul class="disc"> <li><h4><a ref="http://www.student.city.ac.uk/~at705/php/query_data_form.php"> <b>Query System</b></a></h4>

<li><h4><a ef="http://www.student.city.ac.uk/~at705/php/user_connection_form.php"> <b>Data Management</b></a></h4>

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<li><h4><a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php"> <b>Control Priority Index Map</b></a></h4> </ul> </td> </tr> </table> </td> </tr> <tr> <td align = center><H2> USEFUL LINKS </H2></td></tr> <tr> <td align = left> <p class="margin"> <a href=

"http://www.lshtm.ac.uk/itd/units/dcvbu/research/comparisontarget_venuzela&colombia.htm"> A comparison of targeting strategies for Chagas disease control</a><br /> <a href="http://maigis.wmpho.org.uk/">MAIGIS - health related data for the West Midlands

Region</a><br /> <a href="http://www.cdc.gov/ncidod/eid/vol8no7/01-0454.htm">Ecologic Niche Modelling for Chagas disease, Mexico</a><br />

</p> </td> </tr> </table> </td> </tr> </table> </body> </html>

77

APPENDIX C: QUERY_DATA_FORM.PHP FILE CODE <html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> </head> <body > <table border="1" cellpadding="0" cellspacing="0"> <form method = "POST" action ="http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&sort_var1=states_name&base_map=$base_map" > <tr> <td center><h1>Query System</h1> </td> </tr> <tr ><td align =center width = 100% > <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <tr> <td width = 100% > <p class="margin"><b>To make a query select: </b><br> Any of <b>three infection variables</b>, a target geographic zone :<br> <b>state</b> or <b>all states</b>,a specific <b>year</b> and a <b>base map</b> to be used as background. </p> </td> </tr> <tr> <td width = 100% > <p class="margin"><b>Type of infection variable: </b> <br> <input TYPE="radio" NAME="infection_var" VALUE="blood" checked>Blood Test <br> <input TYPE="radio" NAME="infection_var" VALUE="house">House Quality <br> <input TYPE="radio" NAME="infection_var" VALUE="bugs">Triatomine Presence<br> </p> </td> </tr> <tr> <td width = 100% > <p class="margin"><b>Target zone: </b> <?php $db = mysql_connect("localhost", "at705", "m0d13"); if ($db) { mysql_select_db("at705",$db); $sql = "SELECT name FROM states ORDER BY name"; $result = mysql_query($sql,$db);

78

echo "<select name= name size = 1>"; echo "<option value =\"all states\">All States</option>"; while ($row = mysql_fetch_array($result)) { $name = $row["name"]; echo "<option value=\"$name\">$name</option>"; } echo "</select>"; } else { echo "Unable to connect to database!"; } ?> </p> </td> <tr> <td width = 100% > <p class="margin"><b>Base Map to display the query result on: </b><br> <input type="radio" name="base_map" value="alt" >Altitude<br> <input type="radio" name="base_map" value="land">Land Cover<br> <input type="radio" name="base_map" value="pop" checked>Census 1993<br> <input type="radio" name="base_map" value="prov">Index of Poverty 1993 (just for All States)<br> </p> </td> </tr> <tr bgcolor=EEEEEE> <td width = 100% > <p class="margin"><b>Choose the year to be queried ?</b> <?php if ($db) { $sql = "SELECT DISTINCTROW year_sample FROM con_serology_mun ORDER BY year_sample"; $result = mysql_query($sql,$db); echo "<select name= year size = 1>"; while ($row = mysql_fetch_array($result)) { $year_i = $row["year_sample"]; echo "<option value=\"$year_i\">$year_i</option>"; } echo "</select>"; } else { echo "Unable to connect"; } ?> </p> </td> </tr> <tr> <td width = 100% align= center> <br> <input type="submit" name="Submit" value="Submit"> &#160; &#160; &#160; <input type="reset" value=" Clear "> <br> <br> </td> </tr> </table> </form> </body> </html>

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APPENDIX D: DISPLAY.PHP FILE CODE <html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title> Chagas GIS </title> </head> <body> <table > <tr> <td align = center width = 100% ><h1>Query System Result</h1> </td> </tr> <tr><td align =center width = 100% > <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <tr><td width = 100%> <?php $db = mysql_connect("localhost", "at705", "m0d13"); if (! $db) { echo "Unable to connect to database!"; } else { mysql_select_db("at705",$db); echo("<h5>Information about $infection_var for $name in Colombia in year $year</h5>\n"); echo("<p><table border=1>\n"); if ($infection_var == 'blood') { if ($name == "all states") { $image_name = "all_states_".$infection_var."_".$base_map.".jpg"; $sql = "SELECT name as states_name, number_positive, number_negative, total_sampled, round(((100*number_negative)/total_sampled),2) as negatives, round(((100*number_positive)/total_sampled),2) as positives FROM con_serology_states, states, municipalities WHERE ((states.state_id = con_serology_states.state_id) and (municipalities.state_id = states.state_id) and (con_serology_states.year_sample = '$year')) GROUP BY states_name ORDER BY '$sort_var1'"; $result = mysql_query($sql,$db); $num_records = mysql_num_rows($result);

80

echo("<th><table border=0 width = 100%><tr><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=states_name&year=$year&name=$name&base_map=alt&infection_var=$infection_var\">Altitud</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=states_name&year=$year&name=$name&base_map=land&infection_var=$infection_var\">Land Cover</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=states_name&year=$year&name=$name&base_map=pop&infection_var=$infection_var\">Census</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=states_name&year=$year&name=$name&base_map=prov&infection_var=$infection_var\">Povertry</a></td></tr></table></th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=states_name&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">State</a></th><th>Positive</th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=positives&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">% Pos.</a></th><th>Negative</th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=negatives&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">% Neg.</a></th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var1=total_sampled&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">Total Sampled</a></th></tr>\n"); echo("<tr><td valign=top rowspan=\"$num_records\">"); echo("<img src=\"http://www.student.city.ac.uk/~at705/images/blood/$image_name\" width=\"371\" height=\"507\"></td>"); while ($row = mysql_fetch_array($result)) { $s_name = $row["states_name"]; $positive = $row["number_positive"]; $negative = $row["number_negative"]; $total = $row["total_sampled"]; $p_negative = $row["negatives"]; $p_positive = $row["positives"]; echo("<td align = center>$s_name</td><td align = center>$positive</td><td align = center>$p_positive</td><td align = center>$negative</td><td align = center>$p_negative</td><td align=center>$total</td></tr>\n"); } } else { $sql = "SELECT municipality_name, number_positive, number_neative, total_sampled, states.name,round(((100*number_neative)/total_sampled),2) as negatives, round(((100*number_positive)/total_sampled),2) as positives FROM municipalities, con_serology_mun, states WHERE ((municipalities.municipality_id = con_serology_mun.municipality_id) and (municipalities.state_id = states.state_id) and (states.name = '$name')and (con_serology_mun.year_sample = '$year')) ORDER BY $sort_var"; echo("<tr><th><table border=0 width=100%><tr><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=alt&infection_var=$infection_var\">Altitud</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=land&infection_var=$infection_var\">Land Cover</a></td><td align=center><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=pop&infection_var=$infection_var\">Census</a></td><

81

/tr></table></th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=municipality_name&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">Municipality</a></th><th>Positives</th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=positives&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">%Pos.</a></th><th>Negatives</th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=negatives&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">%Neg.</a></th><th><a href=\"http://www.student.city.ac.uk/~at705/php/display.php?sort_var=total_sampled&year=$year&name=$name&base_map=$base_map&infection_var=$infection_var\">Total Sampled</a></th></tr>\n"); $image_name = $name."_".$infection_var."_".$base_map.".jpg"; $result = mysql_query($sql,$db); $num_records = mysql_num_rows($result); echo("<tr><td valign=top rowspan=\"$num_records\">"); echo("<img src=\"http://www.student.city.ac.uk/~at705/images/blood/$image_name\" width=\"365\" height=\"483\"></td>"); while ($row = mysql_fetch_array($result)) { $s_name = $row["municipality_name"]; $positive = $row["number_positive"]; $negative = $row["number_neative"]; $total = $row["total_sampled"]; $p_negative = $row["negatives"]; $p_positive = $row["positives"]; echo("<td align = left><a href=\"http://www.student.city.ac.uk/~at705/php/municipality.php\">$s_name</a></td><td align = center>$positive</td><td align = center>$p_positive</td><td align = center>$negative</td><td align = center>$p_negative</td><td align=center>$total</td></tr>\n"); } } } echo("</table>\n"); echo("</p>"); } ?> <br> </td> </tr> </table> </body> </html>

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APPENDIX E: USER_CONNECTION_FORM.PHP FILE CODE

<html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title>Admin connection form</title> </head> <body > <table border="1" cellpadding="0" cellspacing="0"> <tr> <td width = 100%> </td> </tr> <form method = "POST" action ="http://www.student.city.ac.uk/~at705/php/data_management_tool.php"> <tr> <td align = center><h1><b>USER'S AUTHENTICATION FORM</b></h1> </td> </tr> <tr><td align =center width = 100% > <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <tr> <td width = 100% > <table> <tr> <td><p class="margin">Type your user name and password.</p></font> </td> </tr> <tr><td><p class="margin">User Name:</p></td> <td><input name="user" value="" size=20 maxlength=20 ></td><td align =center><input type="submit" value="Login"></td> </tr> <tr> <td><p class="margin">Password:</p></td><td><input type="password" name="pass" size=20></td><td></td> </tr> </td> </table> </tr> </table> </form> </body> </html>

83

APPENDIX F: DATA_MANAGEMENT_TOOL.PHP

<html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title> Chagas GIS </title> </head> <body > <table border="1" cellpadding="0" cellspacing="0"> <tr> <td width = 100%> </td> </tr> <form method = "POST" action ="http://www.student.city.ac.uk/~at705/php/task_operation.php"> <tr> <td align = center><h1>Data Managment Tool</h1> </td> </tr> <tr><td align =center width = 100% > <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <td width = 100%> <table> <tr> <td><p class="margin">Select a task:<br><b>add</b>, <b>edit</b> or <b>delete</b> records.</p></td> <td align = left> <p><input type="radio" name="task" value="add" checked>Add<br> <input type="radio" name="task" value="edit">Edit<br> <input type="radio" name="task" value="delete" >Delete<br> </p> </td> </tr> <tr> <td><p class="margin">Select <b>a table</b> from the Data Base to work with.</p></td> <td align=centrer> <br> <?php $db = mysql_connect("localhost", "at705", "m0d13"); if (! $db) { echo "Unable to connect to database!"; }

84

else { mysql_select_db("at705",$db); $sql = "SELECT user_name, user_pass FROM users WHERE ((user_name= '$user') and (user_pass='$pass'))"; $result = mysql_query($sql,$db); $num_records = mysql_num_rows($result); if ($num_records == 0) echo "User or password invalid. Use the <b>Data Management Tool</b> option on the navigation bar"; else { $sql = "SHOW tables"; $result = mysql_query($sql,$db); echo "<select name= Tables_in_at705 size = 7>"; while ($row = mysql_fetch_array($result)) { $name = $row["Tables_in_at705"]; echo "<option value=\"$name\">$name</option>"; } echo "</select>"; } } ?> </td> </tr> <tr align = center> <td colspan = "2"> <br> <input type="submit" name="Submit" value="Submit"> &#160; &#160; &#160; <input type="reset" value=" Clear "> <br> </td> </tr> </table> </tr> </table> </form> </body> </html>

85

APPENDIX G: CONTROL_MAP_DISPLAY.PHP

<html> <head> <link rel="stylesheet" type="text/css" href="http://www.student.city.ac.uk/~at705/php/chagas_style_sheet.css" /> <title> Chagas GIS </title> </head> <body> <table> <tr> <td align = center width = 100% ><h1>Control Priority Index Map</h1> </td> </tr> <tr><td align =center width = 100% > <h5> <a href="http://www.student.city.ac.uk/~at705/">Home</a> | <a href="http://www.student.city.ac.uk/~at705/php/query_data_form.php">Query System</a> | <a href="http://www.student.city.ac.uk/~at705/php/user_connection_form.php">Data Management Tool</a> | <a href="http://www.student.city.ac.uk/~at705/php/control_map_display.php">Control Priority Index Map</a> | <a href="http://www.who.int/tdr/diseases/chagas/default.htm">About Chagas Disease</a> | </h5> </td> </tr> <tr> <td width = 100% > <?php $db = mysql_connect("localhost", "at705", "m0d13"); if (! $db) { echo "Unable to connect to database!"; } else { mysql_select_db("at705",$db); echo("<p><table border=1 cellpadding=4>\n"); $image_name = "control_index_map_colombia.jpg"; echo("<tr><th>Map</th><th>State</th><th>Infection Index </th><th>Triatomine Presence Index</th><th>House Quality Index</th><th>Real Triatomine Presence Index</th><th>Control Priority Index</th></tr>\n"); $sql = "SELECT name, infection_index, presene_triatomine_index, house_index, real_triatomine_presence_indez FROM states, control_map_data WHERE (states.state_id = control_map_data.state_id) ORDER BY name"; $result = mysql_query($sql,$db); $num_records = mysql_num_rows($result); echo("<tr><td align = center rowspan=\"$num_records\">"); echo("<img src=\"http://www.student.city.ac.uk/~at705/images/$image_name\" width=\"356\" height=\"495\"></td>"); while ($row = mysql_fetch_array($result)) { $s_name = $row["name"]; $infection = $row["infection_index"];

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$triatomine = $row["presene_triatomine_index"]; $house = $row["house_index"]; $real_triatomine = $row["real_triatomine_presence_indez"]; $index = $infection*0.5+$triatomine*0.1+$house*0.2+$real_triatomine*0.2; echo("<td align = center>$s_name</td><td align = center>$infection</td><td align = center>$triatomine</td><td align=center>$house</td><td align=center>$real_triatomine</td><td align=center>$index</td></tr>\n"); } } echo("</table>\n"); ?> <br> </p> </td> </tr> </table> </body> </html>