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   Impact of environmental factors on neglected emerging arboviral diseases  
   
نویسنده lorenz c. ,azevedo t.s. ,virginio f. ,aguiar b.s. ,chiaravalloti-neto f. ,suesdek l.
منبع plos neglected tropical diseases - 2017 - دوره : 11 - شماره : 9
چکیده    Background: brazil is a tropical country that is largely covered by rainforests and other natural ecosystems,which provide ideal conditions for the existence of many arboviruses. however,few analyses have examined the associations between environmental factors and arboviral diseases. thus,based on the hypothesis of correlation between environment and epidemiology,the proposals of this study were (1) to obtain the probability of occurrence of oropouche,mayaro,saint louis and rocio fevers in brazil based on environmental conditions corresponding to the periods of occurrence of the outbreaks; (2) to describe the macroclimatic scenario in brazil in the last 50 years,evaluating if there was any detectable tendency to increase temperatures and (3) to model future expansion of those arboviruses in brazil based on future temperature projections. methodology/principal findings: our model assessed seven environmental factors (annual rainfall,annual temperature,elevation,seasonality of temperature,seasonality of precipitation,thermal amplitude,and daytime temperature variation) for their association with the occurrence of outbreaks in the last 50 years. our results suggest that various environmental factors distinctly influence the distribution of each arbovirus,with temperature being the central determinant of disease distribution in all high-risk areas. these areas are subject to change,since the average temperature of some areas has increased significantly over the time. conclusions/significance: this is the first spatio-temporal study of the oropouche,mayaro,saint louis,and rocio arboviruses,and our results indicate that they may become increasingly important public health problems in brazil. thus,next studies and control programs should include these diseases and also take into consideration key environmental elements. © 2017 lorenz et al.
آدرس department of parasitology,instituto butantan,sao paulo,sao paulo, Brazil, department of geography,universidade estadual paulista,rio claro,sao paulo, Brazil, department of parasitology,instituto butantan,sao paulo,sao paulo, Brazil, department of epidemiology,school of public health,universidade de são paulo,sao paulo, Brazil, department of epidemiology,school of public health,universidade de são paulo,sao paulo, Brazil, department of parasitology,instituto butantan,sao paulo,sao paulo,brazil,instituto de medicina tropical,sao paulo,são paulo, Brazil
 
     
   
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