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

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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 https://hdl.handle.net/20.500.12866/4764
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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof urn:issn:2045-2322
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 en_US
dc.subject Cluster Analysis en_US
dc.subject Geography en_US
dc.subject Humans en_US
dc.subject Incidence en_US
dc.subject Malaria, Falciparum/epidemiology/parasitology en_US
dc.subject Malaria, Vivax/epidemiology/parasitology en_US
dc.subject Malaria/epidemiology/parasitology en_US
dc.subject Peru/epidemiology en_US
dc.subject Plasmodium falciparum/physiology en_US
dc.subject Plasmodium vivax/physiology en_US
dc.title Spatio-temporal analysis of malaria incidence in the Peruvian Amazon Region between 2002 and 2013 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1038/srep40350
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09

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