Vulnerability to the transmission of human visceral leishmaniasis in a Brazilian urban area

Revista de saúde pública
Celina Roma Sánchez de ToledoJefferson Pereira Caldas

Abstract

To analyze the determinants for the occurrence of human visceral leishmaniasis linked to the conditions of vulnerability. This is an ecological study, whose spatial analysis unit was the Territorial Analysis Unit in Araguaína, State of Tocantins, Brazil, from 2007 to 2012. We have carried out an analysis of the sociodemographic and urban infrastructure situation of the municipality. Normalized primary indicators were calculated and used to construct the indicators of vulnerability of the social structure, household structure, and urban infrastructure. From them, we have composed a vulnerability index. Kernel density estimation was used to evaluate the density of cases of human visceral leishmaniasis, based on the coordinates of the cases. Bivariate global Moran's I was used to verify the existence of spatial autocorrelation between the incidence of human visceral leishmaniasis and the indicators and index of vulnerability. Bivariate local Moran's I was used to identify spatial clusters. We have observed a pattern of centrifugal spread of human visceral leishmaniasis in the municipality, where outbreaks of the disease have progressively reached central and peri-urban areas. There has been no correlation between higher incidences...Continue Reading

References

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Citations

Dec 21, 2019·Revista Do Instituto De Medicina Tropical De São Paulo·Melca Niceia Altoé de MarchiRoberta Lemos Freire
Jul 28, 2018·Transactions of the Royal Society of Tropical Medicine and Hygiene·Anárya Teresa de Freitas RochaCarlos Henrique Nery Costa
Sep 22, 2020·Parasitology·Iolanda Graepp-FontouraAna Lúcia Abreu-Silva
Nov 5, 2020·Revista Do Instituto De Medicina Tropical De São Paulo·Eduardo Alexandre RancanRodrigo Buzinaro Suzuki
Jan 20, 2021·Geospatial Health·Ândria Silveira AlmeidaPriscila Lima Dos Santos
Mar 23, 2021·Journal of Parasitic Diseases : Official Organ of the Indian Society for Parasitology·Wellington Francisco RodriguesCamila Botelho Miguel
Jun 16, 2021·Zoonoses and Public Health·Kellyn Kessiene de Sousa CavalcanteCarlos Henrique Alencar

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