| Author | Mugabe, Vánio André | pt_BR |
| Author | Mahumane, Arlete | pt_BR |
| Author | Baltazar, Cynthia Semá | pt_BR |
| Author | Rossetto, Érika Valeska | pt_BR |
| Author | Nhabomba, Crescêncio Sequeira | pt_BR |
| Author | Fataha, Neusa | pt_BR |
| Author | Nyamula, Unicia | pt_BR |
| Author | Sotomane, Angélica | pt_BR |
| Author | Irugula, Wilson | pt_BR |
| Author | Canze, Benigno | pt_BR |
| Author | Inlamea, Osvaldo Frederico | pt_BR |
| Author | Kitron, Uriel | pt_BR |
| Author | Ribeiro, Guilherme de Sousa | pt_BR |
| Author | Gudo, Eduardo Samo | pt_BR |
| Access date | 2021-08-02T11:16:51Z | |
| Available date | 2021-08-02T11:16:51Z | |
| Document date | 2021 | |
| Citation | MUGABE, Vánio André et al. Cyclone Idai as a trigger for Pellagra outbreak in Nhamatanda, Mozambique: a case–control study. American Journal of Tropical Medicine and Hygiene, v. 104, n. 6, p. 2233-2237, 12 Apr. 2021. | pt_BR |
| ISSN | 0002-9637 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/48470 | |
| Language | eng | pt_BR |
| Publisher | American Society of Tropical Medicine and Hygiene | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | Tempestades ciclônicas | pt_BR |
| Subject in Portuguese | Segurança alimentar | pt_BR |
| Subject in Portuguese | Características da família | pt_BR |
| Subject in Portuguese | População | pt_BR |
| Subject in Portuguese | Moçambique | pt_BR |
| Title | Cyclone Idai as a trigger for Pellagra outbreak in Nhamatanda, Mozambique: a case–control study | en |
| Type | Article | pt_BR |
| DOI | 10.4269/ajtmh.20-1321 | pt_BR |
| Abstract | In mid-June 2019, 3 months after cyclone Idai landfall in Mozambique, health authorities of Nhamatanda district reported an outbreak of Pellagra. Applying a mixed-method protocol, we carried out an investigation to characterize cases of pellagra, identify the associated factors for the outbreak using a case–control study, and explore the perceived impact on food security (availability, access, and usage) before and after Idai. We collected data from 121 cases and 121 controls and conducted in-depth interviews with 69 heads of households. The cases were more likely to be female (P < 0.01) and less educated (P < 0.01) than controls. Insufficient consumption of chicken and peanut before cyclone Idai arrival were statistically associated with pellagra (P < 0.05). From interviewed households' heads, 51% were experiencing food shortages even before the cyclone hit. Cyclone Idai served as a trigger to reduce niacin consumption below the threshold that protected Nhamatanda population from pellagra and caused a ≈2,300 case (707.9/100,000 inhabitants) outbreak. | en |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade Licungo. Quelimane, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Centro de Investigação Operacional da Beira. Beira, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Departamento de Vigilância. Maputo, Mozambique. | pt_BR |
| Affilliation | MassGenics, Assigned to Mozambique Centers for Disease Control Prevention. Maputo, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Departamento de Vigilância. Maputo, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Centro de Investigação Operacional da Beira. Beira, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Centro de Investigação Operacional da Beira. Beira, Mozambique. | pt_BR |
| Affilliation | Direcção Provincial de Saúde de Sofala. Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Centro de Investigação Operacional da Beira. Beira, Mozambique. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Departamento de Vigilância. Maputo, Mozambique. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Emory University. Atlanta, Georgia. | pt_BR |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil. | pt_BR |
| Affilliation | Instituto Nacional de Saúde. Departamento de Vigilância. Maputo, Mozambique. | pt_BR |
| Subject | Cyclonic storms | en |
| Subject | Food security | en |
| Subject | Family characteristics | en |
| Subject | Population | en |
| Subject | Mozambique | en |
| e-ISSN | 1476-1645 | pt_BR |
| xmlui.metadata.dc.subject.ods | 02 Fome zero e agricultura sustentável | |
