Spatial-temporal risk clusters, social vulnerability, and identification of priority areas for surveillance and control of cutaneous leishmaniasis in Maranhão, Brazil: an ecological study.

Autor:	de Sousa Oliveira R; Universidade Estadual do Maranhão, Programa de Biodiversidade, Ambiente e Saúde (PPGBAS), Praça Duque de Caxias, s/n, Morro do Alecrim, Caxias, Maranhão, 65604-380, Brazil., Andrade Pimentel KB; Universidade Federal do Maranhão, Programa de Pós-graduação em Biodiversidade e Biotecnologia - Rede BIONORTE, Avenida dos Portugueses, 1966, Bacanga, São Luís, Maranhão, 65080-805, Brazil|., Ribeiro da Silva RC; Universidade Estadual do Maranhão, Programa de Biodiversidade, Ambiente e Saúde (PPGBAS), Praça Duque de Caxias, s/n, Morro do Alecrim, Caxias, Maranhão, 65604-380, Brazil., Suely Guimarães-E-Silva A; Universidade Estadual do Maranhão, Programa de Biodiversidade, Ambiente e Saúde (PPGBAS), Praça Duque de Caxias, s/n, Morro do Alecrim, Caxias, Maranhão, 65604-380, Brazil., Soares Moura ME; Universidade Estadual do Maranhão, Programa de Biodiversidade, Ambiente e Saúde (PPGBAS), Praça Duque de Caxias, s/n, Morro do Alecrim, Caxias, Maranhão, 65604-380, Brazil., Soares Pinheiro VC; Universidade Estadual do Maranhão, Programa de Biodiversidade, Ambiente e Saúde (PPGBAS), Praça Duque de Caxias, s/n, Morro do Alecrim, Caxias, Maranhão, 65604-380, Brazil.; Universidade Federal do Maranhão, Programa de Pós-graduação em Biodiversidade e Biotecnologia - Rede BIONORTE, Avenida dos Portugueses, 1966, Bacanga, São Luís, Maranhão, 65080-805, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of medical entomology [J Med Entomol] 2024 Mar 13; Vol. 61 (2), pp. 481-490.
DOI:	10.1093/jme/tjad163
Abstrakt:	Cutaneous leishmaniasis (CL) is a neglected disease widely distributed in Maranhão, Brazil and presents a significant public health problem. However, its transmission dynamics and determining factors are not clearly understood. In this context, geospatial technologies help interpret the process. This study, then, characterized the space-time dynamics and the influence of social vulnerability on CL in an endemic area in Northeast Brazil. This is an ecological study about new cases of CL in Maranhão, from 2007 to 2020, obtained directly from the Notifiable Diseases Information System. The incidence rate was smoothed using a spatial empirical Bayesian method. Subsequently, global and local Moran statistics and their association with social vulnerability indicators were determined. Disease distribution was not random but grouped in space and time. All Social Vulnerability Index domains were positively correlated with the CL incidence. A likely cluster was detected in western Maranhão (P < 0.001), which encompassed 18 municipalities, from January 2007 to December 2013, with a high relative risk (5.06). The research findings suggest that planning public health actions and allocating resources should be prioritized in these areas to help effectively reduce the incidence of the disease. (© The Author(s) 2023. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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