Global morbidity and mortality of leptospirosis: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/11922 |
Resumo: | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil. Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, Bahia, Brasil. Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, Estados Unidos. |
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Costa, FedericoHagan, José ECalcagno, JuanKane, MichaelTorgerson, PaulMartinez-Silveira, Martha SilviaStein, ClaudiaAbela-Ridder, BernadetteKo, Albert Icksang2015-10-07T19:40:49Z2015-10-07T19:40:49Z2015COSTA, F. et al. Global morbidity and mortality of leptospirosis: a systematic review. PLoS Neglected Tropical Diseases, v. 9, n. 9, p. 1-19, 2015.1935-2735https://www.arca.fiocruz.br/handle/icict/1192210.1371/journal.pntd.0003898engPublic Library of ScienceLeptospiroseMortalidadeMorbidadeEpidemiologiaLeptospirosisMorbidityMortalityEpidemiologyLeptospiroseVigilância da PopulaçãoGlobal morbidity and mortality of leptospirosis: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil. Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, Bahia, Brasil. Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, Estados Unidos.Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil. Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, Estados Unidos.Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil.Yale School of Public Health. Center for Analytical Sciences. New Haven, Connecticut, Estados UnidosUniversity of Zürich. Vetsuisse Faculty. Section of Epidemiology. Zurich, SuiçaFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil.World Health Organization, Regional Office for Europe. Division of Information, Evidence, Research and Innovation. Copenhagen, DinamarcaWorld Health Organization. Department for the Control of Neglected Tropical Diseases. Geneve. SuizaFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil. Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, Estados Unidos.Background Leptospirosis, a spirochaetal zoonosis, occurs in diverse epidemiological settings and affects vulnerable populations, such as rural subsistence farmers and urban slum dwellers. Although leptospirosis is a life-threatening disease and recognized as an important cause of pulmonary haemorrhage syndrome, the lack of global estimates for morbidity and mortality has contributed to its neglected disease status. Methodology/Principal Findings We conducted a systematic review of published morbidity and mortality studies and databases to extract information on disease incidence and case fatality ratios. Linear regression and Monte Carlo modelling were used to obtain age and gender-adjusted estimates of disease morbidity for countries and Global Burden of Disease (GBD) and WHO regions. We estimated mortality using models that incorporated age and gender-adjusted disease morbidity and case fatality ratios. The review identified 80 studies on disease incidence from 34 countries that met quality criteria. In certain regions, such as Africa, few quality assured studies were identified. The regression model, which incorporated country-specific variables of population structure, life expectancy at birth, distance from the equator, tropical island, and urbanization, accounted for a significant proportion (R2 = 0.60) of the variation in observed disease incidence. We estimate that there were annually 1.03 million cases (95% CI 434,000–1,750,000) and 58,900 deaths (95% CI 23,800–95,900) due to leptospirosis worldwide. A large proportion of cases (48%, 95% CI 40–61%) and deaths (42%, 95% CI 34–53%) were estimated to occur in adult males with age of 20–49 years. Highest estimates of disease morbidity and mortality were observed in GBD regions of South and Southeast Asia, Oceania, Caribbean, Andean, Central, and Tropical Latin America, and East Sub-Saharan Africa. Conclusions/Significance Leptospirosis is among the leading zoonotic causes of morbidity worldwide and accounts for numbers of deaths, which approach or exceed those for other causes of haemorrhagic fever. Highest morbidity and mortality were estimated to occur in resource-poor countries, which include regions where the burden of leptospirosis has been underappreciatedinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82354https://www.arca.fiocruz.br/bitstream/icict/11922/1/license.txt8b4c200b4e10021c5683c6ccaba07169MD51ORIGINALCosta Global morbidity and mortality.pdfCosta Global morbidity and mortality.pdfapplication/pdf1433211https://www.arca.fiocruz.br/bitstream/icict/11922/2/Costa%20Global%20morbidity%20and%20mortality.pdf7104e90ea3639736802a9d2b1ae1c9f5MD52TEXTCosta Global morbidity and mortality.pdf.txtCosta Global morbidity and mortality.pdf.txtExtracted texttext/plain63917https://www.arca.fiocruz.br/bitstream/icict/11922/3/Costa%20Global%20morbidity%20and%20mortality.pdf.txtafb23494ae605a3ed86de58e64aa424eMD53icict/119222023-03-15 14:33:10.028oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:10Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Global morbidity and mortality of leptospirosis: a systematic review |
title |
Global morbidity and mortality of leptospirosis: a systematic review |
spellingShingle |
Global morbidity and mortality of leptospirosis: a systematic review Costa, Federico Leptospirose Mortalidade Morbidade Epidemiologia Leptospirosis Morbidity Mortality Epidemiology Leptospirose Vigilância da População |
title_short |
Global morbidity and mortality of leptospirosis: a systematic review |
title_full |
Global morbidity and mortality of leptospirosis: a systematic review |
title_fullStr |
Global morbidity and mortality of leptospirosis: a systematic review |
title_full_unstemmed |
Global morbidity and mortality of leptospirosis: a systematic review |
title_sort |
Global morbidity and mortality of leptospirosis: a systematic review |
author |
Costa, Federico |
author_facet |
Costa, Federico Hagan, José E Calcagno, Juan Kane, Michael Torgerson, Paul Martinez-Silveira, Martha Silvia Stein, Claudia Abela-Ridder, Bernadette Ko, Albert Icksang |
author_role |
author |
author2 |
Hagan, José E Calcagno, Juan Kane, Michael Torgerson, Paul Martinez-Silveira, Martha Silvia Stein, Claudia Abela-Ridder, Bernadette Ko, Albert Icksang |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Federico Hagan, José E Calcagno, Juan Kane, Michael Torgerson, Paul Martinez-Silveira, Martha Silvia Stein, Claudia Abela-Ridder, Bernadette Ko, Albert Icksang |
dc.subject.other.pt_BR.fl_str_mv |
Leptospirose Mortalidade Morbidade Epidemiologia |
topic |
Leptospirose Mortalidade Morbidade Epidemiologia Leptospirosis Morbidity Mortality Epidemiology Leptospirose Vigilância da População |
dc.subject.en.pt_BR.fl_str_mv |
Leptospirosis Morbidity Mortality Epidemiology |
dc.subject.decs.pt_BR.fl_str_mv |
Leptospirose Vigilância da População |
description |
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, Bahia, Brasil. Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, Bahia, Brasil. Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, Estados Unidos. |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-10-07T19:40:49Z |
dc.date.available.fl_str_mv |
2015-10-07T19:40:49Z |
dc.date.issued.fl_str_mv |
2015 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
COSTA, F. et al. Global morbidity and mortality of leptospirosis: a systematic review. PLoS Neglected Tropical Diseases, v. 9, n. 9, p. 1-19, 2015. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/11922 |
dc.identifier.issn.none.fl_str_mv |
1935-2735 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pntd.0003898 |
identifier_str_mv |
COSTA, F. et al. Global morbidity and mortality of leptospirosis: a systematic review. PLoS Neglected Tropical Diseases, v. 9, n. 9, p. 1-19, 2015. 1935-2735 10.1371/journal.pntd.0003898 |
url |
https://www.arca.fiocruz.br/handle/icict/11922 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Public Library of Science |
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Public Library of Science |
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