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Spatial analysis of dengue, cysticercosis and Chagas disease mortality in Ecuador, 2011-2016.

Abstract

Background: Neglected tropical diseases (NTDs) continue to be an important cause of disability and mortality in the poorest tropical and subtropical areas.

Methods: 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.

Results: 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).

Conclusions: 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.

More information

Type
Journal Article
Author
Núñez-González S
Gault C
Simancas-Racines D
Year of Publication
2019
Journal
Transactions of the Royal Society of Tropical Medicine and Hygiene
Volume
113
Issue
1
Number of Pages
44-47
Language
eng
ISSN Number
1878-3503
DOI
10.1093/trstmh/try106
Alternate Journal
Trans. R. Soc. Trop. Med. Hyg.
Publication Language
eng