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Mortality and Case Fatality Due to Visceral Leishmaniasis in Brazil: A Nationwide Analysis of Epidemiology, Trends and Spatial Patterns

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  • Francisco Rogerlândio Martins-Melo
  • Mauricélia da Silveira Lima
  • Alberto Novaes Ramos Jr
  • Carlos Henrique Alencar
  • Jorg Heukelbach

Abstract

Background: Visceral leishmaniasis (VL) is a significant public health problem in Brazil and several regions of the world. This study investigated the magnitude, temporal trends and spatial distribution of mortality related to VL in Brazil. Methods: We performed a study based on secondary data obtained from the Brazilian Mortality Information System. We included all deaths in Brazil from 2000 to 2011, in which VL was recorded as cause of death. We present epidemiological characteristics, trend analysis of mortality and case fatality rates by joinpoint regression models, and spatial analysis using municipalities as geographical units of analysis. Results: In the study period, 12,491,280 deaths were recorded in Brazil. VL was mentioned in 3,322 (0.03%) deaths. Average annual age-adjusted mortality rate was 0.15 deaths per 100,000 inhabitants and case fatality rate 8.1%. Highest mortality rates were observed in males (0.19 deaths/100,000 inhabitants),

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  • Francisco Rogerlândio Martins-Melo & Mauricélia da Silveira Lima & Alberto Novaes Ramos Jr & Carlos Henrique Alencar & Jorg Heukelbach, 2014. "Mortality and Case Fatality Due to Visceral Leishmaniasis in Brazil: A Nationwide Analysis of Epidemiology, Trends and Spatial Patterns," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-14, April.
    • Handle: RePEc:plo:pone00:0093770
    DOI: 10.1371/journal.pone.0093770
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    References listed on IDEAS

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    1. Vinícius Silva Belo & Guilherme Loureiro Werneck & David Soeiro Barbosa & Taynãna César Simões & Bruno Warlley Leandro Nascimento & Eduardo Sérgio da Silva & Claudio José Struchiner, 2013. "Factors Associated with Visceral Leishmaniasis in the Americas: A Systematic Review and Meta-Analysis," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 7(4), pages 1-12, April.
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    Cited by:

    1. Caroline A Bulstra & Epke A Le Rutte & Paritosh Malaviya & Epco C Hasker & Luc E Coffeng & Albert Picado & Om Prakash Singh & Marleen C Boelaert & Sake J de Vlas & Shyam Sundar, 2018. "Visceral leishmaniasis: Spatiotemporal heterogeneity and drivers underlying the hotspots in Muzaffarpur, Bihar, India," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 12(12), pages 1-21, December.
    2. Caique J N Ribeiro & Allan D dos Santos & Shirley V M A Lima & Eliete R da Silva & Bianca V S Ribeiro & Andrezza M Duque & Marcus V S Peixoto & Priscila L dos Santos & Iris M de Oliveira & Michael W L, 2021. "Space-time risk cluster of visceral leishmaniasis in Brazilian endemic region with high social vulnerability: An ecological time series study," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 15(1), pages 1-20, January.
    3. Joseph L Servadio & Gustavo Machado & Julio Alvarez & Francisco Edilson de Ferreira Lima Júnior & Renato Vieira Alves & Matteo Convertino, 2020. "Information differences across spatial resolutions and scales for disease surveillance and analysis: The case of Visceral Leishmaniasis in Brazil," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-17, July.

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