SPATIO-TEMPORAL DYNAMICS OF VISCERAL LEISHMANIASIS TRANSMISSION IN A HIGHLY ENDEMIC REGION OF BRAZIL
DOI:
https://doi.org/10.26694/repis.v10i1.5747Palabras clave:
Geographic information system, Spatial analysis, Time series studies, Visceral leishmaniasisResumen
Background: Brazil concentrates 96% of visceral leishmaniasis cases occurred in Americas, and Maranhão is the Brazilian state with the highest number of registered cases. We aimed to analyze the spatio-temporal dynamics of visceral leishmaniasis transmission in a Brazilian region with high endemicity between 2009 to 2017.
Methods: We carried out an ecological and time series study using spatio-temporal analysis techniques. A time-trend analysis was performed by the segmented linear regression. High-risk clusters were identified through spatial autocorrelation (Moran’s global and local indexes) and space-time scan statistics.
Results: There were 5,128 visceral leishmaniasis cases, and it was observed increasing trends of new cases in the general population, among men, adults ≥20 years old, especially ≥60 years old. VL-HIV coinfection, mortality and lethality were crescent. Spatial analysis revealed intense visceral leishmaniasis transmission in almost the entire state and high-risk priority areas.
Implications: Visceral leishmaniasis is in a substantial geographical expansion, demonstrating that the surveillance policies need to be reformulated.
Citas
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Derechos de autor 2024 Caíque Jordan Nunes Ribeiro, Bianca Vanessa dos Santos Ribeiro, Allan Dantas dos Santos, Márcio Bezerra Santos, Priscila Lima dos Santos, Karina Conceição Gomes Machado de Araújo, Guilherme Reis de Santana Santos, David Vinicius dos Santos Santana, Liliane Moretti Carneiro, Tatiana Rodrigues de Moura
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