/img alt="Imagem da capa" class="recordcover" src="""/>
Dissertação
Correlação entre os casos confirmados de dengue e fatores climáticos em regiões de saúde do estado do Tocantins
The three most expressive arbovíruses in Brazil are dengue (DENV), Zika (ZIKV) and Chikungunya Fever (CHIKV). Aedes aegypti (A. aegypti) and Aedes albopictus are the main vectors that transmit the vírus of these diseases. Its occurrence becomes more favored in regions with hot and humid climates,...
Autor principal: | D'Ambros , Izabela Medina |
---|---|
Grau: | Dissertação |
Idioma: | pt_BR |
Publicado em: |
Universidade Federal do Tocantins
2023
|
Assuntos: | |
Acesso em linha: |
http://hdl.handle.net/11612/5428 |
Resumo: |
---|
The three most expressive arbovíruses in Brazil are dengue (DENV), Zika (ZIKV) and
Chikungunya Fever (CHIKV). Aedes aegypti (A. aegypti) and Aedes albopictus are the main
vectors that transmit the vírus of these diseases. Its occurrence becomes more favored in regions
with hot and humid climates, such as Brazil. The State of Tocantins is considered endemic for
the risk of epidemic for arbovíruses. The macro-research aimed to correlate meteorological
factors (rainfall, humidity and temperature) and the co-circulation of arbovíruses in the health
regions of Tocantins. This study focuses only on dengue data and results and on precipitation
and humidity factors. The research is justified by the lack of systematized data from proven
cases of dengue and stratified by health regions. The production of data and information directly
implies a more effective confrontation of the problem, enabling the evaluation and development
of public policies oriented to the fight against dengue in a regionalized way. The numbers of
confirmed cases of dengue were obtained through the Health Surveillance Superintendence of
the Tocantins State Department of Health (SVS/SES-TO and the climatic ones through the
National Institute of Meteorology (INMET). cross-sectional, retrospective, quantitative,
descriptive and analytical, with data collected from 2016 to 2019, statistically treated by the
Shapiro-Wilk test, Spearman Correlation Analysis (Rs) and the Kruskal-Wallis test. The health
sector with the highest percentages of confirmed dengue cases per year is Capim Dourado,
except in 2017, and the Cerrado do Tocantins region had the lowest percentages; the years 2016
and 2019 had the highest incidences of confirmed cases in 10,000 inhabitants, with emphasis
on the Capim Dourado and Médio Norte Araguaia regions, which exceeded 1900 cases per
10,000 inhabitants in 2019. There is no difference between the regions s when it comes to the
number confirmed per 10,000 inhabitants. Regarding precipitation, it was observed that there
is no heterogeneity between regions; the greater homogeneity of precipitation occurred between
the regions Bico do Papagaio and Médio Norte Araguaia and the greater variability in the
regions Capim Dourado and Cantão, which also had the highest total precipitation and the
lowest, the Southeast region. In all regions the association of relative humidity (%) and total
precipitation (mm) was significant at the 5% level. In the Cantão, Bananal Island and Southeast
regions, the association between total precipitation (mm) and dengue cases was not significant,
but in all regions the relative humidity (%) was significant with the number of dengue cases.
Considering that the independent variables total precipitation (mm) and relative humidity (%)
had a significant relationship at the 5% level, it is possible to choose one or the other variable
for the study. The hypothesis that stated that the increasing number of new cases of arbovíruses
in the health regions of the State of Tocantins is related to the months with higher rainfall and
humidity was confirmed. New research should be developed in order to confirm how the
temperature variable interferes in the results achieved. |