An analysis of the spatiotemporal distribution of American cutaneous leishmaniasis in counties located along road and railway corridors in the State of Maranhao, Brazil

Autor: Vicente Silva Goncalves Neto, Allan Kardec Duailibe Barros Filho, Alcione Miranda dos Santos, Margarida Paula Carreira de Sa Prazeres, Ana Celia Rolim Bezerril, Alexandre Vitor de Lima Fonseca, Jose Manuel Macario Rebelo
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 3, Pp 322-328 (2013)
Druh dokumentu: article
ISSN: 1678-9849
0037-8682
DOI: 10.1590/0037-8682-0056-2012
Popis: Introduction The incidence of American cutaneous leishmaniasis (ACL) is increasing in Latin America, especially in Brazil, where 256,587 cases were confirmed in the last decade. Methods This study used a Bayesian model to examine the spatial and temporal distribution of ACL cases between 2000 and 2009 in 61 counties of State of Maranhão located along the three main road and railway corridors. Results During the study period, 13,818 cases of ACL were recorded. There was a significant decrease in the incidence of ACL in the ten study years. The recorded incidence rate ranged from 7.36 to 241.45 per 100,000 inhabitants. The relative risk increased in 77% of the counties, decreased in 18% and was maintained in only five counties. Conclusions Although there was a decreased incidence of the disease, ACL was present in all of the examined municipalities, thus maintaining the risk of contracting this illness.
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