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| Author(s): |
Aline Chimello Ferreira
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | Araraquara. 2017-03-22. |
| Institution: | Universidade Estadual Paulista (Unesp). Faculdade de Ciências Farmacêuticas. Araraquara |
| Defense date: | 2017-02-24 |
| Advisor: | Adriano Mondini; Francisco Chiaravalloti Neto |
| Abstract | |
Dengue fever is a febrile vector borne disease transmitted by Culicidae that affects millions of people every year and is considered a major public health problem. Araraquara (São Paulo/Brazil) has been presenting an increase in the number of reported cases of the disease. Tools such as Geographic Information Systems, spatial analysis and spatial regression have allowed researchers to understand the spatial distribution of the vector and the disease, in addition looking for risk factors. This study was to know the history of dengue in Araraquara by describing epidemiological and spatial patterns of dengue cases from 2008 to 2015. It was investigated the association between cases, climate and positivity for Aedes aegypti at strategic points. It was also searched for explanatory variables (which included socioeconomic, demographic and environmental) for dengue incidence in 2015, the highest epidemic recorded in the period. The first recorded outbreak was in 2008 and from this year dengue has become endemic in the city, with the cases occurring every month. The highest incidences were seen between the months of March and May following months of high rainfall. Of the 15729 cases reported between 2008 and 2015, 46% affected male and 54% female. People between 20 and 59 years old were more affected. To detect spatial dependence and clusters of dengue cases was performed several techniques of spatial analysis. It was possible to identify areas with highest and lowest concentration of dengue cases, patterns that can serve as clues to stop the spread of the disease and to predict the occurrence of dengue. It was found two variables associated with dengue, areas with low responsible literate and high proportion of children in the households were associated with dengue in 2015. The results were adequate to identify areas of risk and the best moment for directing actions and resources for the public health services. (AU) | |
| FAPESP's process: | 13/02338-9 - Spatial distribution of the incidence of dengue and Aedes sp. infestation in Araraquara, São Paulo: retrospective and prospective analyzes and conditioning factors |
| Grantee: | Aline Chimello Ferreira |
| Support Opportunities: | Scholarships in Brazil - Doctorate |