Vulnerability of Brazilian municipalities to hantavirus infections based on multi-criteria decision analysis.

IF 3.6 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Emerging Themes in Epidemiology Pub Date : 2015-10-01 eCollection Date: 2015-01-01 DOI:10.1186/s12982-015-0036-5
Stefan Vilges de Oliveira, Lidsy Ximenes Fonseca, Keline Medeiros de Araújo Vilges, Fernanda Voietta Pinna Maniglia, Simone Valéria Costa Pereira, Eduardo Pacheco de Caldas, Pedro Luiz Tauil, Rodrigo Gurgel-Gonçalves
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引用次数: 17

Abstract

Background: Hantavirus infection is an emerging zoonosis transmitted by wild rodents. In Brazil, high case-fatality rates among humans infected with hantavirus are of serious concern to public health authorities. Appropriate preventive measures partly depend on reliable knowledge about the geographical distribution of this disease.

Methods: Incidence of hantavirus infections in Brazil (1993-2013) was analyzed. Epidemiological, socioeconomic, and demographic indicators were also used to classify cities' vulnerability to disease by means of multi-criteria decision analysis (MCDA).

Results: From 1993 to 2013, 1752 cases of hantavirus were registered in 16 Brazilian states. The highest incidence of hantavirus was observed in the states of Mato Grosso (0.57/100,000) and Santa Catarina (0.13/100,000). Based on MCDA analysis, municipalities in the southern, southeastern, and midwestern regions of Brazil can be classified as highly vulnerable. Most municipalities in northern and northeastern Brazil were classified as having low vulnerability to hantavirus cardiopulmonary syndrome.

Conclusions: Although most human infections by hantavirus registered in Brazil occurred in the southern region of the country, a greater vulnerability to hantavirus was found in the Brazilian Midwest. This result reflects the need to strengthen surveillance where the disease has thus far gone unreported.

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基于多标准决策分析的巴西城市对汉坦病毒感染的脆弱性
背景:汉坦病毒感染是一种由野生啮齿动物传播的新型人畜共患病。在巴西,汉坦病毒感染者的高病死率引起公共卫生当局的严重关切。适当的预防措施部分取决于对这种疾病地理分布的可靠了解。方法:对1993-2013年巴西汉坦病毒感染情况进行分析。通过多标准决策分析(MCDA),采用流行病学、社会经济和人口指标对城市的疾病易感性进行分类。结果:1993 - 2013年,巴西16个州共报告汉坦病毒病例1752例。汉坦病毒在马托格罗索州(0.57/10万)和圣卡塔琳娜州(0.13/10万)的发病率最高。根据MCDA分析,巴西南部、东南部和中西部地区的市政当局可被列为高度脆弱地区。巴西北部和东北部的大多数城市被列为汉坦病毒心肺综合征易感程度较低的城市。结论:尽管在巴西登记的汉坦病毒感染大多数发生在该国南部地区,但在巴西中西部发现更容易感染汉坦病毒。这一结果反映出有必要在迄今未报告该病的地方加强监测。
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来源期刊
Emerging Themes in Epidemiology
Emerging Themes in Epidemiology Medicine-Epidemiology
CiteScore
4.40
自引率
4.30%
发文量
9
审稿时长
28 weeks
期刊介绍: Emerging Themes in Epidemiology is an open access, peer-reviewed, online journal that aims to promote debate and discussion on practical and theoretical aspects of epidemiology. Combining statistical approaches with an understanding of the biology of disease, epidemiologists seek to elucidate the social, environmental and host factors related to adverse health outcomes. Although research findings from epidemiologic studies abound in traditional public health journals, little publication space is devoted to discussion of the practical and theoretical concepts that underpin them. Because of its immediate impact on public health, an openly accessible forum is needed in the field of epidemiology to foster such discussion.
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