02255nas a2200301   4500000000100000008004100001260001200042653002700054653001700081653001600098653002100114100001700135700001600152700001900168700002000187700001600207700001700223700001500240700002000255700001700275700001800292245017300310856006500483300000900548490000600557520137600563022001401939       2024                            d  bMDPI AG10avisceral leishmaniasis10aEpidemiology10aEnvironment10aspatial analysis1 aMiranda CDSC1 ade Souza BC1 aFigueiredo ERL1 ade Melo Neto JS1 ada Silva HP1 ada Silva MVS1 aAlthoff SL1 aFilgueiras TCGM1 aMiranda DDSC1 aGonçalves NV00aA Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil  uhttps://www.mdpi.com/2414-6366/9/3/66/pdf?version=1711008137  a1-150 v93 a<p>Human Visceral Leishmaniasis is an endemic public health problem in the Amazon. This article analyzed the spatial distribution of this disease and its relationship with socioeconomic, environmental and public health policy variables in four mesoregions of the state of Pará, from 2011 to 2022. This ecological study used secondary data obtained from official Brazilian agencies. Spatial analysis was performed using the Flow, Kernel and Global Moran bivariate techniques expressed in thematic maps. In the mesoregions studied, 2685 cases of the disease were confirmed, with the highest number of cases in Southeast Pará state. The epidemiological profile followed the national pattern of occurrence of the disease, with a higher number of cases in children below school age. Spatial dependence was observed between the prevalence of the disease and socio-economic indicators. The most intense movement of patients was towards the Belém Metropolitan mesoregion. The disease showed an inhomogeneous pattern of distribution of cases, with a direct relationship between areas with cases and deforestation associated with different anthropic activities. There is a socio-environmental production of the disease that goes beyond the border limits of the mesoregions, and its establishment is related to the unsustainable development model implemented in the region.</p>
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