Advisor | Carvalho, Marilia Sá | pt_BR |
Author | Jacob, Paulina | |
Access date | 2018-02-01T13:29:49Z | |
Available date | 2018-02-01T13:29:49Z | |
Document date | 2015 | pt_BR |
Citation | JACOB, Paulina. Aspectos ecológicos y operacionales de la vigilancia de leptospirosis em Argentina^ies. 2015. 88 f. Dissertação (Mestrado em Epidemiologia em Saúde Pública) - Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, 2015. | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/24549 | |
Language | spa | pt_BR |
Rights | open access | pt_BR |
Title | Aspectos ecológicos y operacionales de la vigilancia de leptospirosis em Argentina | pt_BR |
Alternative title | Ecological and operational aspects of the surveillance of leptospirosis in Argentina | pt_BR |
Type | Dissertation | pt_BR |
Defense Institution | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca | pt_BR |
Place of Defense | Rio de Janeiro/RJ | pt_BR |
Program | Programa de Pós-Graduação em Epidemiologia em Saúde Pública | pt_BR |
Abstract | Leptospirosis is the most widespread zoonotic disease in the world, and it remains
being a public health problem, especially in countries with heavy rains occurrence. In
Argentina, while the rural labor is an important risk factor, contact with flooding rains
has emerged as a major risk factor, especially in large urban centers. The main objective
was to identify spatiotemporal transmission patterns of leptospirosis in Argentina, based
on data of probable and confirmed leptospirosis cases since 2009 to the present, and its
relation to geographical, environmental and operational conditions of laboratories
system and epidemiological surveillance. To do this, new study regions were created
using a GIS software and were constructed the time series of cases for each. The series
were analyzed according to their components and the estimated factor model was
performed, resulting in one explanatory factor. Three different transmission standards of
leptospirosis were detected in Argentina, showing that they are possibly defined by the
different climates. Furthermore, analysis of surveillance data showed that there is large
percentage of unsolved cases and silent zones that should report cases. | |
xmlui.metadata.dc.description.abstractes | La leptospirosis es una de las zoonosis más ampliamente distribuidas en el
mundo, y continúa siendo un problema de salud pública, especialmente en países donde
ocurren abundantes precipitaciones. En Argentina, si bien el trabajo rural constituye un
factor de riesgo importante, ha emergido como principal factor de riesgo el contacto con
inundaciones por lluvias, especialmente en grandes centros urbanos. El objetivo
principal del trabajo fue identificar patrones espacio-temporales de la transmisión de
leptospirosis en Argentina, en base a datos de los casos de leptospirosis probables y
confirmados desde el año 2009 a la actualidad, y su relación con las condiciones
geográficas, ambientales y operacionales del sistema de laboratorios y vigilancia
epidemiológica. Para hacerlo, se crearon nuevas regiones de estudio utilizando un
software GIS y se construyeron las series de tiempo de casos para cada una. Se
analizaron según sus componentes y se realizó una estimación del modelo de factores,
resultando en 1 factor explicativo. A través de ello se detectaron tres padrones diferentes
de transmisión de leptospirosis en Argentina, mostrando que posiblemente estén
definidos por la diferencia de climas. Además, el análisis de los datos de la vigilancia
mostró que existe gran porcentaje de casos no resueltos, y zonas silenciosas que
deberían notificar casos sin embargo no lo hacen. | |
Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. | pt_BR |
Subject | Leptospirosis | |
Subject | Risk factors | |
Subject | Factor analysis | |
Subject in Spanish | Leptospirosis | |
Subject in Spanish | Factores de riesgo | |
Subject in Spanish | Análisis factorial | |
DeCS | Leptospirose - epidemiologia | pt_BR |
DeCS | Leptospirose - diagnóstico | pt_BR |
DeCS | Fatores de Risco | pt_BR |
DeCS | Análise Espaço-Temporal | pt_BR |
DeCS | Análise
Fatorial | |
DeCS | Argentina | |