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ASSOCIATION AMONG HOUSE INFESTATION INDEX, DENGUE INCIDENCE, AND SOCIODEMOGRAPHIC INDICATORS: SURVEILLANCE USING GEOGRAPHIC INFORMATION SYSTEM
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Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Instituto de Saúde da Comunidade. Departamento de Epidemiologia e Bioestatística. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Núcleo de Apoio as Pesquisas em Vetores. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Instituto de Saúde da Comunidade. Departamento de Epidemiologia e Bioestatística. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Núcleo de Apoio as Pesquisas em Vetores. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Abstract
Background: We identified dengue transmission areas by using the Geographic Information Systems located at
local surveillance units of the Itaboraí municipality in state of Rio de Janeiro. We considered the association among
the house infestation index, the disease incidence, and sociodemographic indicators during a prominent dengue
outbreak in 2007 and 2008.
Methods: In this ecological study, the Local Surveillance Units (UVLs) of the municipality were used as spatial
pattern units. For the house analysis, we used the period of higher vector density that occurred previous to the
larger magnitude epidemic range of dengue cases. The average dengue incidence rates calculated in this epidemic
range were smoothed using the Bayesian method. The associations among the House Infestation Index (HI), the
Bayesian rate of the average dengue incidence, and the sociodemographic indicators were evaluated using a
Pearson’s correlation coefficient. The areas that were at a higher risk of dengue occurrence were detected using a
kernel density estimation with the kernel quartic function.
Results: The dengue transmission pattern in Itaboraí showed that the increase in the vector density preceded the
increase in incidence. The HI was positively correlated to the Bayesian dengue incidence rate (r = 0.641; p = 0.01).
The higher risk areas were those that were close to the main highways. In the Kernel density estimation analysis,
we observed that the regions that were at a higher risk of dengue were those that were located in the UVLs and
had the highest population densities; these locations were typically located along major highways. Four nuclei were
identified as epicenters of high risk.
Conclusions: The spatial analysis units used in this research, i.e., UVLs, served as a methodological resource for
examining the compatibility of different information sources concerning the disease, the vector indices, and the
municipal sociodemographic aspects and were arranged in distinct cartographic bases. Dengue is a multi-scale
geographic phenomenon, and using the UVLs as analysis units made it possible to differentiate the dengue
occurrence throughout the municipality. The methodological approach used in this research helped improve the
Itaboraí municipality monitoring activities and the local territorial monitoring in other municipalities that are
affected by this public health issue.
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