Detection and modelling of case clusters for urban leptospirosis.

Detalhes bibliográficos
Autor(a) principal: Tassinari, Wagner de Souza
Data de Publicação: 2008
Outros Autores: Pellegrini, Debora da Cruz Payão, Sá, Claudio B. P, Reis, Renato Barbosa, Ko, Albert Icksang, Carvalho, Marilia Sá
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/12207
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil / Federal University Rural of Rio de Janeiro. Department of Mathematics. Rio de Janeiro, RJ, Brasil
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spelling Tassinari, Wagner de SouzaPellegrini, Debora da Cruz PayãoSá, Claudio B. PReis, Renato BarbosaKo, Albert IcksangCarvalho, Marilia Sá2015-11-12T13:36:52Z2015-11-12T13:36:52Z2008TASSINARI, W. de S. et al. Detection and modelling of case clusters for urban leptospirosis. Tropical Medicine and International Health, v. 13, n. 4, p. 503-512, 2008.1365-3156https://www.arca.fiocruz.br/handle/icict/1220710.1111/j.1365-3156.2008.02028.xengWileyDetection and modelling of case clusters for urban leptospirosis.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil / Federal University Rural of Rio de Janeiro. Department of Mathematics. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. Division of International Medicine and Infectious Disease. New York, USAFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, BrasilOBJECTIVE: To analyse the epidemiological profile of 488 cases of leptospirosis in Rio de Janeiro, Brazil between 1997 and 2002, using a variety of methods of spatial epidemiology, to establish alert guidelines in general hospitals, which might be a tool to improve diagnosis and treatment of leptospirosis to reduce lethality rates. METHODS: Scan statistics identified six space-time clusters, which comprised a range of 2 to 28 cases per cluster. Generalized linear mixed models were used to evaluate risk factors for a cluster case which incorporated individual characteristics and spatial information on environmental and climactic factors in a single model frame. RESULTS: Cluster case events were associated with heavy rainfall (OR 3.71; 95% CI 1.83-7.51). The model did not identify socioeconomic or environmental covariates that significantly influence the risk of developing a cluster rather than non-cluster case. CONCLUSION: Clustering of leptospirosis in this urban setting appears to be due to transmission during heavy rainfall.LeptospirosisUrban epidemicsGeographic information systemsSpatial epidemiologyGeneralized linear mixed modelLeptospirose/epidemiologiaBrasil/epidemiologiaSurtos de DoençasMeio AmbienteHumanosIncidênciaLeptospirose/transmissãoChuvaFatores de RiscoConglomerados Espaço-TemporaisSaúde da População Urbanainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/12207/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALTassinari WS Detection and modeling....pdfTassinari WS Detection and modeling....pdfapplication/pdf308603https://www.arca.fiocruz.br/bitstream/icict/12207/2/Tassinari%20WS%20Detection%20and%20modeling....pdffe8187b41af2a6811e2b4dc5558f9fc3MD52TEXTTassinari WS Detection and 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dc.title.pt_BR.fl_str_mv Detection and modelling of case clusters for urban leptospirosis.
title Detection and modelling of case clusters for urban leptospirosis.
spellingShingle Detection and modelling of case clusters for urban leptospirosis.
Tassinari, Wagner de Souza
Leptospirosis
Urban epidemics
Geographic information systems
Spatial epidemiology
Generalized linear mixed model
Leptospirose/epidemiologia
Brasil/epidemiologia
Surtos de Doenças
Meio Ambiente
Humanos
Incidência
Leptospirose/transmissão
Chuva
Fatores de Risco
Conglomerados Espaço-Temporais
Saúde da População Urbana
title_short Detection and modelling of case clusters for urban leptospirosis.
title_full Detection and modelling of case clusters for urban leptospirosis.
title_fullStr Detection and modelling of case clusters for urban leptospirosis.
title_full_unstemmed Detection and modelling of case clusters for urban leptospirosis.
title_sort Detection and modelling of case clusters for urban leptospirosis.
author Tassinari, Wagner de Souza
author_facet Tassinari, Wagner de Souza
Pellegrini, Debora da Cruz Payão
Sá, Claudio B. P
Reis, Renato Barbosa
Ko, Albert Icksang
Carvalho, Marilia Sá
author_role author
author2 Pellegrini, Debora da Cruz Payão
Sá, Claudio B. P
Reis, Renato Barbosa
Ko, Albert Icksang
Carvalho, Marilia Sá
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Tassinari, Wagner de Souza
Pellegrini, Debora da Cruz Payão
Sá, Claudio B. P
Reis, Renato Barbosa
Ko, Albert Icksang
Carvalho, Marilia Sá
dc.subject.en.pt_BR.fl_str_mv Leptospirosis
Urban epidemics
Geographic information systems
Spatial epidemiology
Generalized linear mixed model
topic Leptospirosis
Urban epidemics
Geographic information systems
Spatial epidemiology
Generalized linear mixed model
Leptospirose/epidemiologia
Brasil/epidemiologia
Surtos de Doenças
Meio Ambiente
Humanos
Incidência
Leptospirose/transmissão
Chuva
Fatores de Risco
Conglomerados Espaço-Temporais
Saúde da População Urbana
dc.subject.decs.pt_BR.fl_str_mv Leptospirose/epidemiologia
Brasil/epidemiologia
Surtos de Doenças
Meio Ambiente
Humanos
Incidência
Leptospirose/transmissão
Chuva
Fatores de Risco
Conglomerados Espaço-Temporais
Saúde da População Urbana
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil / Federal University Rural of Rio de Janeiro. Department of Mathematics. Rio de Janeiro, RJ, Brasil
publishDate 2008
dc.date.issued.fl_str_mv 2008
dc.date.accessioned.fl_str_mv 2015-11-12T13:36:52Z
dc.date.available.fl_str_mv 2015-11-12T13:36:52Z
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 TASSINARI, W. de S. et al. Detection and modelling of case clusters for urban leptospirosis. Tropical Medicine and International Health, v. 13, n. 4, p. 503-512, 2008.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/12207
dc.identifier.issn.none.fl_str_mv 1365-3156
dc.identifier.doi.none.fl_str_mv 10.1111/j.1365-3156.2008.02028.x
identifier_str_mv TASSINARI, W. de S. et al. Detection and modelling of case clusters for urban leptospirosis. Tropical Medicine and International Health, v. 13, n. 4, p. 503-512, 2008.
1365-3156
10.1111/j.1365-3156.2008.02028.x
url https://www.arca.fiocruz.br/handle/icict/12207
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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