MUNICIPALITIES OF HIGHER VULNERABILITY TO SYLVATIC YELLOW FEVER OCCURRENCE IN THE SÃO PAULO STATE, BRAZIL

Revista Do Instituto De Medicina Tropical De São Paulo

Endereço:
AV. DR. ENéAS DE CARVALHO AGUIAR 470
São Paulo / SP
Site: http://www.scielo.br/scielo.php?script=sci_serial&pid=0036-4665&lng=en&nrm=iso
Telefone: (11) 3062-2174
ISSN: 364665
Editor Chefe: NULL
Início Publicação: 31/05/1959
Periodicidade: Bimestral
Área de Estudo: Medicina

MUNICIPALITIES OF HIGHER VULNERABILITY TO SYLVATIC YELLOW FEVER OCCURRENCE IN THE SÃO PAULO STATE, BRAZIL

Ano: 2011 | Volume: 53 | Número: 6
Autores: Eduardo Stramandinoli MORENO, Rita de Cássia Barradas BARATA
Autor Correspondente: Eduardo Stramandinoli MORENO | [email protected]

Palavras-chave: Yellow Fever, Risk assessment, Environment, Vaccination

Resumos Cadastrados

Resumo Inglês:

Until 1999 the endemic cases of Sylvatic Yellow Fever were located in the states of northern, midwestern and pre-Amazon regions. Since then, the disease progressively expanded its territory of occurrence, cases being registered beyond the traditional boundaries of endemism. The São Paulo State is considered to be part of this context, since after decades without registration of autochthonous cases of the disease, it reported, in 2000 and 2008-2009, epizootic occurrence in non-human primates and 30 cases in humans. Facts like these, added to the increase in incidences of serious adverse effects resulting from the Yellow Fever vaccination, have highlighted the importance of defining priority municipalities for vaccination against the disease in the state. Two groups of municipalities, some affected and some non-affected by YF, were compared for environmental variables related to the eco-epidemiology of the disease according to literature. The Multiple Correspondence Analysis (MCA) was used to pinpoint the factor able to differentiate the two groups of municipalities and define the levels of risk. The southeast region of the São Paulo State was considered to be the area with a higher number of municipalities classified as high risk and should be considered a priority for the application of prevention measures against Yellow Fever.