Febre Chikungunya no estado de Alagoas: Clusters de risco em quatro anos de notificação
Chikungunya fever in the state of Alagoas: Clusters of risk in four years of notification
DOI:
https://doi.org/10.48017/dj.v7i3.2076Keywords:
Chikungunya Fever; Spatial analysis; Space-time analysis.Abstract
Chikungunya is an arbovirus caused by the chikungunya virus (CHIKV), and its transmission to humans occurs by mosquitoes of the genus Aedes (mainly Aedes aegypti and Aedes albopictus). Thus, the aim of this study was to analyze the spatial and spatiotemporal dynamics of chikungunya fever cases in the state of Alagoas, Brazil, between the years 2017 to 2020. This is an ecological study of spatiotemporal series with descriptive and analytical methods that aimed to analyze the evolutionary aspects of chikungunya cases. During the study period, 3,979 cases were verified, with females accounting for 59.9% (n = 2,383), while males accounted for 40.0% (n = 1,592). The age groups from 20 to 39 and from 40 to 59 years according to the highest percentages of 5.3% (n = 1.403) and 26.0% (n = 1.033) of notification. In the state, two high-risk clusters were identified, both statistically determined. The primary cluster corresponds to an annual prevalence rate of 2,017.4 (RR = 11.70; p-value = <0.001) and the secondary cluster to an annual prevalence rate of 43.2 (RR = 1.52; p - value = <0.001). This work is an instrument of knowledge and information for health professionals and the local population about the cases of Chikungunya in the state of Alagoas. Thus, the entry of this arbovirus in a country that is already endemic for dengue, such as Brazil, can result in a collapse in health services during periods of simultaneous epidemics.
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References
AALST, Mariëlle Van; NELEN, Charlotte Marieke; GOORHUIS, Abraham; STIJNIS Cornelis; GROBUSCH, Martin Peter. Long-term sequelae of chikungunya virus disease: A systematic review. Travel Medicine and Infectious Disease, 2017. vol, 15, 8-22, https://doi.org/10.1016/j.tmaid.2017.01.004.
ANSELIN, Luc. Local Indicators of Spatial Association – LISA. 1995. Geographical Analysis. vol. 27(2), 93-115. https://doi.org/10.1111/j.1538-4632.1995.tb00338.x.
ANSELIN, Luc; BAO, Shuming. (1997). Análise exploratória de dados espaciais ligando o SpaceStat e o ArcView. In: Fischer M.M., Getis A. (eds) Desenvolvimentos Recentes em Análise Espacial. Avanços na Ciência Espacial. Springer, Berlim, Heidelberg. https://doi.org/10.1007/978-3-662-03499-6_3.
BRASIL. Instituto Brasileiro de Geografia e Estatística, IBGE. Censo 2010. 2010. Disponível em: www.ibge.gov.br. Acesso em: 20 de agosto de 2021.
BRASIL. Instituto Brasileiro de Geografia e Estatística, Censo 2020. 2020. Disponível em: Alagoas | Cidades e Estados | IBGE. Acesso em: 20 de agosto de 2021.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Chikungunya Manejo Clínico, 2017a. Acesso em 13 de junho de 2021. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/chikungunya_manejo_clinico.pdf.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Monitoramento dos casos de dengue, febre de chikungunya e febre pelo vírus Zika até a Semana Epidemiológica 41 de 2017. Boletim Epidemiológico, v. 48, p: 1-13, 2017b. Disponível em: https://portalarquivos2.saude.gov.br/images/pdf/2017/novembro/07/2017-035-Monitoramento-dos-casos-de-dengue--febre-de-chikungunya-e-febre-pelo-virus-Zika-ate-a-Semana-Epidemiologica-41.pdf. Acesso em: 17 de junho de 2021.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Monitoramento dos casos de arboviroses urbanas transmitidas pelo Aedes (dengue, chikungunya e zika), Semanas Epidemiológicas 01 a 52. Boletim Epidemiológico 02, v.51, 2020a. Disponível em: Boletim-epidemiologico-SVS-02-1-.pdf (saude.gov.br). Acesso em: 12 de julho de 2021.
BRASIL. Instituto Brasileiro de Geografia e Estatística, IBGE. Cidades e Estados. Rio de Janeiro, 2020b. Disponível em: https://www.ibge.gov.br/cidades-e-estados/al.html. Acesso em: 20 de julho de 2021.
BRASIL. Boletim epidemiológico 48. Monitoramento dos casos de arboviroses urbanas transmitidas pelo Aedes Aegypti (dengue, chikungunya e zika), semanas epidemiológicas 1 a 46, 2020c. Disponível em: https://www.gov.br/saude/pt-br/assuntos/media/pdf/2020/dezembro/11/boletim_epidemiologico_svs_48.pdf. Acesso em: 10 de julho de 2021.
FRUTUOSO, Livia Carla Vinhal; FREITAS, André Ricardo Ribas; CAVALCANTI, Luciano Pamplona de Góes; DUARTE, Elisabeth Carmen. Estimated mortality rate and leading causes of death among individuals with chikungunya in 2016 and 2017 in Brazil. 2020. Revista da Sociedade Brasileira de Medicina Tropical. vol. 53:e20190580. https://doi.org/10.1590/0037-8682-0580-2019.
GOMES, Adriana Fagundes; NOBRE, Aline Araújo; CRUZ, Oswaldo Gonçalves. Temporal analysis of the relationship between dengue and meteorological variables in the city of Rio de Janeiro, Brazil, 2001-2009. 2012. Cadernos de Saúde Pública. vol. 28(11) 2189-2197. https://doi.org/10.1590/S0102-311X2012001100018.
KHAN, Omar Ali; DAVENHALL, Willian; ALI, Myah; CASTILLO-SALGADO, Carlos; VAZQUEZ-PROKOPEC, Gonzalo Martín; KITRON, Uriel; MAGALHÃES, Ricardo. Jorge Soares; CLEMENTES, Archie. Geographical information systems and tropical medicine. 2010. Annals of Tropical Medicine and Parasitology. vol. 104(4), 303-318. https://doi.org/10.1179/136485910x12743554759867.
KULLDORFF, Martin. A spatial scan statistic. 1997. Communications in Statistics - Theory and Methods. vol. 26(6), 1481-1496. https://doi.org/10.1080/03610929708831995.
LIMA-Camara, Tâmara Nunes. Arboviroses emergentes e novos desafios para a saúde pública no Brasil. 2016. Revista de Saúde Pública. vol. 50(36). https://doi.org/10.1590/S1518-8787.2016050006791.
LAMPARELLI, Rubens Augusto Camargo; ROCHA, Jansle Vieira; BORGHI, Elaine Geoprocessamento e agricultura de precisão: fundamentos e aplicações. Guaíba: Livraria e Editora Agropecuária, 2001. v. 2.
NARDI, Susilene Maria Tonelli; PASCHOAL, José Antônio Armani; PEDRO, Heloisa da Silveira Paro; PASCHOAL, Vânia Del´Arco; SICHIERI, Eduvaldo Paulo. Geoprocessamento em Saúde Pública: fundamentos e aplicações. Revista Instituto Adolfo Lutz. São Paulo, 2013; 72(3):185-91. Disponível em: Geoprocessamento em Saúde Pública: fundamentos e aplicações | Rev. Inst. Adolfo Lutz;72(3): 185-191, 2013. ilus, mapas | LILACS | SES-SP | SESSP-CTDPROD | SES-SP | SESSP-IALPROD | SES-SP | RIPSA (bvsalud.org). Acesso em: 20 de agosto de 2021.
PEREIRA, Emile Danielly Amorim. Análise espacial e temporal dos casos de febre de chikungunya no Maranhão, Brasil. 2018. 137 f. Dissertação (Mestrado em Saúde Pública) - Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, 2018. Disponível em: https://www.arca.fiocruz.br/handle/icict/27921. Acesso em: 20 de Agosto de 2021
PINHEIRO, Talys Jason; GUIMARÃES, Luis Fernando; SILVA, Marcus Tulius Teixeira; SOARES, Cristiane Nascimento. Neurological manifestations of Chikungunya and Zika infections. 2016. Arquivos de Neuro-Psiquiatria. vol. 74. https://doi.org/10.1590/0004-282X20160138.
SALJE, Henrik; LESSLER, Justin; PAUL, Kishor Kumar; AZMAN, Andrew S.; RAHMAN, M. Waliur; RAHMAN, Mahmudur; CUMMINGS, Derek; GURLEY, Emily S.; CAUCHEMEZ, Simon. How social structures, space, and behaviors shape the spread of infectious diseases using chikungunya as a case study. 2016. Proceedings of the National Academy of Sciences of the United States of America. vol. 113(47) https://doi.org/10.1073/pnas.1611391113.
SIMIÃO, Adriana Rocha; CAVALCANTI, Luciano Pamplona de Góes. A major chikungunya epidemic with high mortality in northeastern Brazil. Revista da Sociedade Brasileira de Medicina Tropical. 2019. vol. 52:e20190266. https://doi.org/10.1590/0037-8682-0266-2019.
SILVA, Nayara Messias da; TEIXEIRA, Ricardo Antônio Gonçalves; CARDOSO, Clever Gomes; JUNIOR, João Bosco Siqueira; COELHO, Giovanini Evelim; OLIVEIRA, Ellen Synthia Fernandes de. Vigilância chikungunya no Brasil: desafios no contexto da Saúde Pública. Epidemiologia e Serviços de Saúde. 2018. vol. 27(3) http://dx.doi.org/10.5123/s1679-49742018000300003.
WHO. World Health Organization. Chikungunya, 2020. Disponível em: https://www.who.int/news-room/fact-sheets/detail/chikungunya. Acesso em: 14 de junho de 2021.
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