Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis

Introduction: The complex and growing problem generated by the rapid expansion of unplanned urban areas includes high population density and increased infestation by vectors responsible for the transmission of several diseases. This requires interdisciplinary and intersectoral interventions due to t...

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Main Authors: Helierson Gomes, Andrielly Gomes de Jesus, Juarez Antônio Simões Quaresma
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:One Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352771423000198
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author Helierson Gomes
Andrielly Gomes de Jesus
Juarez Antônio Simões Quaresma
author_facet Helierson Gomes
Andrielly Gomes de Jesus
Juarez Antônio Simões Quaresma
author_sort Helierson Gomes
collection DOAJ
description Introduction: The complex and growing problem generated by the rapid expansion of unplanned urban areas includes high population density and increased infestation by vectors responsible for the transmission of several diseases. This requires interdisciplinary and intersectoral interventions due to the burden of diseases, especially those caused by arboviruses, which can present severe forms and generate significant pressure on health systems, especially in more vulnerable regions. The objective of this study was to analyze the spatial distribution of arboviruses transmitted by Aedes aegypti (dengue, Zika, and chikungunya) and assess their correlations with demographic, social, and environmental data from the state of Tocantins, Brazil. Methods: This was an ecological time series study of the dengue, Zika, and chikungunya arboviruses in the state of Tocantins. Local Moran's indices were used to observe the spatial autocorrelation of cases and to delimit clusters of high and low risks, correlating them with socioenvironmental indicators, in addition to analyses to detect case clusters. Results: The state reported a mean incidence of 591 annual cases of arbovirus infections per 100,000 inhabitants and a stationary trend with seasonal pattern. Female Pardo individuals aged 20–39 years, with an education level of below college education, were the most affected; Palmas and Araguaína, the two largest cities in the state in terms of economy and population, were the most affected. Conclusion: A better understanding of the interaction between social characteristics, the environment, and ecology of wild animals and vectors is important for the development of mechanisms to predict outbreaks as well as to develop strategies to reduce and/or mitigate recurring arboviral epidemics and other diseases.
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spelling doaj.art-fb7eb57029c4429abcc05799917868de2023-06-13T04:12:18ZengElsevierOne Health2352-77142023-06-0116100499Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysisHelierson Gomes0Andrielly Gomes de Jesus1Juarez Antônio Simões Quaresma2Department of Collective Health, Federal University of Northern Tocantins (UFNT), Tocantins, Brazil; Health Sciences Center, Federal University of Northern Tocantins, Street Dionísio Farias, 838 - Lot. de Fatima, Araguaína - TO, Brazil CEP: 77814-350, Brazil; Corresponding author at: Department of Collective Health, Federal University of Northern Tocantins, Tocantins, Brazil.Department of Collective Health, Federal University of Northern Tocantins (UFNT), Tocantins, Brazil; Health Sciences Center, Federal University of Northern Tocantins, Street Dionísio Farias, 838 - Lot. de Fatima, Araguaína - TO, Brazil CEP: 77814-350, BrazilTropical Medicine Center / Federal University of Pará, Pará, BrazilIntroduction: The complex and growing problem generated by the rapid expansion of unplanned urban areas includes high population density and increased infestation by vectors responsible for the transmission of several diseases. This requires interdisciplinary and intersectoral interventions due to the burden of diseases, especially those caused by arboviruses, which can present severe forms and generate significant pressure on health systems, especially in more vulnerable regions. The objective of this study was to analyze the spatial distribution of arboviruses transmitted by Aedes aegypti (dengue, Zika, and chikungunya) and assess their correlations with demographic, social, and environmental data from the state of Tocantins, Brazil. Methods: This was an ecological time series study of the dengue, Zika, and chikungunya arboviruses in the state of Tocantins. Local Moran's indices were used to observe the spatial autocorrelation of cases and to delimit clusters of high and low risks, correlating them with socioenvironmental indicators, in addition to analyses to detect case clusters. Results: The state reported a mean incidence of 591 annual cases of arbovirus infections per 100,000 inhabitants and a stationary trend with seasonal pattern. Female Pardo individuals aged 20–39 years, with an education level of below college education, were the most affected; Palmas and Araguaína, the two largest cities in the state in terms of economy and population, were the most affected. Conclusion: A better understanding of the interaction between social characteristics, the environment, and ecology of wild animals and vectors is important for the development of mechanisms to predict outbreaks as well as to develop strategies to reduce and/or mitigate recurring arboviral epidemics and other diseases.http://www.sciencedirect.com/science/article/pii/S2352771423000198ArbovirusesEpidemiologySpatial analysisOne health
spellingShingle Helierson Gomes
Andrielly Gomes de Jesus
Juarez Antônio Simões Quaresma
Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
One Health
Arboviruses
Epidemiology
Spatial analysis
One health
title Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
title_full Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
title_fullStr Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
title_full_unstemmed Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
title_short Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis
title_sort identification of risk areas for arboviruses transmitted by aedes aegypti in northern brazil a one health analysis
topic Arboviruses
Epidemiology
Spatial analysis
One health
url http://www.sciencedirect.com/science/article/pii/S2352771423000198
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