Spatio-temporal analysis of leptospirosis incidence and its relationship with hydroclimatic indicators in northeastern Argentina.

Leptospirosis is considered the most globally widespread zoonotic illness; it has been classified as an emerging or reemerging infectious disease by the World Health Organization. Leptospirosis is a disease caused by a pathogenic spirochete of the genus Leptospira. The infection occurs by contacting with the urine of animal reservoirs or contaminated environments. Leptospirosis can be controlled by vaccines used mainly in animals, antibiotics given to exposed humans, and flood-affected people moved to a safe place. Northeastern Argentina accounts for the highest annual number of cases and deaths due to leptospirosis of the country. This interdisciplinary study aims to analyze the spatial and temporal distribution of leptospirosis, and assesses the hydroclimatic factors that give rise to the outbreaks in northeastern Argentina. The main goal is to detect the hydroclimatic indicators that can influence leptospirosis outbreaks occurrence in the northeastern Argentina. We perform a spatio-temporal analysis of the leptospirosis in the provinces of Santa Fe and Entre Ríos to distinguish the regions, years and seasons with the highest incidence of this disease. This study analyzes confirmed cases of leptospirosis between 2009 and 2018 years. Hydroclimatic indicators (monthly total precipitation, monthly river hydrometric level and Oceanic Niño Index) associated with outbreaks of leptospirosis vary in different spatial scales (provincial, departmental and cities). In the last outbreak of leptospirosis in 2015-2016 the number of cases was lower than expected. This could have been a consequence of increased prophylaxis in that flood event. Therefore, this is a variable that should be incorporated in future studies.

Analysis of the spatial distribution of scientific publications regarding vector-borne diseases related to climate variability in South America.

Most vector-borne diseases exhibit a distinct seasonal pattern, which clearly suggests that they are weather sensitive. Rainfall, temperature, and other climate variables affect in many ways both the vectors and the pathogens they transmit. Likewise, climate can be determinant in outbreaks incidence. A growing number of studies have provided evidence indicating the effects of climate variability on vector-borne diseases. However, oftentimes, the different diseases and regions are not uniformly represented, scarcity or lack of publications in some countries is common. The objectives of this work were to analyze the distribution and abundance of publications on vector-borne diseases associated with climate variability in South America, identify those works that conducted a geographic analysis and detect the countries where outbreaks occurred and the climate variables with which they were associated. A systematic review of the literature published on vector-borne diseases linked to climate variability in South America was conducted, identifying, evaluating and summarizing scientific papers. The distribution of the study areas and disease type in the publications were represented on maps. Dengue and leishmaniasis were the most studied and widely represented diseases in South America. The country with the largest number of published papers and presence of all disease types was Brazil. Outbreaks of disease were related to different climate variables. Most diseases from the publications under study occurred in equatorial and tropical climates. The disease represented by the largest number of different types of climates was dengue. The technique used in this work allowed us to determine the status of knowledge of the main diseases associated with climate variability in South America. This methodology could be improved in the future by incorporating other bibliographic sources as well as other diseases related to climate variability.