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
{"title":"巴西的利什曼病:2001 年至 2020 年的重点城市和时空相对风险。","authors":"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","doi":"10.1080/20477724.2024.2367442","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":19850,"journal":{"name":"Pathogens and Global Health","volume":null,"pages":null},"PeriodicalIF":4.9000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338199/pdf/","citationCount":"0","resultStr":"{\"title\":\"Tegumentary leishmaniasis in Brazil: priority municipalities and spatiotemporal relative risks from 2001 to 2020.\",\"authors\":\"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\",\"doi\":\"10.1080/20477724.2024.2367442\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Understanding the distribution of tegumentary leishmaniasis (TL) in different periods enables the adequate conduction of actions at the public health level. 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Tegumentary leishmaniasis in Brazil: priority municipalities and spatiotemporal relative risks from 2001 to 2020.
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.
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.