01604nas a2200229   4500000000100000008004100001653003900042653001100081653001800092653001900110653002100129653002200150653001200172100002400184700001200208700002300220245009800243300001000341490000800351520100100359022001401360       2019                            d10aNeglected tropical diseases (NTDs)10aDengue10aCysticercosis10aChagas disease10aSpatial analysis10aDisease mortality10aEcuador1 aNúñez-González S1 aGault C1 aSimancas-Racines D00aSpatial analysis of dengue, cysticercosis and Chagas disease mortality in Ecuador, 2011-2016.  a44-470 v1133 a<p><strong>Background: </strong>Neglected tropical diseases (NTDs) continue to be an important cause of disability and mortality in the poorest tropical and subtropical areas.</p>

<p><strong>Methods: </strong>This is an ecological study. We included all death certificates with dengue, cysticercosis and Chagas disease in Ecuador from 2011 to 2016. The spatial autocorrelation was evaluated by GeoDa software through the Global Moran's I index and the formation of clusters by the local index of spatial association.</p>

<p><strong>Results: </strong>The Global Moran's I index for the study period shows a positive spatial autocorrelation for dengue, cysticercosis and Chagas disease (0.25, p=0.001; 0.07, p=0.04; 0.45, p=0.001, respectively).</p>

<p><strong>Conclusions: </strong>The clusters identified as higher risk in the country could be targeted by policymakers to adequately develop strategies to strengthen health promotion policies that break the cycle of these diseases.</p>
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