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Lana RM, Gomes MFDC, de Lima TFM, Honório NA, Codeço CT. The introduction of dengue follows transportation infrastructure changes in the state of Acre, Brazil: A network-based analysis. PLoS Negl Trop Dis 2017; 11:e0006070. [PMID: 29149175 PMCID: PMC5693297 DOI: 10.1371/journal.pntd.0006070] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 10/25/2017] [Indexed: 11/19/2022] Open
Abstract
Human mobility, presence and passive transportation of Aedes aegypti mosquito, and environmental characteristics are a group of factors which contribute to the success of dengue spread and establishment. To understand this process, we assess data from dengue national and municipal basins regarding population and demographics, transportation network, human mobility, and Ae. aegypti monitoring for the Brazilian state of Acre since the first recorded dengue case in the year 2000 to the year 2015. During this period, several changes in Acre's transport infrastructure and urbanization have been started. To reconstruct the process of dengue introduction in Acre, we propose an analytic framework based on concepts used in malaria literature, namely vulnerability and receptivity, to inform risk assessments in dengue-free regions as well as network theory concepts for disease invasion and propagation. We calculate the probability of dengue importation to Acre from other Brazilian states, the evolution of dengue spread between Acrean municipalities and dengue establishment in the state. Our findings suggest that the landscape changes associated with human mobility have created favorable conditions for the establishment of dengue virus transmission in Acre. The revitalization of its major roads, as well as the increased accessibility by air to and within the state, have increased dengue vulnerability. Unplanned urbanization and population growth, as observed in Acre during the period of study, contribute to ideal conditions for Ae. aegypti mosquito establishment, increase the difficulty in mosquito control and consequently its local receptivity.
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Affiliation(s)
- Raquel Martins Lana
- Fiocruz, Pós-Graduação em Epidemiologia em Saúde Pública, Escola Nacional de Saúde Pública Sérgio Arouca (ENSP), Rio de Janeiro, RJ, Brazil
- Fiocruz, Programa de Computação Científica (PROCC), Rio de Janeiro, RJ, Brazil
| | | | - Tiago França Melo de Lima
- Laboratório de Engenharia e Desenvolvimento de Sistemas (LEDS), Departamento de Computação e Sistemas (DECSI), Instituto de Ciências Exatas e Aplicadas (ICEA), Universidade Federal de Ouro Preto (UFOP), João Monlevade, MG, Brazil
| | - Nildimar Alves Honório
- Fiocruz, Instituto Oswaldo Cruz (IOC), Laboratório de Mosquitos Transmissores de Hematozoários, Rio de Janeiro, RJ, Brazil
- Fiocruz, Núcleo Operacional Sentinela de Mosquitos Vetores (Nosmove), Rio de Janeiro, RJ, Brazil
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Torres RMC, Cruz MMD, Périssé ARS, Pires DRF. High HIV infection prevalence in a group of men who have sex with men. Braz J Infect Dis 2017; 21:596-605. [PMID: 28692823 PMCID: PMC9425489 DOI: 10.1016/j.bjid.2017.06.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 06/01/2017] [Accepted: 06/11/2017] [Indexed: 11/18/2022] Open
Abstract
Brazil is characterized by a concentrated AIDS epidemic, it has a prevalence of less than 1% in the general population. However, there are higher rates in specific populations, especially in men who have sex with men. The study's aim was to analyze the association between sociodemographic characteristics, sexual practices, sexual behaviors and the HIV infection in a group of men who have sex with men. Secondary data was collected between June 2014 and September 2015 in a research of cross-sectional design in the city of Rio de Janeiro, Brazil. Volunteers answered an online computerized questionnaire and took HIV test. Chi-squared distribution and multiple logistic regression was used. There were 341 participants. Most of them were racially mixed, single, average age of 30.6 years and with a higher education level. The HIV prevalence was 13.9%. Two logistic models were fit (insertive or receptive anal intercourse). Both models showed an association with HIV among those who had a HIV positive sexual partner (Odds Ratio ≈ 2.5) and a high self-perception of acquiring HIV (Model 1: Odds Ratio ≈ 7/Model 2: Odds Ratio ≈ 10). Low condom usage in receptive anal intercourse with casual partners had a direct association with HIV seropositivity, whereas insertive anal intercourse with casual partners with or without condoms were inversely related. The study identified a high prevalence of HIV infections among a group of men who sex with men with a high self-perception risk of acquiring HIV. The findings also showed a relation with sociodemographic and sexual behavior variables.
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Affiliation(s)
- Raquel Maria Cardoso Torres
- Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (ENSP), Rio de Janeiro, RJ, Brazil.
| | - Marly Marques da Cruz
- Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (ENSP), Departamento de Endemias Samuel Pessoa, Rio de Janeiro, RJ, Brazil
| | - André Reynaldo Santos Périssé
- Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (ENSP), Departamento de Ciências Biológicas, Rio de Janeiro, RJ, Brazil
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da Silva LMS, Tavares JSC. The family's role as a support network for people living with HIV/AIDS: a review of Brazilian research into the theme. CIENCIA & SAUDE COLETIVA 2017; 20:1109-18. [PMID: 25923622 DOI: 10.1590/1413-81232015204.17932013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Accepted: 10/05/2014] [Indexed: 11/22/2022] Open
Abstract
The study of HIV transmission and the implementation of AIDS prevention actions recognize the importance of social networks in the transmission of the disease, the adherence to treatment and the quality of life of those infected. For this relevance there was a review of articles on social support networks to people living with HIV /AIDS available in the Virtual Health Library (VHL) were published in Brazil between 2002 and 2012. In this study 31 articles were used from journals covering the following áreas: Nursing (n = 15), Psychology (n = 6) and Science Health / Biomedica (n = 6), were included, which some principal authors were affiliated to higher education public institutions (n = 17). In relation to the methodology used, priority wasgiven to conducting: qualitative research (n = 18), cross-sectional studies (n = 19) and studies that involved talking to people living with HIV/AIDS (n = 13). Particular importance was placed on analytic categories related to: adherence to treatment (n = 6), the family (n = 4), vulnerability (n = 3) and support from social networks (n = 5). Within this paper we argue for more investments into studies that focus on the family, carers and their households, as well as deepening the theoretical study of the themes discussed and the use of developed theories for the analysis of Social Networks.
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Affiliation(s)
| | - Jeane Saskya Campos Tavares
- Centro de Ciências da Saúde, Universidade Federal do Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brasil,
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Martínez-López B, Perez AM, Sánchez-Vizcaíno JM. Social network analysis. Review of general concepts and use in preventive veterinary medicine. Transbound Emerg Dis 2009; 56:109-20. [PMID: 19341388 DOI: 10.1111/j.1865-1682.2009.01073.x] [Citation(s) in RCA: 161] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Social network analysis (SNA) and graph theory have been used widely in sociology, psychology, anthropology, biology and medicine. Social network analysis and graph theory provide a conceptual framework to study contact patterns and to identify units of analysis that are frequently or intensely connected within the network. Social network analysis has been used in human epidemiology as a tool to explore the potential transmission of infectious agents such as HIV, tuberculosis, hepatitis B and syphilis. In preventive veterinary medicine, SNA is an approach that offers benefits for exploring the nature and extent of the contacts between animals or farms, which ultimately leads to a better understanding of the potential risk for disease spread in a susceptible population. Social network analysis, however, has been applied only recently in preventive veterinary medicine, therefore the characteristics of the technique and the potential benefits of its use remain unknown for an important section of the international veterinary medicine community. The objectives of this paper were to review the concepts and theoretical aspects underlying the use of SNA and graph theory, with particular emphasis on their application to the study of infectious diseases of animals. The paper includes a review of recent applications of SNA in preventive veterinary medicine and a discussion of the potential uses and limitations of this methodology for the study of animal diseases.
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Affiliation(s)
- B Martínez-López
- Animal Health Department, Complutense University of Madrid, Madrid, Spain.
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Périssé ARS, Costa Nery JAD. The relevance of social network analysis on the epidemiology and prevention of sexually transmitted diseases. CAD SAUDE PUBLICA 2008; 23 Suppl 3:S361-9. [PMID: 17992342 DOI: 10.1590/s0102-311x2007001500004] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2006] [Accepted: 10/20/2006] [Indexed: 11/22/2022] Open
Abstract
Historically, the epidemiology of sexually transmitted diseases (STD) has been based on individual attributes and behavior. However, STD constitute a good example of diseases that depend on personal contacts for dissemination. Social network analysis is a relatively new technique that studies the interactions among people. Since 1985 when it was first used for STD, some studies have been done using the technique, especially in the last 10 years. The two network-based designs, sociocentric or complete networks and egocentric or personal networks, are currently recognized as important tools for a better understanding of STD's dynamic. Here an overview is presented of social network analysis: the technique, its use, and its limitations. Ethical considerations regarding social network analyses are also briefly discussed.
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Castro H, Giannasi F, Novello C. A luta pelo banimento do amianto nas Américas: uma questão de saúde pública. CIENCIA & SAUDE COLETIVA 2003. [DOI: 10.1590/s1413-81232003000400013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Abstract
Este artigo tem como objetivo resgatar a luta pelo banimento do amianto ou asbesto nas Américas. Destacando-se a importância do amianto como um problema de Saúde Pública, pelo seu potencial carcinogênico reconhecido para os seres humanos, perpassando pela constituição de redes como contrapoderes em prol do banimento dessa fibra nociva, ressaltando a participação social nessa luta. O problema do amianto nas discussões das políticas públicas de saúde, trabalho e meio ambiente ainda permanece pouco claro no campo da Saúde do Trabalhador. Ao restringir a apenas um único campo de atuação, reduz-se a atuação das vigilâncias, como se estivesse apenas limitado ao ambiente de trabalho. É necessária então a discussão nos campos da Saúde Ambiental e da Saúde Publica. A ausência de políticas públicas contribui para a invisibilidade dos problemas relacionados ao amianto no Brasil. Hoje, as vítimas do amianto não têm suas doenças reconhecidas, e seus direitos são negados em várias instâncias do poder público. Conclui-se que a luta pelo fim da utilização dessa fibra e a redução das doenças provocadas pela mesma configuram-se um movimento político comprometido com a transformação social na busca por uma sociedade mais justa, igualitária e saudável.
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Azambuja MIR, Duncan BB. Similarities in mortality patterns from influenza in the first half of the 20th century and the rise and fall of ischemic heart disease in the United States: a new hypothesis concerning the coronary heart disease epidemic. CAD SAUDE PUBLICA 2002; 18:557-66; discussion 567-77. [PMID: 12048584 DOI: 10.1590/s0102-311x2002000300002] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The classic risk factors for developing coronary heart disease (CHD) explain less than 50% of the decrease in mortality observed since 1950. The transition currently under way, from the degenerative to the infectious-inflammatory paradigm, requires a new causal interpretation of temporal trends. The following is an ecological study based on data from the United States showing that in men and women an association between the age distribution of mortality due to influenza and pneumonia (I&P) associated with the influenza pandemic in 1918-1919 in the 10-49-year age bracket and the distribution of CHD mortality from 1920 to 1985 in survivors from the corresponding birth cohorts. It further shows a significant negative correlation (r = -0.68, p = 0.042) between excess mortality from I&P accumulated in epidemics from 1931 to 1940 (used as indicator for persistent circulation of H1N1 virus combined with vulnerability to infection) and the order of the beginning in the decline in CHD mortality in nine geographic divisions in the United States. In light of current biological knowledge, the data suggest that the 1918 influenza pandemic and the subsequent epidemics up to 1957 might have played a determinant role in the epidemic of CHD mortality registered in the 20th century.
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Affiliation(s)
- Maria Inês Reinert Azambuja
- Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, 90035-003, Brazil
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