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Spatio-temporal relative risks and priority areas for visceral leishmaniasis control in Brazil, between 2001 and 2020.
de Melo, Saulo Nascimento; Barbosa, David Soeiro; Bruhn, Fábio Raphael Pascoti; Câmara, Daniel Cardoso Portela; Simões, Taynãna César; Buzanovsky, Lia Puppim; Duarte, Anna Gabryela Sousa; Maia-Elkhoury, Ana Nilce Silveira; Cardoso, Diogo Tavares; Donato, Lucas Edel; Werneck, Guilherme Loureiro; Belo, Vinícius Silva.
  • de Melo SN; Universidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu, Divinópolis, MG, Brazil. Electronic address: saulomelobio@hotmail.com.
  • Barbosa DS; Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: davidsoeiro@gmail.com.
  • Bruhn FRP; Departmento de Veterinária Preventiva, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
  • Câmara DCP; Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. Electronic address: dcpcamara@gmail.com.
  • Simões TC; Fundação Oswaldo Cruz, Instituto René Rachou, Belo Horizonte, MG, Brazil. Electronic address: taynana.simoes@fiocruz.br.
  • Buzanovsky LP; Centro Panamericano de Febre Aftosa, Organização Panamericana da Saúde, Rio de Janeiro, RJ, Brazil. Electronic address: buzanovsky@paho.org.
  • Duarte AGS; Universidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu, Divinópolis, MG, Brazil. Electronic address: annagsd@hotmail.com.
  • Maia-Elkhoury ANS; Organização Pan-Americana da Saúde, Rio de Janeiro, RJ, Brazil. Electronic address: aelkhoury@paho.org.
  • Cardoso DT; Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: diogo.tavares0@yahoo.com.br.
  • Donato LE; Ministério da Saúde, Brasília, DF, Brazil. Electronic address: lucas.donato@saude.gov.br.
  • Werneck GL; Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: gwerneck@iesc.ufrj.br.
  • Belo VS; Universidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu, Divinópolis, MG, Brazil. Electronic address: viniciusbelo@ufsj.edu.br.
Acta Trop ; 242: 106912, 2023 Jun.
Article in English | MEDLINE | ID: covidwho-2314003
ABSTRACT
Visceral leishmaniasis (VL) is a pressing public health problem in Brazil. The proper implementation of disease control programs in priority areas is a challenge for healthcare managers. The present study aimed to analyze the spatio-temporal distribution and identify high risk areas of VL occurrence in the Brazilian territory. We analyzed data regarding new cases with confirmed diagnosis of VL in Brazilian municipalities, from 2001 to 2020, extracted from the Brazilian Information System for Notifiable Diseases. The Local Index of Spatial Autocorrelation (LISA) was used to identify contiguous areas with high incidence rates in different periods of the temporal series. Clusters of high spatio-temporal relative risks were identified using the scan statistics. The accumulated incidence rate in the analyzed period was 33.53 cases per 100,000 inhabitants. The number of municipalities that reported cases showed an upward trend from 2001 onward, although there was a decrease in 2019 and 2020. According to LISA, the number of municipalities considered a priority increased in Brazil and in most states. Priority municipalities were predominantly concentrated in the states of Tocantins, Maranhão, Piauí, and Mato Grosso do Sul, in addition to more specific areas of Pará, Ceará, Piauí, Alagoas, Pernambuco, Bahia, São Paulo, Minas Gerais, and Roraima. The spatio-temporal clusters of high-risk areas varied throughout the time series and were relatively higher in the North and Northeast regions. Recent high-risk areas were found in Roraima and municipalities in northeastern states. VL expanded territorially in Brazil in the 21st century. However, there is still a considerable spatial concentration of cases. The areas identified in the present study should be prioritized for disease control actions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Leishmaniasis, Visceral Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Acta Trop Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Leishmaniasis, Visceral Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Acta Trop Year: 2023 Document Type: Article