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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Spatial and spatiotemporal occurrence of human visceral leishmaniasis in Adamantina, State of Sao Paulo, Brazil

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Autor(es):
Mozini Cardim, Marisa Furtado [1] ; Vieira, Carolina Portugal [2] ; Chiaravalloti-Neto, Francisco [3]
Número total de Autores: 3
Afiliação do(s) autor(es):
[1] Adamantina, Fac Adamantinenses Integradas, Sao Paulo - Brazil
[2] Univ Sao Paulo, Escola Enfermagem, Curso Grad Enfermagem, BR-01246904 Sao Paulo - Brazil
[3] Univ Sao Paulo, Fac Saude Publ, Dept Epidemiol, BR-01246904 Sao Paulo - Brazil
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: Revista da Sociedade Brasileira de Medicina Tropical; v. 48, n. 6, p. 716-723, NOV-DEC 2015.
Citações Web of Science: 3
Resumo

Introduction: Several municipalities of the Western region of the State of Sao Paulo have been affected by human visceral leishmaniasis (HVL), including the City of Adamantina, where the first autochthonous cases occurred in 2004. Therefore, this study aimed to describe the spatial and spatiotemporal occurrence of HVL in Adamantina. Methods: Secondary data regarding the occurrence of HVL in Adamantina between 2004 and 2011 were used. Incidence, mortality, and case fatality rates were calculated. We used local empirical Bayesian incidence rates to represent the occurrence of the disease in the census sector of the city. The existence of spatial and spatiotemporal clusters of cases was evaluated using scan statistics. In situ observation was performed to assess the socioeconomic and environmental characteristics of the areas with medium and high incidences. Results: Adamantina reported cases in 70% of its census sectors. No differences were observed between sexes. The group aged 0-4 years presented the highest incidence and mortality rates, and the group aged 40-59 years presented the highest fatality rate. We detected a spatiotemporal cluster, which coincided with the commencement of the endemic in the city. Conclusions: The individuals most affected by the disease were children. The disease was present in areas with better and worse socioeconomic conditions. The use of spatial analysis techniques was important to achieve the study objectives. (AU)

Processo FAPESP: 10/20279-1 - Análise espacial da ocorrência de leishmaniose visceral americana no estado de São Paulo, Brasil
Beneficiário:Francisco Chiaravalloti Neto
Linha de fomento: Auxílio à Pesquisa - Regular
Processo FAPESP: 14/11342-2 - A expansão, no tempo e no espaço, do vetor Lutzomyia longipalpis e da leishmaniose visceral, em humanos e caninos, no Estado de São Paulo, 1997 a 2013
Beneficiário:Carolina Portugal Vieira
Linha de fomento: Bolsas no Brasil - Iniciação Científica