Epidemiological aspects and spatial patterns of human visceral leishmaniasis in Brazil.

Autor: Graepp-Fontoura I; Graduate Program in Health Sciences, Universidade Federal do Maranhão, Avenue of Portuguese 1966, 65080-805, Bacanga, São Luís, Maranhão, Brazil.; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil., Soeiro Barbosa D; Department of Parasitology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Avenue Presidente Antônio Carlos 6627, 31275-035, Belo Horizonte, Minas Gerais, Brazil., Nascimento LFC; Postgraduate Program on Mechanical Engineering, Department of Energy, Universidade Estadual de São Paulo, Avenue Ariberto Pereira da Cunha, 333, 12516-410, Guaratinguetá, São Paulo, Brazil.; Department of Environmental Sciences, Universidade de Taubaté, Dr. José Luiz Cembranelli, 5000, Taubaté, São Paulo, 12081-010, Itaim District, Brazil., Fontoura VM; Department of Nursing, Universidade Estadual do Tocantins, Pedro Ludovico, 535, Boa Vista, 77960-000, Augustinópolis, Tocantins, Brazil., Ferreira AGN; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil.; Master Course in Health and Technology (PPGST-UFMA), Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz (MA), Brazil., Arrais Sampaio Santos FA; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil., Sousa BS; Instituto de Ensino Superior do Maranhão - IESMA/UNISULMA, São Pedro, 11, Jardim Cristo Rei, 65907-070, Imperatriz, Maranhão, Brazil., Santos FS; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil.; Master Course in Health and Technology (PPGST-UFMA), Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz (MA), Brazil., Santos-Neto M; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil.; Master Course in Health and Technology (PPGST-UFMA), Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz (MA), Brazil., Dos Santos LH; Department of Nursing, Universidade Federal do Maranhão, Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz, Maranhão, Brazil.; Master Course in Health and Technology (PPGST-UFMA), Avenue da Universidade, Dom Afonso Felipe Gregory, 65.915-240, Imperatriz (MA), Brazil., Abreu-Silva AL; Graduate Program in Health Sciences, Universidade Federal do Maranhão, Avenue of Portuguese 1966, 65080-805, Bacanga, São Luís, Maranhão, Brazil.; Department of Pathology, Universidade Estadual do Maranhão, Cross Paulo VI, 65080-805, Cidade Universitária, São Luís, Maranhão, Brazil.
Jazyk: angličtina
Zdroj: Parasitology [Parasitology] 2020 Dec; Vol. 147 (14), pp. 1665-1677. Date of Electronic Publication: 2020 Sep 21.
DOI: 10.1017/S0031182020001754
Abstrakt: Human visceral leishmaniasis (HVL) cases are important public health problems due to their zoonotic aspect, with high rates of morbidity and mortality in Brazil. The aim of this this study was to identify spatial patterns in both rates of HVL cases in Brazilian states during the period from 2006 to 2015. This is an ecological study, using geoprocessing tools to create choropleth maps, based on secondary data from open access platforms, to identify priority areas for control actions of the disease. Data were collected in 2017 and analysed according to the global and local Moran's I, using TerraView 4.2.2 software. Similar clusters were observed in neighbouring municipalities in thematic maps of HVL, suggesting spatial similarity in the distribution of the disease in humans mainly in the North and Northeast Regions, which concentrate the states with the highest rates of HVL. Heterogeneous spatial patterns were observed in the distribution of HVL, which show municipalities that need higher priority in the intensification of disease surveillance and control strategies.
Databáze: MEDLINE