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Spatial analysis and epidemiological profile of visceral leishmaniasis, northeastern Brazil: A cross-sectional study.
Acta Tropica ( IF 2.1 ) Pub Date : 2020-05-13 , DOI: 10.1016/j.actatropica.2020.105520 Carolina Angélica Libório Machado 1 , Anaiá da Paixão Sevá 2 , Filipe Dantas-Torres 3 , Maurício Claudio Horta 4
Acta Tropica ( IF 2.1 ) Pub Date : 2020-05-13 , DOI: 10.1016/j.actatropica.2020.105520 Carolina Angélica Libório Machado 1 , Anaiá da Paixão Sevá 2 , Filipe Dantas-Torres 3 , Maurício Claudio Horta 4
Affiliation
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Most visceral leishmaniasis (VL) cases reported in Brazil are from the northeast region, where the disease is strongly linked to poverty. In spite of the still existing inequalities, many social improvements were achieved in the past decades in this region, but the possible impact of these improvements on VL remains poorly investigated. We conducted a cross-sectional study coupled with a spatial analysis of VL cases notified in northeastern Brazil from 2007 to 2017. In total, 21,703 cases were reported during this period, with an annual incidence of 3.6 cases per 100,000 inhabitants. Children under 10 years old and males were more affected, and most cases were from urban areas. Living in municipalities situated in the Cerrado, Amazon and, to a lesser extent, in the Caatinga biomes was a risk factor for VL. This study indicates that the epidemiological profile of VL patients remained unchanged in northeastern Brazil, suggesting that social improvements achieved in this region were not enough to mitigate the risk of this disease among the most affected populations.
中文翻译：
巴西东北部内脏利什曼病的空间分析和流行病学概况：横断面研究。
巴西报告的大多数内脏利什曼病（VL）病例来自东北地区，该疾病与贫困密切相关。尽管不平等现象仍然存在，但该地区在过去几十年中取得了许多社会进步，但这些进步对 VL 可能产生的影响仍缺乏研究。我们对 2007 年至 2017 年巴西东北部报告的 VL 病例进行了一项横断面研究和空间分析。在此期间总共报告了 21,703 例病例，年发病率为每 100,000 名居民 3.6 例。 10岁以下儿童和男性受影响较多，大多数病例来自城市地区。居住在塞拉多、亚马逊地区的城市以及较小程度的卡廷加生物群落中是 VL 的一个危险因素。这项研究表明巴西东北部 VL 患者的流行病学特征保持不变，这表明该地区取得的社会进步不足以减轻受影响最严重的人群患这种疾病的风险。
更新日期：2020-05-13
中文翻译：
巴西东北部内脏利什曼病的空间分析和流行病学概况：横断面研究。
巴西报告的大多数内脏利什曼病（VL）病例来自东北地区，该疾病与贫困密切相关。尽管不平等现象仍然存在，但该地区在过去几十年中取得了许多社会进步，但这些进步对 VL 可能产生的影响仍缺乏研究。我们对 2007 年至 2017 年巴西东北部报告的 VL 病例进行了一项横断面研究和空间分析。在此期间总共报告了 21,703 例病例，年发病率为每 100,000 名居民 3.6 例。 10岁以下儿童和男性受影响较多，大多数病例来自城市地区。居住在塞拉多、亚马逊地区的城市以及较小程度的卡廷加生物群落中是 VL 的一个危险因素。这项研究表明巴西东北部 VL 患者的流行病学特征保持不变，这表明该地区取得的社会进步不足以减轻受影响最严重的人群患这种疾病的风险。
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