Fuzzy and spatial analysis of cutaneous leishmaniasis in Pará State, Brazilian Amazon: an ecological and exploratory study

This study sought to analyze the relationships between cutaneous leishmaniasis and its epidemiological, environmental and socioeconomic conditions, in the 22 microregions of Pará state, Brazil, for the period from 2017 to 2022. In this ecological and exploratory study, the microregions were used as...

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Veröffentlicht in:Journal of infection in developing countries 2024-07, Vol.18 (7), p.1124-1131
Hauptverfasser: Costa, Simone Bn, Miranda, Claudia do Sc, De Souza, Bruna C, Guimarães, Heloisa Maria M E S, Faria, Camylle Mc, Da S Campos, Pedro S, Koury, Taiana Ma, Da Paixão, José Gabriel M, Leal, Alessandra L, Carrera, Maria de Fátima P, De Brito, Silvana R, Gonçalves, Nelson V
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container_issue 7
container_start_page 1124
container_title Journal of infection in developing countries
container_volume 18
creator Costa, Simone Bn
Miranda, Claudia do Sc
De Souza, Bruna C
Guimarães, Heloisa Maria M E S
Faria, Camylle Mc
Da S Campos, Pedro S
Koury, Taiana Ma
Da Paixão, José Gabriel M
Leal, Alessandra L
Carrera, Maria de Fátima P
De Brito, Silvana R
Gonçalves, Nelson V
description This study sought to analyze the relationships between cutaneous leishmaniasis and its epidemiological, environmental and socioeconomic conditions, in the 22 microregions of Pará state, Brazil, for the period from 2017 to 2022. In this ecological and exploratory study, the microregions were used as spatial units because they are formed by contiguous municipalities with similar characteristics. The epidemiological, environmental, socioeconomic, and public health policy data employed were obtained from the official information systems at the Ministry of Health, National Institute for Space Research, and Brazilian Institute of Geography and Statistics. A fuzzy system was developed to identify risk factors for the disease, using Python programming language. The results were analyzed with the bivariate Global Moran spatial analysis technique. It was observed that the Altamira microregion had the highest risk percentage for the disease, while Breves had the lowest, with significant differences in the relevance of its conditioning factors, mainly related to land use and cover patterns, in addition to demography and living conditions index, education and public health policies. The fuzzy system associated with the geostatistical technique was satisfactory for identifying areas with health vulnerability gradients related to deforestation, pasture, poverty, illiteracy, and health services coverage, as its conditioning variables. Thus, it was demonstrated that deforestation was the main risk factor for the disease. The system can also be used in environmental and epidemiological surveillance.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Brazil - epidemiology
Deforestation
Fuzzy Logic
Humans
Leishmaniasis, Cutaneous - epidemiology
Parasitic diseases
Public health
Risk Factors
Socioeconomic Factors
Spatial Analysis
title Fuzzy and spatial analysis of cutaneous leishmaniasis in Pará State, Brazilian Amazon: an ecological and exploratory study
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