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巴西东北部一个疾病防控重点市政区域麻风病的时空分析。

Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control.

机构信息

Universidade Federal do Maranhão. Imperatriz, Maranhão, Brazil.

Universidade Federal do Maranhão. São Luís, Maranhão, Brazil.

出版信息

Rev Bras Enferm. 2021 Jun 18;74(3):e20201101. doi: 10.1590/0034-7167-2020-1101. eCollection 2021.

Abstract

OBJECTIVES

to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control.

METHODS

ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics.

RESULTS

the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic.

CONCLUSIONS

areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals' actions, systems, and services for control, and monitoring the disease.

摘要

目的

分析麻风病防控重点市的麻风病时空分布。

方法

本生态研究在巴西东北部的一个城市进行,其分析单位是人口普查区。本研究使用了 2008 年至 2017 年间登记的病例的强制报告数据。TerraView 软件和批量地理编码工具用于地理编码。通过扫描统计来检测高相对风险的时空聚集。

结果

病例的时空分布不均匀,在 2008 年至 2012 年间,该市市区内出现了四个高相对风险的聚集区;且年度患病率从高到超高流行。

结论

高风险和疾病时空集中的地区与这些地区人口密度高和社会脆弱性的特征有关,这提高了卫生专业人员行动、系统和服务的优先次序,以控制和监测疾病。

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