avaliação de indicador sócio-ambiental utilizado no rastreamento de áreas de transmissão de filariose linfática em espaços urbanos evaluation of a social and environmental indicator used in the identification of lymphatic filariasis transmission in urban centers

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ID: 195061
2001
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Abstract
O conceito de espaço socialmente organizado, subsidiado por novas técnicas de análise, mapeamento e espacialização da ocorrência de eventos, tem orientado desenvolvimentos metodológicos inovadores no campo das intervenções de saúde pública. Este estudo teve por objetivo avaliar a utilização de um indicador sócio-ambiental, construído através da metodologia de aplicação de escores, na estratificação do Município de Olinda, Pernambuco, em áreas com diferentes riscos de transmissão da filariose bancroftiana. Procedeu-se ao mapeamento das áreas, localização dos domicílios amostrados e identificação de todos os moradores com idade entre 5 e 65 anos para realização do inquérito parasitológico. Dentre as 3.232 pessoas examinadas, 42 foram positivas, obtendo-se prevalência de microfilaremia de 1,3%. A análise estatística global da distribuição dos casos mostrou evidências de agregação espacial. Nos dois estratos de mais alto risco de transmissão residiam 85,7% dos positivos. A alta sensibilidade do indicador proposto justifica a sua utilização para o planejamento e execução de intervenções ao predizer o local de ocorrência da maioria dos casos de filariose.
The concept of a "socially organized space" supported by new analytical techniques and mapping of health events has guided innovative methodological developments in public health interventions. This study aimed to evaluate a social/environmental indicator constructed with a scoring methodology to stratify areas in the city of Olinda by different levels of risk for Bancroftian filariasis transmission. The study mapped areas and the location of sample households and identified all residents ages 5 to 65 years as part of the parasitological survey. Among the 3,232 individuals who had blood samples taken, 42 were microfilaremic (1.3% prevalence). Global statistical analysis of filarial case distribution has suggested spatial clustering. Some 85.7% of positive individuals resided in the two strata with the highest transmission risk. The high sensitivity of the proposed indicator for predicting the places where the vast majority of filariasis cases occurred justifies its use in planning and implementing interventions.
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Authors Cynthia Braga, Ricardo A. de A. Ximenes, Maria de Fátima P. Militão de Albuquerque, Wayner V. de Souza, Janaína Miranda, Fábio Brayner, Luis Alves, Lânia da Silva, Inês Dourado
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Journal iberian conference on information systems and technologies, cisti
Year 2001
DOI
10.1590/S0102-311X2001000500021
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2001000500021
Keywords
spatial analysis filariasismedicinepublic aspects of medicine

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