Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166 |
Resumo: | This study examined the spatial distribution of childhood community-acquired pneumonia detected through prospective surveillance in Goiânia, Brazil. Three spatial analysis techniques were applied to detect intra-urban geographic aggregation of pneumonia cases: Kernel method, nearest neighbor hierarchical technique, and spatial scan statistic. A total of 724 pneumonia cases confirmed by chest radiography were identified from May 2000 to August 2001. All cases were geocoded on a digital map. The annual pneumonia risk rate was estimated at 566 cases/100,000 children. Analysis using traditional descriptive epidemiology showed a mosaic distribution of pneumonia rates, while GIS methodologies showed a non-random pattern with hot spots of pneumonia. Cluster analysis by spatial scan statistic identified two high-risk areas for pneumonia occurrence, including one most likely cluster (RR = 2.1; p < 0.01) and one secondary cluster (RR = 1.3; p = 0.01). The data used for the study are in line with recent WHO-led efforts to improve and standardize pediatric pneumonia surveillance in developing countries and show how GIS and spatial analysis can be applied to discriminate target areas of pneumonia for public heath intervention. |
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Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central BrazilPneumoniaChild HealthSpatial AnalysisThis study examined the spatial distribution of childhood community-acquired pneumonia detected through prospective surveillance in Goiânia, Brazil. Three spatial analysis techniques were applied to detect intra-urban geographic aggregation of pneumonia cases: Kernel method, nearest neighbor hierarchical technique, and spatial scan statistic. A total of 724 pneumonia cases confirmed by chest radiography were identified from May 2000 to August 2001. All cases were geocoded on a digital map. The annual pneumonia risk rate was estimated at 566 cases/100,000 children. Analysis using traditional descriptive epidemiology showed a mosaic distribution of pneumonia rates, while GIS methodologies showed a non-random pattern with hot spots of pneumonia. Cluster analysis by spatial scan statistic identified two high-risk areas for pneumonia occurrence, including one most likely cluster (RR = 2.1; p < 0.01) and one secondary cluster (RR = 1.3; p = 0.01). The data used for the study are in line with recent WHO-led efforts to improve and standardize pediatric pneumonia surveillance in developing countries and show how GIS and spatial analysis can be applied to discriminate target areas of pneumonia for public heath intervention.Este estudo avaliou três técnicas de análise espacial para detectar aglomerados intra-urbanos de casos de pneumonias na infância: método de Kernel, técnica de hierarquia de vizinhos próximos e estatística espacial scan. Setecentos e vinte e quatro casos de pneumonia confirmados radiologicamente foram identificados entre maio de 2000 a agosto de 2001, por vigilância prospectiva implementada em Goiânia, Goiás, Brasil. Todos os casos foram georreferenciados em mapa digital. A incidência anual de pneumonia foi de 566 casos/100 mil crianças. Utilizando-se análise descritiva tradicional obteve-se uma distribuição em mosaico das taxas de incidência de pneumonia, enquanto a utilização de métodos espaciais mostrou uma distribuição não aleatória dos casos. A estatística espacial scan identificou duas áreas de alto risco para ocorrência de pneumonia, incluindo um aglomerado primário (RR = 2,1; p < 0,01) e um aglomerado secundário (RR = 1,3; p = 0,01). Os dados utilizados neste estudo mostram como o sistema de informação geográfica e a análise espacial podem ser aplicados para a identificação de áreas alvo de pneumonia para intervenções em saúde pública.Reports in Public HealthCadernos de Saúde Pública2004-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166Reports in Public Health; Vol. 20 No. 2 (2004): March/AprilCadernos de Saúde Pública; v. 20 n. 2 (2004): Março/Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166/4319https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166/4320Andrade, Ana Lúcia Sampaio Sgambatti deSilva, Simonne Almeida eMartelli, Celina Maria TurchiOliveira, Renato Maurício deMorais Neto, Otaliba Libânio deSiqueira Júnior, João BoscoMelo, Lícia KamilaDi Fábio, José Luisinfo:eu-repo/semantics/openAccess2024-03-06T15:26:51Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2166Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:02:33.317517Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
title |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
spellingShingle |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil Andrade, Ana Lúcia Sampaio Sgambatti de Pneumonia Child Health Spatial Analysis |
title_short |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
title_full |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
title_fullStr |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
title_full_unstemmed |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
title_sort |
Population-based surveillance of pediatric pneumonia: use of spatial analysis in an urban area of Central Brazil |
author |
Andrade, Ana Lúcia Sampaio Sgambatti de |
author_facet |
Andrade, Ana Lúcia Sampaio Sgambatti de Silva, Simonne Almeida e Martelli, Celina Maria Turchi Oliveira, Renato Maurício de Morais Neto, Otaliba Libânio de Siqueira Júnior, João Bosco Melo, Lícia Kamila Di Fábio, José Luis |
author_role |
author |
author2 |
Silva, Simonne Almeida e Martelli, Celina Maria Turchi Oliveira, Renato Maurício de Morais Neto, Otaliba Libânio de Siqueira Júnior, João Bosco Melo, Lícia Kamila Di Fábio, José Luis |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Andrade, Ana Lúcia Sampaio Sgambatti de Silva, Simonne Almeida e Martelli, Celina Maria Turchi Oliveira, Renato Maurício de Morais Neto, Otaliba Libânio de Siqueira Júnior, João Bosco Melo, Lícia Kamila Di Fábio, José Luis |
dc.subject.por.fl_str_mv |
Pneumonia Child Health Spatial Analysis |
topic |
Pneumonia Child Health Spatial Analysis |
description |
This study examined the spatial distribution of childhood community-acquired pneumonia detected through prospective surveillance in Goiânia, Brazil. Three spatial analysis techniques were applied to detect intra-urban geographic aggregation of pneumonia cases: Kernel method, nearest neighbor hierarchical technique, and spatial scan statistic. A total of 724 pneumonia cases confirmed by chest radiography were identified from May 2000 to August 2001. All cases were geocoded on a digital map. The annual pneumonia risk rate was estimated at 566 cases/100,000 children. Analysis using traditional descriptive epidemiology showed a mosaic distribution of pneumonia rates, while GIS methodologies showed a non-random pattern with hot spots of pneumonia. Cluster analysis by spatial scan statistic identified two high-risk areas for pneumonia occurrence, including one most likely cluster (RR = 2.1; p < 0.01) and one secondary cluster (RR = 1.3; p = 0.01). The data used for the study are in line with recent WHO-led efforts to improve and standardize pediatric pneumonia surveillance in developing countries and show how GIS and spatial analysis can be applied to discriminate target areas of pneumonia for public heath intervention. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166/4319 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2166/4320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 20 No. 2 (2004): March/April Cadernos de Saúde Pública; v. 20 n. 2 (2004): Março/Abril 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943353213026304 |