Isabela Resende Ávila, Diogo Tavares Cardoso, Francisco Eduardo Almeida-de-Souza, David Soeiro Barbosa, Juliana Maria Trindade Bezerra
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引用次数: 0
Abstract
Background: Visceral leishmaniasis (VL) is considered a neglected tropical disease with high lethality. This study aimed to analyze the spatio-temporal dynamics of VL in the Central-West region of Brazil, from 2010 to 2019.
Methods: Using data obtained from the Sistema de Informação de Agravos de Notificações (SINAN) from Brazil and spatio-temporal analysis tools, an ecological study of VL cases was carried out considering each federated unit in the Central-West region from 2010 to 2019.
Results: It was observed that state of Mato Grosso do Sul had the majority of municipalities with high incidence in all temporal series analyzed. A heterogeneous distribution of VL with spatial clustering in the state of Mato Grosso do Sul was observed. Furthermore, Goiás and Mato Grosso also presented high-risk municipalities, with clusters of higher relative risk (RR) observed from 2013 to 2017 in Goiás and from 2010 to 2013 in Mato Grosso.
Conclusions: Therefore, it is observed that the states of Goiás, Mato Grosso and Mato Grosso do Sul need greater attention to support the adoption of effective measures to control VL in the Brazilian Central-West region.
背景:内脏利什曼病(VL)被认为是一种被忽视的高致死率热带病。本研究旨在分析2010 - 2019年巴西中西部地区VL的时空动态。方法:利用巴西农业信息系统(Sistema de informa o de Agravos de Notificações, SINAN)数据和时空分析工具,对2010 - 2019年中西部地区各联邦单位的VL病例进行生态学研究。结果:在分析的所有时间序列中,南马托格罗索州具有大多数高发病率的城市。在南马托格罗索州,VL呈非均匀分布,具有空间聚集性。此外,Goiás和马托格罗索州也是高风险城市,Goiás和马托格罗索州分别在2013 - 2017年和2010 - 2013年观察到较高的相对风险(RR)聚集。结论:因此,我们观察到Goiás州、马托格罗索州和南马托格罗索州需要更多的关注,以支持在巴西中西部地区采取有效措施控制VL。
期刊介绍:
Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.