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Spatial and temporal epidemiology of malaria in extra-Amazonian regions of Brazil

Overview of attention for article published in Malaria Journal, October 2015
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Title
Spatial and temporal epidemiology of malaria in extra-Amazonian regions of Brazil
Published in
Malaria Journal, October 2015
DOI 10.1186/s12936-015-0934-6
Pubmed ID
Authors

Camila Lorenz, Flávia Virginio, Breno S. Aguiar, Lincoln Suesdek, Francisco Chiaravalloti-Neto

Abstract

Mosquitoes, Plasmodium parasites, and humans live in sympatry in some extra-Amazonian regions of Brazil. Recent migrations of people from Amazonia and other countries to extra-Amazonian regions have led to many malaria outbreaks. Lack of relevant expertise among health professionals in non-endemic areas can lead to a neglect of the disease, which can be dangerous given its high fatality rate. Therefore, understanding the spatial and temporal epidemiology of malaria is essential for developing strategies for disease control and elimination. This study aimed to characterize imported (IMP) and autochthonous/introduced (AU/IN) cases in the extra-Amazonian regions and identify risk areas and groups. Epidemiological data collected between 2007 and 2014 were obtained from the Notifiable Diseases Information System of the Ministry of Health (SINAN) and from the Department of the Unified Health System (DATASUS). High malaria risk areas were determined using the Local Indicator of Spatial Association. IMP and AU/IN malaria incidence rates were corrected by Local Empirical Bayesian rates. A total of 6092 malaria cases (IMP: 5416, 88.9 %; AU/IN: 676, 11.1 %) was recorded in the extra-Amazonian regions in 2007-2014. The highest numbers of IMP and AU/IN cases were registered in 2007 (n = 862) and 2010 (n = 149), respectively. IMP cases were more frequent than AU/IN cases in all states except for Espírito Santo. Piauí, Espírito Santo, and Paraná states had high incidences of AU/IN malaria. The majority of infections were by Plasmodium falciparum in northeast and southeast regions, while Plasmodium vivax was the predominant species in the south and mid-west showed cases of dual infection. AU/IN malaria cases were concentrated in the coastal region of Brazil, which contains the Atlantic Forest and hosts the Anopheles transmitters. Several malaria clusters were also associated with the Brazilian Pantanal biome and regions bordering the Amazonian biome. Malaria is widespread outside the Amazonian region of Brazil, including in more urbanized and industrialized states. This fact is concerning because these highly populated areas retain favourable conditions for spreading of the parasites and vectors. Control measures for both IMP and AU/IN malaria are essential in these high-risk areas.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 137 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Nigeria 1 <1%
Tanzania, United Republic of 1 <1%
Brazil 1 <1%
Unknown 134 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 31 23%
Student > Bachelor 17 12%
Student > Ph. D. Student 14 10%
Researcher 13 9%
Student > Doctoral Student 11 8%
Other 20 15%
Unknown 31 23%
Readers by discipline Count As %
Agricultural and Biological Sciences 28 20%
Medicine and Dentistry 19 14%
Biochemistry, Genetics and Molecular Biology 14 10%
Immunology and Microbiology 9 7%
Nursing and Health Professions 6 4%
Other 19 14%
Unknown 42 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 October 2016.
All research outputs
#18,429,163
of 22,830,751 outputs
Outputs from Malaria Journal
#5,045
of 5,569 outputs
Outputs of similar age
#200,809
of 279,238 outputs
Outputs of similar age from Malaria Journal
#128
of 138 outputs
Altmetric has tracked 22,830,751 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,569 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.8. This one is in the 4th percentile – i.e., 4% of its peers scored the same or lower than it.
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