Spatiotemporal clustering, social inequities and the risk of leptospirosis in an endemic area of Brazil: a retrospective spatial modelling

2020 ◽  
Author(s):  
Katyucia O C de Souza ◽  
José Augusto P Góes ◽  
Matheus S Melo ◽  
Paula M G Leite ◽  
Lucas A Andrade ◽  
...  
Keyword(s):  
Urban Areas ◽  
Spatial Regression ◽  
Temporal Trends ◽  
Spatial Dynamics ◽  
Secondary Data ◽  
The State ◽  
Scan Statistics ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Social Inequities

Abstract Background Leptospirosis is an endemic disease in Brazil of social and economic relevance related to behavioural and socioenvironmental factors. This study aimed to analyse the spatiotemporal distribution of the incidence of leptospirosis and its association with social determinants in health in a state of northeastern Brazil. Methods An ecological study of temporal series with techniques of spatial analysis using secondary data of the cases of leptospirosis notified in the Information System of Notifiable Diseases of the state of Sergipe (2008–2017) was conducted. The analysis of temporal trends was performed using Poisson regression. Spatial analyses were performed using the Moran index, the local empirical Bayesian model, scan statistics and spatial regression. Results The incidence rate decreased from 3.66 to 1.44 cases per 100 000 inhabitants in 2008 and 2017, respectively. Leptospirosis was associated with social inequities, mostly affecting males aged 20–49 y living in urban areas. The space-time scan indicated the formation of a risk cluster in municipalities in the metropolitan region of the state. Conclusions The data indicated the persistence of leptospirosis transmission, maintaining a pattern of high endemicity in some municipalities associated with social inequities. The study showed the temporal and spatial dynamics of the disease to better target specific actions for prevention and control.

scholarly journals Spatial analysis of congenital syphilis in the State of Rio Grande do Norte, between 2008 and 2018

2021 ◽  
Vol 55 ◽  
Author(s):  
Dhyanine Morais de Lima Raimundo ◽  
George Jó Bezerra Sousa ◽  
Ana Beatriz Pereira da Silva ◽  
Romanniny Hévillyn Silva Costa Almino ◽  
Nanete Carolina da Costa Prado ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Congenital Syphilis ◽  
Secondary Data ◽  
Rio Grande ◽  
The State ◽  
Northeastern Brazil ◽  
Effective Strategies ◽  
Units Of Analysis ◽  
Increased Risk ◽  
Empirical Bayesian Method

ABSTRACT Objective: To analyze the spatial distribution of congenital syphilis cases in a state in northeastern Brazil. Method: This is an ecological study, with secondary data for the period from 2008 to 2018, taking as a sample the notified cases of congenital syphilis in Rio Grande do Norte. In the data analysis, the eight health regions of the state were used as units of analysis, and the local and global Moran’s I was performed, with subsequent smoothing through the local empirical Bayesian method, which resulted in thematic maps. Results: The results showed an increase in cases of congenital syphilis in the 3rd and 7thhealth regions. In terms of spatial analysis, this investigation showed clusters in the 3rd, 5th, and 7thhealth regions, with an increased risk for congenital syphilis of up to 2.65 times and with an incidence rate of 7.91 cases per 1,000 live births. Conclusion: The spatial analysis of congenital syphilis cases allowed observing a high incidence in some health regions, with averages above those calculated for the entire state, indicating the need to implement effective strategies to achieve its control.

scholarly journals Spatial cluster analysis for bovine paratuberculosis in Paraiba State, Northeastern Brazil

2017 ◽  
Vol 37 (11) ◽  
pp. 1193-1197
Author(s):  
Sérgio S. Azevedo ◽  
Ana L.T. Vilar ◽  
Carolina S.A.B. Santos ◽  
Inácio J. Clementino ◽  
Leise G. Fernandes ◽  
...  
Keyword(s):  
Animal Movement ◽  
Spatial Clustering ◽  
The State ◽  
Border Region ◽  
Scan Statistics ◽  
Northeastern Brazil ◽  
Antibody Detection ◽  
Large Animal ◽  
K Nearest Neighbor ◽  
Serological Tests

ABSTRACT: The aim of this survey was to identify spatial clustering of bovine paratuberculosis positive herds in the State of Paraíba, Northeastern Brazil. The state was divided into three sampling groups: sampling stratum 1 (mesoregion of Sertão), sampling stratum 2 (mesoregion of Borborema), and sampling stratum 3 (mesoregions of Zona da Mata and Agreste). Ten animals were sampled in herds with up to 99 cows aged over 24 months; 15 animals were sampled in herds with 100 or more cows aged over 24 months; and all animals were sampled in those with up to 10 cows aged over 24 months. In total, 2504 cows aged ≥ 24 months were sampled from 480 herds. Indirect enzyme-linked immunosorbant assay (ELISA) test kits were used for Mycobacterium avium subsp. paratuberculosis (MAP) antibody detection. A herd was deemed positive for paratuberculosis if it included at least one positive animal in herds of up to 24 females, and two positive animals in herds with more than 24 females. Spatial clustering was assessed using the Cuzick-Edwards’ k-nearest neighbor method and spatial scan statistics. Two significant clustering of positive herds were detected in Northern part of Borborema mesoregion, a border region with the State of Rio Grande do Norte, in which there is a large animal movement from different locations without knowing the sanitary condition of animals. As serological tests for MAP diagnosis are not widely available and are very expensive, as well as replacement or maintenance of livestock by animal purchasing is common in the region, it is concluded that prevention measures should be applied at herd level.

scholarly journals Incidence of human visceral leishmaniasis: the importance of municipal socio-economic indicators in the state of Pernambuco, Brazil

2020 ◽  
Vol 9 (12) ◽  
pp. e47091211368
Author(s):  
Cicero Emanoel Alves Leite ◽  
Ocilma Barros de Quental ◽  
Patrícia Lopes Oliveira ◽  
Ramiro Moreira Tavares
Keyword(s):  
Socioeconomic Factors ◽  
Cross Sectional Study ◽  
Incidence Rates ◽  
Study Data ◽  
The State ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Cross Sectional ◽  
Development Index ◽  
Municipal Development

Objective: To analyze the main municipal socioeconomic factors associated with the incidence of HVL in the state of Pernambuco, northeastern Brazil. Methods: It is a analytical cross-sectional study. Data on the incidence of HVL and socioeconomic factors were collected from 954 cases notified by the SINAN (National System of Notifiable Diseases) and SIM (Mortality Information System). The cases considered were reported by municipalities in the state of Pernambuco, Brazil, from 2005 to 2014. Statistical differences were analyzed by Pearson's correlation test, followed by multiple regression analysis. Significant differences were considered when p <0.05. Results: The FIRJAN Municipal Development Index was the variable that showed the most remarkable statistical robustness and strong negative association with the incidence of HVL. The municipal spending on health and residing in the metropolitan region also influenced its mean incidence rates. Conclusion: The indicators that had an influence on the performance of the incidence of LVH were the FIRJAN Municipal Development Index, health expenditure and residing in the metropolitan region.

scholarly journals INCREASE OF INCIDENCE OF CONGENITAL SYPHILIS IN SANTA CATARINA STATE BETWEEN 2007-2017: TEMPORAL TREND ANALYSIS

2020 ◽  
Vol 38 ◽  
Author(s):  
Julia Souza Vescovi ◽  
Fabiana Schuelter-Trevisol
Keyword(s):  
Prenatal Care ◽  
Congenital Syphilis ◽  
Linear Trend ◽  
Temporal Trends ◽  
Secondary Data ◽  
The State ◽  
Trend Test ◽  
Santa Catarina ◽  
Exponential Increase ◽  
White Mothers

ABSTRACT Objective: To estimate the incidence of congenital syphilis and temporal trends of the reported cases of the disease in the state of Santa Catarina between 2007 and 2017. Methods: Observational study with retrospective cohort design, with secondary data from the Injury of Notification Information System (SINAN). Linear trend test and geoprocessing were performed to verify the behavior of the cases in the period. Results: There were 2,898 reported cases of congenital syphilis in the period, with an average of 2.9 per 1,000 live births in the period. There was an exponential increase of 0.9 percentage points per year, considered statistically significant (p<0.001). There was no difference between the incidences of cases in the different regions of the State. The fatality rate was 8.5%, considering deaths from syphilis, miscarriages and stillbirths. The profile was predominant of white mothers, with low schooling and 11.8% did not perform prenatal care. For this reason, 26.9% of them had a diagnosis of syphilis at the time of delivery. Most of the pregnant women (51.9%) had inadequate pharmacological treatment and 65.1% of the partners were not treated. Conclusions: There was an exponential increase tendency in cases of congenital syphilis in the State of Santa Catarina in the period studied in all regions of the State, which reveals the failure of prenatal care, late diagnosis and inadequate treatment of the pregnant woman and her partner.

Profile of The Judicialization In Pharmaceutical Assistance And Expenses With Antineoplastics: A Cross-Sectional, Descriptive Study Based On A Set of All The Lawsuits Filed Between The Years 2016 To 2018 In of A State In Northeastern Brazil

2021 ◽  
Author(s):  
Fábio Henrique Cavalcanti Oliveira ◽  
José Eudes de Lorena Sobrinho ◽  
Antônio da Cruz Gouveia Mendes ◽  
Haynne Magalhães Santos Gutman ◽  
Geraldo Jorge Filho ◽  
...  
Keyword(s):  
Health System ◽  
Latin American ◽  
Descriptive Study ◽  
The State ◽  
Unit Price ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Antineoplastic Drugs ◽  
Cross Sectional ◽  
Unified Health System

Abstract Background: The judicialization of healthcare for acquiring medication is not an isolated occurrence in Brazil, it may also be observed in other Latin American countries, regardless of the existence of a universal health system, in Brazil, the Unified Health System. The search for justice, in terms of medications, has existed ever since the high demand for treating the Acquired Immunodeficiency Syndrome, while currently, the protagonist is cancer. Since pharmaceutical assistance is the area within Unified Health System, which is responsible for maintaining access to medications, the aim of this article is to describe the profile of judicialization in the pharmaceutical assistance of a state in Northeastern Brazil of economic significance, according to the characteristics of the lawsuits, regarding: the plaintiff filing the lawsuit; the medical and health information; the expenditure on acquiring the requested medications; and the relevance of spending on antineoplastic drugs. Methods: This was a cross-sectional, descriptive study based on a set of lawsuits filed between 2016-2018 at the Litigation Center in the State Health Department of Pernambuco.Results: A total of 2,947 lawsuits were analyzed that contained at least one requested medication, with a predominance of males (51.7%); and in which 49.8% of the requests originated in the Unified Health System, and were primarily from patients in the Metropolitan region of the state capital. The most frequent ICDs for cancer were C61, C71 and C50. The median overall expense of the lawsuits was U$1,734.94. Considering only antineoplastic drugs, expenditure exceeded U$7,500 per lawsuit over the three years, given that the median unit price of antineoplastic drugs is approximately U$65.00 compared to U$4.00 for non-antineoplastic drugs. Conclusion: The present study is of relevance as a matter of public health, and how the profile of judicialization behaves as a tool for managing and improving decision-making in times of economic austerity.

Hydrogeological setting and hydrogeochemical characteristics of the Durban Metropolitan District, eastern South Africa

2019 ◽  
Vol 122 (3) ◽  
pp. 299-316
Author(s):  
M.S. Ndlovu ◽  
M. Demlie ◽  
M. Butler
Keyword(s):  
South Africa ◽  
Water Supply ◽  
Urban Areas ◽  
Groundwater Resources ◽  
The State ◽  
Metropolitan Region ◽  
Mean Annual Precipitation ◽  
Water Type ◽  
Environmental Isotope ◽  
High Concentrations

Abstract Population and economic growth within the Durban Metropolitan region in eastern South Africa have increased the demand for water supply. Though the region’s water supply comes mainly from surface water sources, the ever-increasing demand means that all available water supply sources including groundwater will be looked at, particularly in the peri-urban areas. However, the state of the groundwater resource in the region is poorly understood. This study aims to contribute towards improved understanding of the state of groundwater resources in the Metropolitan District through an integrated hydrogeological, hydrochemical and environmental isotope investigations. Results of the hydrogeological and hydrogeochemical characterization identified at least five hydrostratigraphic units of varying hydraulic and hydrochemical characteristics: the weathered and fractured basement aquifers of the Mapumulo Group, Oribi Gorge, Mzimlilo and Mkhomazi Suites characterized by average borehole yield and transmissivity (T) of 1.2 l/s, and 3.9 m2/day, respectively, and hydrochemical facies of Ca-Mg-HCO3;the fractured Natal Group sandstone characterised by average borehole yield and hydraulic conductivity (K) of 5.6 l/s and 2.8 m/day, respectively and with Na-Mg-HCO3-Cl dominant water type;the fractured aquifers of the Dwyka Group diamictite and tillite characterized by average borehole yield of 0.4 l/s, transmissivity of 1.3 m2/day and Na-Cl-HCO3 dominant water type;the Vryheid Formation of the Ecca Group characterized by average borehole yield of 2.5 l/s, T of 4.9 m2/day, K values 0.17 m/day, and Na-Cl-HCO3 water type. The Pietermaritzburg Formation of the Ecca Group is characterized by a shale lithology with very low borehole yields and average transmissivity of 0.28 m2/d with Na-Ca-Cl dominant water type. It is considered as an aquiclude than an aquifer;the intergranular aquifer of the Maputaland Group which comprises the Bluff, Berea type sands and harbour beds (recent alluvium and estuarine deposits). These units collectively have average borehole yield of 14.8 l/s, transmissivity of up to 406 m2/day and a mainly Na-Cl-HCO3 hydrochemical signature. The region receives mean annual precipitation (MAP) of 935 mm/yr of which an estimated 6.6% recharges the various aquifers. Environmental isotope data (2H, 18O and 3H) indicated that groundwater is recharged from modern precipitation. High concentrations of tritium, as high as 92 T.U., measured around landfill sites, indicates groundwater contamination from leachate leakage posing a risk to human and environmental health.

scholarly journals Malaria epidemiology in the State of Piauí, Northeastern Brazil: a retrospective study with secondary data

2016 ◽  
Vol 49 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Joyce Anny Alves do Nascimento ◽  
Lucas Melo Guimarães ◽  
Filipe Anibal Carvalho-Costa
Keyword(s):  
Retrospective Study ◽  
Secondary Data ◽  
The State ◽  
Northeastern Brazil ◽  
Malaria Epidemiology

scholarly journals Pengaruh Dana Desa dalam Mengentaskan Kemiskinan Penduduk Desa

2021 ◽  
Vol 21 (2) ◽  
pp. 219-228
Author(s):  
Eri Bukhari
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Quantitative Research ◽  
Secondary Data ◽  
The State ◽  
Poor People ◽  
Rural Poor ◽  
State Budget ◽  
Statistical Tool ◽  
The Village

Abstract   Poverty is synonymous with deficiency and underdevelopment. The current phenomenon is the increasingly rapid flow of urbanization from villages to cities which results in the number of rural residents decreasing, even now, the number is less when compared to the population in urban areas. The result of urbanization has left a group of poor people living in the village, thus statistically increasing the number of poor people in rural areas beyond the number of poor people in urban areas. One of the government's efforts to overcome this problem is the provision of Village Funds, which have been budgeted through the State Budget since 2015. The purpose of this study is to determine whether the Village Fund program is sufficiently influential in efforts to alleviate poverty, especially for villagers. The variables used are the amount of village funds and the number of rural poor. The research method used is explanatory research, namely quantitative research using secondary data in the form of village fund reports and data on the rural poor in 2015-2019. In addition, this study uses the SPSS 25 statistical tool. The results of this study indicate that the number of rural poor people can be affected by village funds budgeted in the State Revenue and Expenditure Budget, namely the provision of village funds has a significant negative effect. In other words, the program can reduce the number of rural poor people.   Keywords: Urbanization, Poverty, Village Fund     Abstrak   Kemiskinan identik dengan kekurangan dan keterbelakangan. Fenomena yang ada sekarang ini adalah semakin derasnya arus urbanisasi dari desa ke kota yang mengakibatkan jumlah penduduk desa berkurang, bahkan saat ini jumlahnya lebih sedikit jika dibandingkan dengan jumlah penduduk di wilayah perkotaan.  Akibat dari urbanisasi ini meninggalkan sekelompok penduduk miskin yang tetap bermukim di desa, sehingga secara statistik menaikkan jumlah penduduk miskin di wilayah pedesaan melebihi jumlah penduduk miskin di wilayah perkotaan. Salah satu usaha pemerintah mengatasi masalah ini adalah pemberian Dana Desa, yang mulai dianggarkan melalui APBN sejak tahun 2015. Tujuan penelitian ini adalah untuk mengetahui apakah program Dana Desa cukup berpengaruh dalam usaha   mengentaskan kemiskinan khususnya bagi penduduk desa. Variabel yang gunakan adalah jumlah dana desa dan jumlah penduduk miskin pedesaan. Metode penetitian yang digunakan adalah explanatory research yaitu penelitian kuantitatif dengan menggunakan data sekunder berupa laporan dana desa dan data penduduk miskin pedesaan tahun 2015-2019. Selain itu penelitian ini menggunakan alat statistik SPSS 25.  Hasil penelitian ini menunjukkan bahwa jumlah penduduk miskin pedesaan dapat dipengaruhi oleh dana desa yang dianggarkan dalam Anggaran Pendapatan dan Belanja Negara, yaitu pemberian dana desa berpengaruh negatif signifikan. Dengan kata lain program tersebut dapat mengurangi jumlah penduduk miskin pedesaan.   Kata kunci: Urbanisasi, Kemiskinan, Dana Desa

scholarly journals Impact of Microfinance Programme on Employment Status of the Participants

2018 ◽  
Vol 8 (02) ◽  
Author(s):  
. Ruchi Joshi ◽  
C. S. Joshi
Keyword(s):  
Financial Services ◽  
Urban Areas ◽  
Employment Status ◽  
Secondary Data ◽  
The State ◽  
Standard Of Living ◽  
Primary Data ◽  
Regulatory Body ◽  
The Poor ◽  
The Impact

Microfinance has emerged as a ray of hope among the various measure to wipe out poverty. In India, failure of formal finance to the poor has led to the growth of microfinance. Numerous traditional and informal system of credit was already in existence before microfinance came into vogue. NABARD a regulatory body defined microfinance as “the provision of thrift, saving, credit and financial services and products of very small amount to the poor in rural, semi-urban and urban areas for enabling them to raise their income levels and improve their standard of living”(Sen,2008). The paper also provide the progress of microfinance programme in Uttarakhand on the basis of secondary data. The present paper examines the impact of microfinance programme on employment status of the respondents in the State of Uttarakhand on the basis of primary data collected from the field. As the programme has increased the engagement of SHG group members i.e; participants of the programme economic activities which result in the increase level of employment. Microfinance play an important role in the development of the state as the programme increased the employment status which result beneficiaries to come out of poverty and the standard of living also raised by accessing the basic requirements.

scholarly journals Epidemiological profile of blood donors diagnosed with syphilis in the State of Piauí, Northeastern Brazil

2018 ◽  
Vol 5 (9) ◽  
pp. 171-181
Author(s):  
Aline Cristina Figueiredo Lima ◽  
Joaquim Nylson Santos Silva ◽  
Roseane Mara Cardoso Lima Verde ◽  
Matheus Hipólito do Nascimento ◽  
Joacilda da Conceição Nunes ◽  
...  
Keyword(s):  
Marital Status ◽  
Blood Donors ◽  
Transmitted Disease ◽  
Treponema Pallidum ◽  
Secondary Data ◽  
Epidemiological Data ◽  
The State ◽  
Northeastern Brazil ◽  
School Level ◽  
Blood Donations

Syphilis is a sexually transmitted disease caused by Treponema pallidum. In the State of Piauí, Northeastern Brazil, the units of the Hematology and Hemotherapy Center of Piauí (HEMOPI) receive blood donations to maintain the stock of blood and its derivatives. This study aimed to obtain epidemiological data on the frequency of syphilis in blood donors in the State of Piauí, from 2008 to 2013. This is a descriptive retrospective research based on secondary data with quantitative and exploratory analysis, in which the variables age, gender, school level, marital status, occupation, and municipality where the participants reside were recorded, analyzing the prevalence of syphilis in donors. A total of 233,927 volunteer donations were considered, of which 4,118 were positive for syphilis. The prevalence (1.76%) was analyzed using the ELISA technique, and it was relatively low among blood donations in comparison to other states. The most frequent donations were made by students in the Municipality of Teresina, downtown, and there was a statistically significant association for men, age group of 40-49 years, incomplete elementary school and married marital status. Therefore, it was concluded that the prevalence of syphilis in the State of Piauí is lower than in other states and that updated epidemiological data on the presence of syphilis in blood samples from blood donors has been generated.

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