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巴西登革热的发生与气候变化:一项系统综述。

The ocurrence of dengue and weather changes in Brazil: a systematic review.

作者信息

Viana Dione Viero, Ignotti Eliane

机构信息

Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, CuiabáMT.

出版信息

Rev Bras Epidemiol. 2013 Jun;16(2):240-56. doi: 10.1590/S1415-790X2013000200002.

Abstract

INTRODUCTION

Dengue is configures in recent decades as an important cause of morbidity and mortality in Brazil and around the world reaching the tropical and subtropical areas.

OBJECTIVE

To review the scientific literature on the occurrence of dengue in Brazil and its relationship with meteorological variables.

METHOD

A systematic review of studies published in databases (SciELO, PubMed, MEDLINE, Lilacs) using descriptors related to weather variations and dengue fever in Brazil, published between 1991 to 2010. It was selected 31 articles that had the study area nationwide.

RESULTS

Most epidemiological studies use ecological design, the studies make use of entomological trapping, are common also series of studies of the disease and spatial analysis. It is evident relationship between dengue incidence with temperature and rainfall, the association is more significant from the second to fourth months of the year. Comparative studies of drought and rain show seasonal behavior of the disease. There are difficulties in establishing unique pattern of seasonality of disease incidence and weather variables for the country.

CONCLUSION

Dengue is strongly related to meteorological variables. The seasonal variation in temperature and rainfall influences the dynamics of the vector and the incidence of the disease throughout the country, regardless of the climate category.

摘要

引言

近几十年来,登革热已成为巴西乃至全球热带和亚热带地区发病和死亡的重要原因。

目的

综述巴西登革热发病情况及其与气象变量关系的科学文献。

方法

对1991年至2010年间发表在数据库(SciELO、PubMed、MEDLINE、Lilacs)中使用与巴西天气变化和登革热相关描述符的研究进行系统综述。选取了31篇研究区域为全国范围的文章。

结果

大多数流行病学研究采用生态设计,研究利用昆虫诱捕方法,疾病系列研究和空间分析也很常见。登革热发病率与温度和降雨之间存在明显关系,这种关联在一年中的第二至第四个月更为显著。干旱和降雨的对比研究显示了该疾病的季节性特征。在确定该国疾病发病率和天气变量的独特季节性模式方面存在困难。

结论

登革热与气象变量密切相关。温度和降雨的季节性变化影响着全国范围内病媒的动态和疾病的发病率,而与气候类别无关。

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