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巴西的体莱什曼病:优先市镇和2001年至2020年的时空相对风险

Saulo Nascimento de Melo¹, David Soeiro Barbosa², Daniel Cardoso Portela Câmara³

¹Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Divinópolis, MG, Brazil.

Pathogens and global health

|June 21, 2024

概括

巴西的体莱什曼病 (TL) 发病率总体下降,但高风险地区仍然存在,特别是在北部和东北部. 本研究绘制了这些优先区域的地图,以指导针对疾病的公共卫生干预措施.

科学领域:

流行病学流行病学
公共卫生公共卫生
空间分析空间分析

背景情况:

体莱什曼病 (TL) 构成了重大的公共卫生挑战.
了解TL的时空分布对于有效的控制策略至关重要.

研究的目的:

分析2001年至2020年巴西TL发病率的时空演变.
根据历史发生率数据,确定公共卫生干预的优先市.

主要方法:

从2001年到2020年对新案件通知的分析.
应用时空扫描统计和空间协会局部指标 (LISA).
识别具有高相对风险 (RR) 的时空集群.

主要成果:

巴西大多数市镇的TL发病率呈现出普遍下降趋势.
高RR的时空集群在第一个十年 (2001-2010年) 中更为普遍,集中在北部和东北部,特别是法律亚马逊.
最近在不同地区出现了高RR地区,优先市镇集中在阿克里,马托格罗索,隆多尼亚,帕拉,阿马帕,罗莱马,亚马逊州,马拉纳和托坎廷斯等州.

结论:

该研究提供了巴西TL分布的历史概述,突出了持续存在的高风险地区.
确定的优先区域,特别是北部和东北部,需要有针对性的公共卫生行动.
调查结果支持基于证据的计划,为全国范围内的TL控制和预防计划提供支持.

关键词:

皮肤上的莱什曼病.这是Satscan.控制控制控制控制流行病学流行病学空间分析就是空间分析.

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