| Autor: |
Silva, Janiel Conceição da, Sousa, Giana Gislanne da Silva de, Oliveira, Rayanne Alves de, Santos, Lívia Fernanda Siqueira, Pascoal, Livia Maia, Santos, Floriacy Stabnow, Rolim, Isaura Leticia Tavares Palmeira, Costa, Ana Cristina Pereira de Jesus, Serra, Maria Aparecida Alves de Oliveira, Fontoura, Iolanda Graepp, Bezerra, Janaina Miranda, Aragão, Francisca Bruna Arruda, Ramos, Antônio Carlos Vieira, Lima, Cynthia Cardoso Dias, Fontoura, Volmar Morais, Santos, Leonardo Hunaldo dos, Neto, Marcelino Santos |
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| Zdroj: |
Transactions of the Royal Society of Tropical Medicine & Hygiene; Aug2023, Vol. 117 Issue 8, p580-590, 11p |
| Abstrakt: |
Background Coronavirus disease 2019 (COVID-19) has spread worldwide, causing a high burden of morbidity and mortality, and has affected the various health service systems in the world, demanding disease monitoring and control strategies. The objective of this study was to identify risk areas using spatiotemporal models and determine the COVID-19 time trend in a federative unit of northeastern Brazil. Methods An ecological study using spatial analysis techniques and time series was carried out in the state of Maranhão, Brazil. All new cases of COVID-19 registered in the state from March 2020 to August 2021 were included. Incidence rates were calculated and spatially distributed by area, while the spatiotemporal risk territories were identified using scan statistics. The COVID-19 time trend was determined using Prais–Winsten regressions. Results Four spatiotemporal clusters with high relative risks for the disease were identified in seven health regions located in the southwest/northwest, north and east of Maranhão. The COVID-19 time trend was stable during the analysed period, with higher rates in the regions of Santa Inês in the first and second waves and Balsas in the second wave. Conclusions The heterogeneously distributed spatiotemporal risk areas and the stable COVID-19 time trend can assist in the management of health systems and services, facilitating the planning and implementation of actions toward the mitigation, surveillance and control of the disease. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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