K-means Clustering in Identifying Epidemiological Patterns of Measles in United  States of America Between 2009-2024

Authors

  • Basil B Duwa Research Center in Healthcare, Near East University, Nicosia, TRNC, Mersin 10, Türkiye.
  • Murat Sayan Educational and Research Hospital, PCR Unit, Kocaeli University, Kocaeli, Türkiye
  • James Gambu Department of Medical Microbiology and Clinical Microbiology, Health Science Institute, Near East University, Nicosia, TRNC Türkiye.
  • Huzaifa Umar Operational Research Center in Healthcare, Near East University, Nicosia, TRNC, Mersin 10, Türkiye.
  • Celestine Iwendi Operational Research Center in Healthcare, Near East University, Nicosia, TRNC, Mersin 10, Türkiye

DOI:

https://doi.org/10.48165/gjs.2026.3109

Keywords:

Epidemiological, surveillance, K-means clustering Measles, Public health analytics, Vaccination coverage United States

Abstract

Tracking measles vaccination coverage is an essential factor in preventing  subsequent outbreaks and building herd immunity. Thus, recognizing trends in  immunization and surveillance assist in tailoring public health efforts in different  locations. The study employs K-means clustering to detect distinctive  epidemiological trends among U.S.A. states using measles, mumps, and rubella  (MMR) vaccine coverage data obtained across states from kindergarteners from  2009 to 2024 using the CDC dataset. States sourced dataset on population size,  percentage surveyed, and coverage of vaccination groups were preprocessed and  standardized to exclude outliers. Using the elbow approach and silhouette  analysis, we calculated the ideal number of clusters. K-means clustering was then  utilized to categorize states based on similarities in surveillance features. In our  results, three major clusters appeared: Cluster 1 featured states with substantial  populations and wide variation in survey coverage. Cluster 2 included smaller  states with regular high survey rates and MMR coverage. Cluster 3 showed  modest population sizes and coverage rates. Visualizations indicated major  differences in survey approach and immunization criteria across clusters. K means clustering successfully identified hidden patterns in MMR vaccine  monitoring trends across USA. These results provide useful insights for  modifying public health efforts and enhancing vaccination reporting systems  across the country. 

 

Author Biographies

  • Basil B Duwa, Research Center in Healthcare, Near East University, Nicosia, TRNC, Mersin 10, Türkiye.

    Department of Biomedical Engineering Near East University, Nicosia, TRNC, Mersin 10, Türkiye

  • Murat Sayan, Educational and Research Hospital, PCR Unit, Kocaeli University, Kocaeli, Türkiye

    DESAM Research Institute, Near East University, Nicosia, TRNC Türkiye. 

     

  • Celestine Iwendi, Operational Research Center in Healthcare, Near East University, Nicosia, TRNC, Mersin 10, Türkiye

    Centre of Intelligence of Things, University of Bolton, United Kingdom. 

     

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Published

2026-05-16

How to Cite

K-means Clustering in Identifying Epidemiological Patterns of Measles in United  States of America Between 2009-2024. (2026). Global Journal of Sciences, 3(1), 91-106. https://doi.org/10.48165/gjs.2026.3109