Disentangling associations between vegetation greenness and dengue in a Latin American city: Findings and challenges.

Autor: Cunha MDCM; Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil.; Pontifical Catholic University of Minas Gerais, Brazil., Ju Y; Institute of Urban and Regional Development, University of California, 316 Wurster Hall, University of California, Berkeley, Berkeley, CA 94720, USA., Morais MHF; Belo Horizonte Municipal Health Department, Brazil., Dronova I; Department of Environmental Science, Policy, and Management, Department of Landscape Architecture and Environmental Planning, University of California, Berkeley, USA., Ribeiro SP; Laboratory of Ecology of Diseases and Forests, Nucleous of Biology/NUPEB and Institute of Exact and Biological Sciences, Federal University of Ouro Preto, Brazil., Bruhn FRP; Faculty of Veterinary Medicine, Federal University of Pelotas, Brazil., Lima LL; Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil.; Federal Center for Technological Education of Minas Gerais, Brazil., Sales DM; Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil., Schultes OL; Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil., Rodriguez DA; Department of City and Regional Planning and Institute of Transportation Studies, University of California, Berkeley, USA., Caiaffa WT; Observatory for Urban health in Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Landscape and urban planning [Landsc Urban Plan] 2021 Dec; Vol. 216, pp. None.
DOI: 10.1016/j.landurbplan.2021.104255
Abstrakt: Being a Re-Emerging Infectious Disease, dengue causes 390 million cases globally and is prevalent in many urban areas in South America. Understanding the fine-scale relationships between dengue incidence and environmental and socioeconomic factors can guide improved disease prevention strategies. This ecological study examines the association between dengue incidence and satellite-based vegetation greenness in 3826 census tracts nested in 474 neighborhoods in Belo Horizonte, Brazil, during the 2010 dengue epidemic. To reduce potential bias in the estimated dengue-greenness association, we adjusted for socioeconomic vulnerability, population density, building height and density, land cover composition, elevation, weather patterns, and neighborhood random effects. We found that vegetation greenness was negatively associated with dengue incidence in a univariate model, and this association attenuated after controlling for additional covariates. The dengue-greenness association was modified by socioeconomic vulnerability: while a positive association was observed in the least vulnerable census tracts, the association was negative in the most vulnerable areas. Using greenness as a proxy for vegetation quality, our results show the potential of vegetation management in reducing dengue incidence, particularly in socioeconomically vulnerable areas. We also discuss the role of water infrastructure, sanitation services, and tree cover in lowering dengue risk.
(© 2021 The Authors.)
Databáze: MEDLINE