Carneiro Marco Antonio F, Alves Beatriz da C A, Gehrke Flávia de Sousa, Domingues José Nuno, Sá Nelson, Paixão Susana, Figueiredo João, Ferreira Ana, Almeida Cleonice, Machi Amaury, Savóia Eriane, Nascimento Vânia, Fonseca Fernando
Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Environmental Health - IPC, EsTesC, Coimbra Health School, Coimbra, Portugal.
Rev Assoc Med Bras (1992). 2017 Nov;63(11):957-961. doi: 10.1590/1806-9282.63.11.957.
Global climate changes directly affect the natural environment and contribute to an increase in the transmission of diseases by vectors. Among these diseases, dengue is at the top of the list. The aim of our study was to understand the consequences of temporal variability of air temperature in the occurrence of dengue in an area comprising seven municipalities of the Greater São Paulo.
Characterization of a temporal trend of the disease in the region between 2010 and 2013 was performed through analysis of the notified number of dengue cases over this period. Our analysis was complemented with meteorological (temperature) and pollutant concentration data (PM10).
We observed that the months of January, February, March, April and May (from 2010 to 2013) were the ones with the highest number of notified cases. We also found that there is a statistical association of moisture and PM10 with the reported cases of dengue.
Although the temperature does not statistically display an association with recorded cases of dengue, we were able to verify that temperature peaks coincide with dengue outbreak peaks. Future studies on environmental pollution and its influence on the development of Aedes aegypti mosquito during all stages of its life cycle, and the definition of strategies for better monitoring, including campaigns and surveillance, would be compelling.
全球气候变化直接影响自然环境,并导致病媒传播疾病增加。在这些疾病中,登革热位居榜首。我们研究的目的是了解气温的时间变化对大圣保罗地区七个市登革热发病情况的影响。
通过分析2010年至2013年期间该地区登革热病例的报告数量,对疾病的时间趋势进行了特征描述。我们的分析还补充了气象(温度)和污染物浓度数据(PM10)。
我们观察到,2010年至2013年期间,1月、2月、3月、4月和5月报告的病例数最多。我们还发现,湿度和PM10与报告的登革热病例之间存在统计学关联。
虽然温度在统计学上与记录的登革热病例没有关联,但我们能够证实温度峰值与登革热疫情峰值相吻合。未来关于环境污染及其在埃及伊蚊生命周期各阶段对其发育的影响的研究,以及制定包括宣传和监测在内的更好监测策略将是很有必要的。