Tegumentary leishmaniasis in Brazil: priority municipalities and spatiotemporal relative risks from 2001 to 2020.

IF 4.9 4区 医学 Q1 PARASITOLOGY Pathogens and Global Health Pub Date : 2024-07-01 Epub Date: 2024-06-21 DOI:10.1080/20477724.2024.2367442
Saulo Nascimento de Melo, David Soeiro Barbosa, Daniel Cardoso Portela Câmara, Taynãna César Simões, Lia Puppim Buzanovsky, Anna Gabryela Sousa Duarte, Ana Nilce Silveira Maia-Elkhoury, Diogo Tavares Cardoso, Lucas Edel Donato, Guilherme Loureiro Werneck, Fábio Raphael Pascoti Bruhn, Vinícius Silva Belo
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Abstract

Understanding the distribution of tegumentary leishmaniasis (TL) in different periods enables the adequate conduction of actions at the public health level. The present study analyzes the spatiotemporal evolution of TL incidence rates in the municipalities of Brazil and identifies priority areas from 2001 to 2020. Notifications of new cases were analyzed employing space-time scan statistics and Local Indicators of Spatial Association. As TL incidence rates presented a downward trend in most Brazilian municipalities, spatiotemporal clusters of high relative risks (RR) were more frequent in the first decade of the series. There was a concentration of those clusters in the North and Northeast regions, mainly in the Legal Amazon area. More recent high-RR areas were identified in municipalities of different regions. The number of priority municipalities showed a stable trend in Brazil. There was a great concentration of such municipalities in the states of Acre, Mato Grosso, Rondônia, Pará, and Amapá, as well as large areas in Roraima, Amazonas, Maranhão, and Tocantins, and smaller areas in the states of Goiás, Ceará, Bahia, Minas Gerais, São Paulo, and Paraná. The present study contributes to the understanding of the historical evolution of TL in Brazil and subsidizes actions to combat the disease.

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巴西的利什曼病:2001 年至 2020 年的重点城市和时空相对风险。
了解利什曼病(TL)在不同时期的分布情况有助于在公共卫生层面采取适当的行动。本研究分析了巴西各市利什曼病发病率的时空演变,并确定了 2001 年至 2020 年的重点地区。研究利用时空扫描统计和地方空间关联指标对新病例通知进行了分析。由于巴西大多数城市的 TL 发病率呈下降趋势,在该系列的前十年,高相对风险(RR)的时空集群更为常见。这些群集集中在北部和东北部地区,主要是亚马逊法律管辖区。在不同地区的城市中发现了更多近期的高相对风险区域。巴西的重点城市数量呈稳定趋势。这些城市主要集中在阿克里州、马托格罗索州、朗多尼亚州、帕拉州和阿马帕州,以及罗赖马州、亚马孙州、马拉尼昂州和托坎廷斯州的大片地区,戈亚斯州、塞阿拉州、巴伊亚州、米纳斯吉拉斯州、圣保罗州和巴拉那州的较小地区。本研究有助于了解 TL 在巴西的历史演变过程,并有助于采取防治该疾病的行动。
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来源期刊
Pathogens and Global Health
Pathogens and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-PARASITOLOGY
CiteScore
6.00
自引率
0.00%
发文量
60
审稿时长
6-12 weeks
期刊介绍: Pathogens and Global Health is a journal of infectious disease and public health that focuses on the translation of molecular, immunological, genomics and epidemiological knowledge into control measures for global health threat. The journal publishes original innovative research papers, reviews articles and interviews policy makers and opinion leaders on health subjects of international relevance. It provides a forum for scientific, ethical and political discussion of new innovative solutions for controlling and eradicating infectious diseases, with particular emphasis on those diseases affecting the poorest regions of the world.
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