Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/31432 |
Resumo: | Until 1999 the endemic cases of Sylvatic Yellow Fever were located in the states of northern, midwestern and pre-Amazon regions. Since then, the disease progressively expanded its territory of occurrence, cases being registered beyond the traditional boundaries of endemism. The São Paulo State is considered to be part of this context, since after decades without registration of autochthonous cases of the disease, it reported, in 2000 and 2008-2009, epizootic occurrence in non-human primates and 30 cases in humans. Facts like these, added to the increase in incidences of serious adverse effects resulting from the Yellow Fever vaccination, have highlighted the importance of defining priority municipalities for vaccination against the disease in the state. Two groups of municipalities, some affected and some non-affected by YF, were compared for environmental variables related to the eco-epidemiology of the disease according to literature. The Multiple Correspondence Analysis (MCA) was used to pinpoint the factor able to differentiate the two groups of municipalities and define the levels of risk. The southeast region of the São Paulo State was considered to be the area with a higher number of municipalities classified as high risk and should be considered a priority for the application of prevention measures against Yellow Fever. |
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Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil Municípios de alta vulnerabilidade à ocorrência da febre amarela silvestre no Estado de São Paulo, Brasil Yellow FeverRisk assessmentEnvironmentVaccination Until 1999 the endemic cases of Sylvatic Yellow Fever were located in the states of northern, midwestern and pre-Amazon regions. Since then, the disease progressively expanded its territory of occurrence, cases being registered beyond the traditional boundaries of endemism. The São Paulo State is considered to be part of this context, since after decades without registration of autochthonous cases of the disease, it reported, in 2000 and 2008-2009, epizootic occurrence in non-human primates and 30 cases in humans. Facts like these, added to the increase in incidences of serious adverse effects resulting from the Yellow Fever vaccination, have highlighted the importance of defining priority municipalities for vaccination against the disease in the state. Two groups of municipalities, some affected and some non-affected by YF, were compared for environmental variables related to the eco-epidemiology of the disease according to literature. The Multiple Correspondence Analysis (MCA) was used to pinpoint the factor able to differentiate the two groups of municipalities and define the levels of risk. The southeast region of the São Paulo State was considered to be the area with a higher number of municipalities classified as high risk and should be considered a priority for the application of prevention measures against Yellow Fever. Até o ano de 1999, no Brasil, casos endêmicos de Febre Amarela Silvestre estavam localizados nos estados das regiões Norte, Centro-Oeste e pré-amazônica. Desde então, a doença vem progressivamente expandindo seu território de ocorrência, sendo registrados casos além das fronteiras tradicionais de endemismo. Neste contexto se insere o estado de São Paulo que, após décadas sem registro de casos autóctones da doença, reportou em 2000 e 2008-2009 epizootias em primatas não humanos e 30 casos humanos. Fatos como este, somados a crescente incidência de eventos adversos graves relacionados à vacinação contra Febre Amarela, demonstram a importância de serem definidos municípios prioritários para a vacinação contra a doença no estado. Assim, dois grupos de municípios, afetados e não-afetados pela Febre Amarela, foram comparados para variáveis ambientais relacionadas com a eco-epidemiologia da doença segundo a literatura. A Análise por Correspondência Múltipla foi utilizada para gerar um fator capaz de diferenciar os dois grupos de municípios e definir os níveis de risco. Após aplicação da metodologia para os municípios atualmente localizados fora da área de recomendação de vacinação contra Febre Amarela, a região sudeste do estado foi considerada prioritária para aplicação de medidas preventivas contra a doença Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/31432Revista do Instituto de Medicina Tropical de São Paulo; Vol. 53 No. 6 (2011); 335-339 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 53 Núm. 6 (2011); 335-339 Revista do Instituto de Medicina Tropical de São Paulo; v. 53 n. 6 (2011); 335-339 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/31432/33317Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessMoreno, Eduardo StramandinoliBarata, Rita de Cássia Barradas2012-07-07T19:42:43Zoai:revistas.usp.br:article/31432Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2012-07-07T19:42:43Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)false |
dc.title.none.fl_str_mv |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil Municípios de alta vulnerabilidade à ocorrência da febre amarela silvestre no Estado de São Paulo, Brasil |
title |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
spellingShingle |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil Moreno, Eduardo Stramandinoli Yellow Fever Risk assessment Environment Vaccination |
title_short |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
title_full |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
title_fullStr |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
title_full_unstemmed |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
title_sort |
Municipalities of higher vulnerability to Sylvatic Yellow Fever occurrence in the São Paulo State, Brazil |
author |
Moreno, Eduardo Stramandinoli |
author_facet |
Moreno, Eduardo Stramandinoli Barata, Rita de Cássia Barradas |
author_role |
author |
author2 |
Barata, Rita de Cássia Barradas |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Moreno, Eduardo Stramandinoli Barata, Rita de Cássia Barradas |
dc.subject.por.fl_str_mv |
Yellow Fever Risk assessment Environment Vaccination |
topic |
Yellow Fever Risk assessment Environment Vaccination |
description |
Until 1999 the endemic cases of Sylvatic Yellow Fever were located in the states of northern, midwestern and pre-Amazon regions. Since then, the disease progressively expanded its territory of occurrence, cases being registered beyond the traditional boundaries of endemism. The São Paulo State is considered to be part of this context, since after decades without registration of autochthonous cases of the disease, it reported, in 2000 and 2008-2009, epizootic occurrence in non-human primates and 30 cases in humans. Facts like these, added to the increase in incidences of serious adverse effects resulting from the Yellow Fever vaccination, have highlighted the importance of defining priority municipalities for vaccination against the disease in the state. Two groups of municipalities, some affected and some non-affected by YF, were compared for environmental variables related to the eco-epidemiology of the disease according to literature. The Multiple Correspondence Analysis (MCA) was used to pinpoint the factor able to differentiate the two groups of municipalities and define the levels of risk. The southeast region of the São Paulo State was considered to be the area with a higher number of municipalities classified as high risk and should be considered a priority for the application of prevention measures against Yellow Fever. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-01 |
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://www.revistas.usp.br/rimtsp/article/view/31432 |
url |
https://www.revistas.usp.br/rimtsp/article/view/31432 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/31432/33317 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 53 No. 6 (2011); 335-339 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 53 Núm. 6 (2011); 335-339 Revista do Instituto de Medicina Tropical de São Paulo; v. 53 n. 6 (2011); 335-339 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
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Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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