Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon
Chagas disease is a serious public health problem worldwide. In Brazil, the state of Pará has the largest number of reported cases. This article analyzes the spatial distribution of this disease and its relationship with socioeconomic, environmental, and public policy health variables in three mesor...
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MDPI AG
2025-03-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/10/4/88 |
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| author | Claudia do Socorro Carvalho Miranda Bruna Costa de Souza Tainara Carvalho Garcia Miranda Filgueiras João Simão de Melo Neto Amanda Sophia Carvalho Miranda da Silva Hilton Pereira da Silva Marcos Valério Santos da Silva Frederico Itã Mateus Carvalho Oliveira Miranda Edilene do Socorro Nascimento Falcão Sarges Sérgio Luiz Althoff Selma Kazumi da Trindade Noguchi Nelson Veiga Gonçalves |
| author_facet | Claudia do Socorro Carvalho Miranda Bruna Costa de Souza Tainara Carvalho Garcia Miranda Filgueiras João Simão de Melo Neto Amanda Sophia Carvalho Miranda da Silva Hilton Pereira da Silva Marcos Valério Santos da Silva Frederico Itã Mateus Carvalho Oliveira Miranda Edilene do Socorro Nascimento Falcão Sarges Sérgio Luiz Althoff Selma Kazumi da Trindade Noguchi Nelson Veiga Gonçalves |
| author_sort | Claudia do Socorro Carvalho Miranda |
| collection | DOAJ |
| description | Chagas disease is a serious public health problem worldwide. In Brazil, the state of Pará has the largest number of reported cases. This article analyzes the spatial distribution of this disease and its relationship with socioeconomic, environmental, and public policy health variables in three mesoregions in the Pará state from 2013 to 2022. This ecological study used secondary data obtained from official Brazilian agencies. Spatial analysis was carried out using the flow, kernel, and bivariate global Moran techniques expressed in thematic maps. A total of 3664 cases of the disease were confirmed, with the highest number of cases being reported in the northeast of Pará. A seasonal pattern of the disease, an epidemiological profile similar to other diseases in the Amazon region, and the spatial dependence between the disease prevalence and socioeconomic indicators were observed. The most intense movement of patients for treatment was to the Belém metropolitan mesoregion, which has the majority of the health services and professionals. The disease showed an inhomogeneous pattern of cases in terms of the spatial distribution, with a direct relationship between areas with a higher number of cases and those with human clusters. The socioenvironmental origins of the disease transcend mesoregion boundaries and stem from the historically unsustainable development model in the Amazon. |
| format | Article |
| id | doaj-art-1cbcefd68fb54e888f9b0fe36dc249e4 |
| institution | OA Journals |
| issn | 2414-6366 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj-art-1cbcefd68fb54e888f9b0fe36dc249e42025-08-20T02:25:12ZengMDPI AGTropical Medicine and Infectious Disease2414-63662025-03-011048810.3390/tropicalmed10040088Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian AmazonClaudia do Socorro Carvalho Miranda0Bruna Costa de Souza1Tainara Carvalho Garcia Miranda Filgueiras2João Simão de Melo Neto3Amanda Sophia Carvalho Miranda da Silva4Hilton Pereira da Silva5Marcos Valério Santos da Silva6Frederico Itã Mateus Carvalho Oliveira Miranda7Edilene do Socorro Nascimento Falcão Sarges8Sérgio Luiz Althoff9Selma Kazumi da Trindade Noguchi10Nelson Veiga Gonçalves11Laboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilPrograma de Pós-Graduação em Direito, Federal University of Pará (UFPA), Belém 66075-110, BrazilPrograma de Pós-Graduação em Saúde Coletiva na Amazônia, Federal University of Pará (UFPA), Belém 66075-110, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilPrograma de Pós-Graduação em Saúde Coletiva na Amazônia, Federal University of Pará (UFPA), Belém 66075-110, BrazilPrograma de Pós-Graduação em Saúde Coletiva na Amazônia, Federal University of Pará (UFPA), Belém 66075-110, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilAnimal Biology Laboratory, Natural Sciences Department, Blumenau Regional University (FURB), Blumenau 89012-078, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilLaboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, BrazilChagas disease is a serious public health problem worldwide. In Brazil, the state of Pará has the largest number of reported cases. This article analyzes the spatial distribution of this disease and its relationship with socioeconomic, environmental, and public policy health variables in three mesoregions in the Pará state from 2013 to 2022. This ecological study used secondary data obtained from official Brazilian agencies. Spatial analysis was carried out using the flow, kernel, and bivariate global Moran techniques expressed in thematic maps. A total of 3664 cases of the disease were confirmed, with the highest number of cases being reported in the northeast of Pará. A seasonal pattern of the disease, an epidemiological profile similar to other diseases in the Amazon region, and the spatial dependence between the disease prevalence and socioeconomic indicators were observed. The most intense movement of patients for treatment was to the Belém metropolitan mesoregion, which has the majority of the health services and professionals. The disease showed an inhomogeneous pattern of cases in terms of the spatial distribution, with a direct relationship between areas with a higher number of cases and those with human clusters. The socioenvironmental origins of the disease transcend mesoregion boundaries and stem from the historically unsustainable development model in the Amazon.https://www.mdpi.com/2414-6366/10/4/88chagas diseaseepidemiologyenvironmentspatial analysispublic policies |
| spellingShingle | Claudia do Socorro Carvalho Miranda Bruna Costa de Souza Tainara Carvalho Garcia Miranda Filgueiras João Simão de Melo Neto Amanda Sophia Carvalho Miranda da Silva Hilton Pereira da Silva Marcos Valério Santos da Silva Frederico Itã Mateus Carvalho Oliveira Miranda Edilene do Socorro Nascimento Falcão Sarges Sérgio Luiz Althoff Selma Kazumi da Trindade Noguchi Nelson Veiga Gonçalves Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon Tropical Medicine and Infectious Disease chagas disease epidemiology environment spatial analysis public policies |
| title | Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon |
| title_full | Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon |
| title_fullStr | Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon |
| title_full_unstemmed | Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon |
| title_short | Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon |
| title_sort | epidemiological scenario of american trypanosomiasis and its socioeconomic and environmental relations para eastern brazilian amazon |
| topic | chagas disease epidemiology environment spatial analysis public policies |
| url | https://www.mdpi.com/2414-6366/10/4/88 |
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