巴西边境的内脏莱什曼病风险集群:2013年至2022年
William da Costa Moreira1, Gustavo Cezar Wagner Leandro2, Helder Ferreira1
1Universidade Estadual do Oeste do Paraná, Programa de Pós-Graduação em Saúde Pública em Região de Fronteira, Foz do Iguaçu, PR, Brasil.
Revista da Sociedade Brasileira de Medicina Tropical
|February 19, 2026
概括
内脏莱什曼病在巴西边境地区表现出不同的趋势. 到2030年有效控制需要加强卫生行动和高风险地区的跨境合作.
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:
- 内脏莱什曼病 (VL) 是美洲,特别是巴西边境地区的主要健康问题.
- 分析这些地区的VL时间和空间模式对于公共卫生战略至关重要.
研究的目的:
- 为了检查内脏莱什曼病的时间趋势.
- 从2013年到2022年,确定巴西边境城市的空间集群和评估风险.
主要方法:
- 使用二次人口数据进行的生态研究.
- 时间趋势分析的连接点回归 (年度百分比变化-APC).
- 库尔多夫扫描统计数据用于空间集群识别 (相对风险 - RR).
主要成果:
- 报告了677例VL病例;年平均发病率为0.58.
- 在儿童/青少年和男性中累计发生率最高.
- 中心弧显示下降趋势 (2013-2020年),然后增加 (2020-2022年);北方和中枢弧的持续高风险集群,以及南方弧的新集群.
结论:
- 在巴西边境地区,VL展现了异构的空间和时间动态.
- 到2030年实现VL控制需要加强卫生干预措施.
- 多边合作至关重要,重点关注确定的高风险地区.
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