Spatial patterns of leptospirosis in Ecuador, 2013-2018.
Trans R Soc Trop Med Hyg
; 114(7): 545-548, 2020 07 01.
Article
em En
| MEDLINE
| ID: mdl-32163156
ABSTRACT
BACKGROUND:
Leptospirosis is a zoonotic disease that is considered an important public health problem in tropical regions and the world's poorest countries.METHODS:
In this ecological study, we included cases of leptospirosis reported in Ecuador from 2013 to 2018. Spatial autocorrelation was evaluated through the global Moran I index and spatial-temporal scan statistics were used to identify high-risk clusters.RESULTS:
In Ecuador, the leptospirosis incidence rates decreased from 3.3 cases per 100 000 population in 2013 to 0.8 cases per 100 000 population in 2018. The global Moran I index for the study period showed a positive spatial autocorrelation (0.68; p=0.001). We identified three significant spatial-temporal clusters for a high occurrence of leptospirosis incidence located in cantons of the Coast and Amazon regions.CONCLUSIONS:
The clusters identified could be targeted by policymakers and stakeholders in order to direct surveillance and understand the dynamics of the distribution of leptospirosis in Ecuador.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Zoonoses
/
Leptospirose
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article