Temporal and spatial analysis of over 7,000 measles cases outbreak from 2018 to 2019 in the Brazilian Amazon.

Autor:	Martins FM; Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, AM, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brazil., Vidal AP; Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, AM, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brazil., Giddaluru J; Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil., da Silva BM; Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, AM, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brazil., Lee EK; Center for Operations Research in Medicine and Healthcare, Georgia Institute of Technology, Atlanta, USA., Zhang P; Center for Operations Research in Medicine and Healthcare, Georgia Institute of Technology, Atlanta, USA., Cardozo LE; Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil., Prete Junior CA; Department of Electronic Systems Engineering, Escola Politécnica, Universidade de São Paulo, São Paulo, SP, Brazil., Domingues HH; Instituto de Medicinal Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Sabino EC; Instituto de Medicinal Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Sampaio VS; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brazil.; Fundação de Vigilância em Saúde do Amazonas Dra. Rosemary Costa Pinto, Manaus, AM, Brazil.; Instituto Todos pela Saúde, São Paulo, SP, Brazil., Monteiro WM; Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, AM, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brazil.; Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil., Nakaya HI; Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil.; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2024 Mar 29; Vol. 22, pp. eAO0931. Date of Electronic Publication: 2024 Mar 29 (Print Publication: 2024).
DOI:	10.31744/einstein_journal/2024AO0931
Abstrakt:	Objective: This study aimed to present a temporal and spatial analysis of the 2018 measles outbreak in Brazil, particularly in the metropolitan city of Manaus in the Amazon region, and further introduce a new tool for spatial analysis. Methods: We analyzed the geographical data of the residences of over 7,000 individuals with measles in Manaus during 2018 and 2019. Spatial and temporal analyses were conducted to characterize various aspects of the outbreak, including the onset and prevalence of symptoms, demographics, and vaccination status. A visualization tool was also constructed to display the geographical and temporal distribution of the reported measles cases. Results: Approximately 95% of the included participants had not received vaccination within the past decade. Heterogeneity was observed across all facets of the outbreak, including variations in the incubation period and symptom presentation. Age distribution exhibited two peaks, occurring at one year and 18 years of age, and the potential implications of this distribution on predictive analysis were discussed. Additionally, spatial analysis revealed that areas with the highest case densities tended to have the lowest standard of living. Conclusion: Understanding the spatial and temporal spread of measles outbreaks provides insights for decision-making regarding measures to mitigate future epidemics.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu