DOI of the published article https://doi.org/10.1590/s1679-49742020000500002
Visceral Leishmaniasis: temporal and spatial distribution in Fortaleza, Ceará State, Brazil, 2007-2017
Keywords:Visceral Leishmaniasis, Temporal Distribution, Spatial Distribution, Epidemiology, Public Health
Objective. To analyze the temporal trend and describe the spatial distribution of Visceral Leishmaniasis (VL) in Fortaleza from 2007 to 2017. Methods. Ecological study using segmented temporal regression and spatial distribution. Results. Between 2007-2017, 1,660 new cases and 97 deaths were confirmed. The incidence was ascending (Annual Percent Change (APC)=8.7% – 95%CI -3.3;34.1), but descending mortality and lethality: APC=-25.9 (95%CI -48.5;-10.6) and APC=-33.0 (95%CI -53.7;-17.6), respectively. From 2010-2015 the incidence decreased (APC=-15.8 – 95%CI – -25.1;-4.0), but mortality (APC=18.7 – 95%CI 9.4;50.6) and lethality (APC=40.1 – 95%CI 22.5;72.0) had an upward trend. In 2015-2017, decreased incidence (APC=-24.6 – 95%CI -36.2;-10.3), and mortality (APC=-44.6 – 95%CI -58.8;-17,6) lethality remained stable (APC=-13.5 – 95%CI -38.7;3.8). High incidence neighborhoods were clustered in the western region, however, mortality and lethality did not present defined spatial patterns. Conclusion. VL is endemic in Fortaleza, although there has been a decline in the last three years studied.
Copyright (c) 2020 Clarice Pessoa Almeida, Francisco Roger Aguiar Cavalcante, Jarier de Oliveira Moreno, Caroline Mary Gurgel Dias Florêncio, Kellyn Kessiene de Sousa Cavalcante, Carlos Henrique Alencar
This work is licensed under a Creative Commons Attribution 4.0 International License.