@article{97027,
  keywords = {Infectious Diseases, Public Health, Environmental and Occupational Health, General Immunology and Microbiology},
  author = {Silva BMD and Ferreira AF and da Silva JAM and de Amorim RG and Domingues ALC and Pinheiro MCC and de Moraes Bezerra FS and Heukelbach J and Ramos AN},
  title = {Persistence of Schistosomiasis-Related Morbidity in Northeast Brazil: An Integrated Spatio-Temporal Analysis},
  abstract = {<p>Objective: To analyze the temporal trend and spatial patterns of schistosomiasis-related morbidity in Northeast Brazil, 2001–2017. Methods: Ecological study, of time series and spatial analysis, based on case notifications and hospital admission data, as provided by the Ministry of Health. Results: Of a total of 15,574,392 parasitological stool examinations, 941,961 (6.0%) were positive, mainly on the coastline of Pernambuco, Alagoas and Sergipe states. There was a reduction from 7.4% (2002) to 3.9% (2017) of positive samples and in the temporal trend of the detection rate (APC—11.6*; Confidence Interval 95%—13.9 to −9.1). There was a total of 5879 hospital admissions, with 40.4% in Pernambuco state. The hospitalization rate reduced from 0.82 (2001) to 0.02 (2017) per 100,000 inhabitants. Conclusion: Despite the reduction in case detection and hospitalizations, the persistence of focal areas of the disease in coastal areas is recognized. This reduction may indicate a possible positive impact of control on epidemiological patterns, but also operational issues related to access to healthcare and the development of surveillance and control actions in the Unified Health System.</p>
},
  year = {2021},
  journal = {Tropical Medicine and Infectious Disease},
  volume = {6},
  pages = {193},
  publisher = {MDPI AG},
  issn = {2414-6366},
  url = {https://www.mdpi.com/2414-6366/6/4/193/pdf?version=1635920035},
  doi = {10.3390/tropicalmed6040193},
  language = {eng},
}