Fuzzy and spatial analysis of cutaneous leishmaniasis in Pará State, Brazilian Amazon: an ecological and exploratory study

Simone BN Costa; Claudia do SC Miranda; Bruna C de Souza; Heloisa Maria M e S Guimarães; Camylle MC Faria; Pedro S da S Campos; Taiana MA Koury; José Gabriel M da Paixão; Alessandra L Leal; Maria de Fátima P Carrera; Silvana R de Brito; Nelson V Gonçalves

doi:10.3855/jidc.18639

Fuzzy and spatial analysis of cutaneous leishmaniasis in Pará State, Brazilian Amazon: an ecological and exploratory study

Authors

Simone BN Costa Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil
Claudia do SC Miranda Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil
Bruna C de Souza Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil https://orcid.org/0000-0001-7202-1423
Heloisa Maria M e S Guimarães Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil https://orcid.org/0009-0009-5112-2060
Camylle MC Faria Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil
Pedro S da S Campos Cyberspace Institute, Amazon Rural Federal University, Belém, Brazil https://orcid.org/0000-0001-8476-5569
Taiana MA Koury Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil
José Gabriel M da Paixão Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil https://orcid.org/0000-0003-1513-8144
Alessandra L Leal Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil https://orcid.org/0009-0001-5967-7708
Maria de Fátima P Carrera Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil
Silvana R de Brito Cyberspace Institute, Amazon Rural Federal University, Belém, Brazil https://orcid.org/0000-0002-5095-9629
Nelson V Gonçalves Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil

DOI:

https://doi.org/10.3855/jidc.18639

Keywords:

Cutaneous leishmaniasis, epidemiology, spatial analysis, fuzzy logic

Abstract

Introduction: This study sought to analyze the relationships between cutaneous leishmaniasis and its epidemiological, environmental and socioeconomic conditions, in the 22 microregions of Pará state, Brazil, for the period from 2017 to 2022.

Methodology: In this ecological and exploratory study, the microregions were used as spatial units because they are formed by contiguous municipalities with similar characteristics. The epidemiological, environmental, socioeconomic, and public health policy data employed were obtained from the official information systems at the Ministry of Health, National Institute for Space Research, and Brazilian Institute of Geography and Statistics. A fuzzy system was developed to identify risk factors for the disease, using Python programming language. The results were analyzed with the bivariate Global Moran spatial analysis technique.

Results: It was observed that the Altamira microregion had the highest risk percentage for the disease, while Breves had the lowest, with significant differences in the relevance of its conditioning factors, mainly related to land use and cover patterns, in addition to demography and living conditions index, education and public health policies.

Conclusions: The fuzzy system associated with the geostatistical technique was satisfactory for identifying areas with health vulnerability gradients related to deforestation, pasture, poverty, illiteracy, and health services coverage, as its conditioning variables. Thus, it was demonstrated that deforestation was the main risk factor for the disease. The system can also be used in environmental and epidemiological surveillance.

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Published

2024-07-29

How to Cite

Costa SB, Miranda C do S, de Souza BC, Guimarães HMM e S, Faria CM, da S Campos PS, Koury TM, da Paixão JGM, Leal AL, Carrera M de FP, de Brito SR, Gonçalves NV (2024) Fuzzy and spatial analysis of cutaneous leishmaniasis in Pará State, Brazilian Amazon: an ecological and exploratory study. J Infect Dev Ctries 18:1124–1131. doi: 10.3855/jidc.18639

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Issue

Vol. 18 No. 07: July 2024

Section

Original Articles

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Copyright (c) 2024 Simone Beverly Nascimento Costa, Claudia do Socorro Carvalho Miranda, Bruna Costa de Souza, Heloisa Maria Melo e Silva Guimarães, Camylle Maia Costa Faria, Pedro Silvestre da Silva Campos, Taiana Moita Alves Koury, José Gabriel Miranda da Paixão, Alessandra Lima Leal, Maria de Fátima Pinheiro Carrera, Silvana Rossy de Brito, Nelson Veiga Gonçalves

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