Machado João Paulo Vieira, Lima Pedro Dantas, Alencar Vitória Jordana Bezerra, Costa Loane Márzia Lopes, Paz Wandklebson Silva da, Ramos Rosália Elen Santos, Santos Israel Gomes de Amorim, Bezerra Letícia Pereira
Graduating in Biological Sciences, State University of Alagoas, Santana do Ipanema, Alagoas, Brazil.
Graduating in Biological Sciences, State University of Alagoas, Santana do Ipanema, Alagoas, Brazil.
Acta Trop. 2023 Mar;239:106786. doi: 10.1016/j.actatropica.2022.106786. Epub 2022 Dec 9.
Accidents with venomous animals correspond to the second cause of epidemiological notification in Brazil, with around 140 thousand cases registered in recent years, which constitutes a serious public health problem. This study aimed to analyze the epidemiological profile and the spatial and spatio-temporal patterns of the incidence of accidents by venomous animals in the Northeast region of Brazil, from 2008 to 2017. We carried out an epidemiological and observational study of an ecological nature, with tools for spatial analysis. To do so, we calculated the incidence rate of cases. The occurrence of spatial autocorrelation was verified and the spatial KullDorff statistics were used to identify risk clusters. A total of 486,001 cases were reported, of which 50.1% (244,122) of those affected were female, the age group most affected by accidents was >60 years, 70.6% (343,295) of accidents were caused by scorpions and 14.7% (71,620) by snakes. The state of Bahia had the highest number of accidents, followed by Pernambuco and Alagoas. The highest incidence rates are observed mainly in the states of Alagoas, Pernambuco, Maranhão and Bahia. There was an increase in accidents in the period studied. In addition, this study shows that the use of space tools collaborate positively to identify locations with a high incidence of accidents by venomous animals.
涉及有毒动物的事故是巴西流行病学通报的第二大原因，近年来登记的病例约有14万起，这构成了一个严重的公共卫生问题。本研究旨在分析2008年至2017年巴西东北部地区有毒动物致伤事故发生率的流行病学特征以及空间和时空模式。我们开展了一项具有生态学性质的流行病学观察研究，并运用了空间分析工具。为此，我们计算了病例发生率。验证了空间自相关性，并使用空间库尔-多夫统计量来识别风险聚集区。共报告了486,001起病例，其中50.1%（244,122例）的受害者为女性，事故影响最严重的年龄组为60岁以上，70.6%（343,295起）的事故由蝎子所致，14.7%（71,620起）由蛇所致。巴伊亚州的事故数量最多，其次是伯南布哥州和阿拉戈斯州。最高发病率主要出现在阿拉戈斯州、伯南布哥州、马拉尼昂州和巴伊亚州。在所研究的时间段内事故有所增加。此外，本研究表明，空间工具的使用有助于积极识别有毒动物致伤事故高发地点。
