DSpace Repository

Spatio-temporal analysis of malaria incidence in the Peruvian Amazon Region between 2002 and 2013

Show simple item record

dc.contributor.author Soto-Calle, Veronica
dc.contributor.author Rosas-Aguirre, Angel
dc.contributor.author Llanos-Cuentas, Alejandro
dc.contributor.author Abatih, Emmanuel
dc.contributor.author DeDeken, Redgi
dc.contributor.author Rodriguez, Hugo
dc.contributor.author Rosanas-Urgell, Anna
dc.contributor.author Gamboa, Dionicia
dc.contributor.author D Alessandro, Umberto
dc.contributor.author Erhart, Annette
dc.contributor.author Speybroeck, Niko
dc.date.accessioned 2019-01-25T16:03:21Z
dc.date.available 2019-01-25T16:03:21Z
dc.date.issued 2017
dc.identifier.uri http://doi.org/10.1038/srep40350
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/4764
dc.description.abstract Malaria remains a major public health problem in the Peruvian Amazon where the persistence of high-risk transmission areas (hotspots) challenges the current malaria control strategies. This study aimed at identifying significant space-time clusters of malaria incidence in Loreto region 2002-2013 and to determine significant changes across years in relation to the control measures applied. Poisson regression and purely temporal, spatial, and space-time analyses were conducted. Three significantly different periods in terms of annual incidence rates (AIR) were identified, overlapping respectively with the pre-, during, and post- implementation control activities supported by PAMAFRO project. The most likely space-time clusters of malaria incidence for P. vivax and P. falciparum corresponded to the pre- and first two years of the PAMAFRO project and were situated in the northern districts of Loreto, while secondary clusters were identified in eastern and southern districts with the latest onset and the shortest duration of PAMAFRO interventions. Malaria in Loreto was highly heterogeneous at geographical level and over time. Importantly, the excellent achievements obtained during 5 years of intensified control efforts totally vanished in only 2 to 3 years after the end of the program, calling for sustained political and financial commitment for the success of malaria elimination as ultimate goal.
dc.language.iso eng
dc.publisher Nature Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Spatio-Temporal Analysis
dc.subject Cluster Analysis
dc.subject Geography
dc.subject Humans
dc.subject Incidence
dc.subject Malaria, Falciparum/epidemiology/parasitology
dc.subject Malaria, Vivax/epidemiology/parasitology
dc.subject Malaria/epidemiology/parasitology
dc.subject Peru/epidemiology
dc.subject Plasmodium falciparum/physiology
dc.subject Plasmodium vivax/physiology
dc.title Spatio-temporal analysis of malaria incidence in the Peruvian Amazon Region between 2002 and 2013
dc.type info:eu-repo/semantics/article
dc.identifier.journal Scientific Reports


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

info:eu-repo/semantics/restrictedAccess Except where otherwise noted, this item's license is described as info:eu-repo/semantics/restrictedAccess

Search DSpace


Browse

My Account

Statistics