Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)

In Mexico, urogenital gonorrhea (UG) is one of the main sexually transmitted diseases notifiable by health systems around the world. Epidemiological data on sexually transmitted infections (STIs) in Mexico indicated that UG was “under control” until 2017. However, international epidemiological repor...

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Main Authors: Miguel Ángel Loyola-Cruz, Verónica Fernández-Sánchez, Emilio Mariano Durán-Manuel, Claudia Camelia Calzada-Mendoza, Graciela Castro-Escarpulli, María Fernanda Quijano-Soriano, Liliana Nicolás-Sayago, Dulce Milagros Razo-Blanco Hernández, Marcela Villegas-Castañeda, Alejandro Cárdenas-Cantero, Mónica Alethia Cureño-Díaz, Marianela Paredes-Mendoza, Clemente Cruz-Cruz, Juan Manuel Bello-López
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/15/2118
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author Miguel Ángel Loyola-Cruz
Verónica Fernández-Sánchez
Emilio Mariano Durán-Manuel
Claudia Camelia Calzada-Mendoza
Graciela Castro-Escarpulli
María Fernanda Quijano-Soriano
Liliana Nicolás-Sayago
Dulce Milagros Razo-Blanco Hernández
Marcela Villegas-Castañeda
Alejandro Cárdenas-Cantero
Mónica Alethia Cureño-Díaz
Marianela Paredes-Mendoza
Clemente Cruz-Cruz
Juan Manuel Bello-López
author_facet Miguel Ángel Loyola-Cruz
Verónica Fernández-Sánchez
Emilio Mariano Durán-Manuel
Claudia Camelia Calzada-Mendoza
Graciela Castro-Escarpulli
María Fernanda Quijano-Soriano
Liliana Nicolás-Sayago
Dulce Milagros Razo-Blanco Hernández
Marcela Villegas-Castañeda
Alejandro Cárdenas-Cantero
Mónica Alethia Cureño-Díaz
Marianela Paredes-Mendoza
Clemente Cruz-Cruz
Juan Manuel Bello-López
author_sort Miguel Ángel Loyola-Cruz
collection DOAJ
description In Mexico, urogenital gonorrhea (UG) is one of the main sexually transmitted diseases notifiable by health systems around the world. Epidemiological data on sexually transmitted infections (STIs) in Mexico indicated that UG was “under control” until 2017. However, international epidemiological reports indicate the increase in incidence due to several factors, including an increase during the first year of the COVID-19 pandemic. These factors suggest that this phenomenon may occur in developing countries, including Mexico. Therefore, the aim of this study was to analyze national surveillance data on UG from 2003–2019 and the first year of the COVID-19 pandemic. An epidemiological study of cases and incidence of UG (2003–2020) was performed in the annual reports issued by the General Directorate Epidemiology in Mexico. Cases and incidence were classified and analyzed by year, sex, age group, and seasons (by temperature). Distribution of UG was carried out using heat maps for the whole country. Ultimately, a seasonal and correlation analysis was performed for UG cases versus temperature. The results showed that the distribution of cases and incidence by sex showed that there was no variation over 14 years. From 2016 onward, a significant increase in UG was observed before the pandemic. During the first year of the pandemic, a significant increase was observed in females aged 24–44 years. A heterogeneous distribution of UG was identified; however, border states were ranked among the top states with elevated incidences and cases. Lastly, the occurrence of UG was associated with temperature, related to summer. The information presented is intended to be useful to promote prevention and to contribute to visualize the distribution of UG over the last 18 years for decision making, and to show one of the consequences of the collapse of epidemiological surveillance of UG during the first year of the COVID-19 pandemic.
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spelling doaj.art-c6cb44aaa79a4e148444d3e6bd3e8f192023-11-18T22:55:52ZengMDPI AGHealthcare2227-90322023-07-011115211810.3390/healthcare11152118Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)Miguel Ángel Loyola-Cruz0Verónica Fernández-Sánchez1Emilio Mariano Durán-Manuel2Claudia Camelia Calzada-Mendoza3Graciela Castro-Escarpulli4María Fernanda Quijano-Soriano5Liliana Nicolás-Sayago6Dulce Milagros Razo-Blanco Hernández7Marcela Villegas-Castañeda8Alejandro Cárdenas-Cantero9Mónica Alethia Cureño-Díaz10Marianela Paredes-Mendoza11Clemente Cruz-Cruz12Juan Manuel Bello-López13División de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoSección de Estudios de Posgrado, Escuela Superior de Medicina, Instituto Politécnico Nacional, Mexico City 11340, MexicoLaboratorio de Investigación Clínica y Ambiental, Departamento de Microbiología Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City 11340, MexicoHospital Regional de Alta Especialidad “Bicentenario de la Independencia”, ISSSTE, Tultitlán de Mariano Escobedo 54916, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoHospital Regional de Alta Especialidad “Bicentenario de la Independencia”, ISSSTE, Tultitlán de Mariano Escobedo 54916, MexicoDirección de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Tecnología Ambiental, Universidad Tecnológica de Nezahualcóyotl, Nezahualcóyotl 57000, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoDivisión de Investigación, Hospital Juárez de México, Mexico City 07760, MexicoIn Mexico, urogenital gonorrhea (UG) is one of the main sexually transmitted diseases notifiable by health systems around the world. Epidemiological data on sexually transmitted infections (STIs) in Mexico indicated that UG was “under control” until 2017. However, international epidemiological reports indicate the increase in incidence due to several factors, including an increase during the first year of the COVID-19 pandemic. These factors suggest that this phenomenon may occur in developing countries, including Mexico. Therefore, the aim of this study was to analyze national surveillance data on UG from 2003–2019 and the first year of the COVID-19 pandemic. An epidemiological study of cases and incidence of UG (2003–2020) was performed in the annual reports issued by the General Directorate Epidemiology in Mexico. Cases and incidence were classified and analyzed by year, sex, age group, and seasons (by temperature). Distribution of UG was carried out using heat maps for the whole country. Ultimately, a seasonal and correlation analysis was performed for UG cases versus temperature. The results showed that the distribution of cases and incidence by sex showed that there was no variation over 14 years. From 2016 onward, a significant increase in UG was observed before the pandemic. During the first year of the pandemic, a significant increase was observed in females aged 24–44 years. A heterogeneous distribution of UG was identified; however, border states were ranked among the top states with elevated incidences and cases. Lastly, the occurrence of UG was associated with temperature, related to summer. The information presented is intended to be useful to promote prevention and to contribute to visualize the distribution of UG over the last 18 years for decision making, and to show one of the consequences of the collapse of epidemiological surveillance of UG during the first year of the COVID-19 pandemic.https://www.mdpi.com/2227-9032/11/15/2118<i>Neisseria gonorrhoeae</i>urogenital gonorrheaepidemiologyMexicoCOVID-19
spellingShingle Miguel Ángel Loyola-Cruz
Verónica Fernández-Sánchez
Emilio Mariano Durán-Manuel
Claudia Camelia Calzada-Mendoza
Graciela Castro-Escarpulli
María Fernanda Quijano-Soriano
Liliana Nicolás-Sayago
Dulce Milagros Razo-Blanco Hernández
Marcela Villegas-Castañeda
Alejandro Cárdenas-Cantero
Mónica Alethia Cureño-Díaz
Marianela Paredes-Mendoza
Clemente Cruz-Cruz
Juan Manuel Bello-López
Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
Healthcare
<i>Neisseria gonorrhoeae</i>
urogenital gonorrhea
epidemiology
Mexico
COVID-19
title Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
title_full Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
title_fullStr Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
title_full_unstemmed Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
title_short Epidemiological Overview of Urogenital Gonorrhea in Mexico (2003–2020)
title_sort epidemiological overview of urogenital gonorrhea in mexico 2003 2020
topic <i>Neisseria gonorrhoeae</i>
urogenital gonorrhea
epidemiology
Mexico
COVID-19
url https://www.mdpi.com/2227-9032/11/15/2118
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