Título:	Vulnerability of Brazilian municipalities to hantavirus infections based on multi‑criteria decision analysis
Autor(es):	Oliveira, Stefan Vilges de Fonseca, Lidsy Ximenes Vilges, Keline Medeiros de Araújo Maniglia, Fernanda Voietta Pinna Pereira, Simone Valéria Costa Calda, Eduardo Pacheco de Tauil, Pedro Luiz Gonçalves, Rodrigo Gurgel
Assunto:	Hantavirus Roedores Infecção
Data de publicação:	1-Out-2015
Editora:	BioMed Central
Referência:	OLIVEIRA, Stefan Vilges de et al. Vulnerability of Brazilian municipalities to hantavirus infections based on multi‑criteria decision analysis. Emerg Themes Epidemiol, v. 12, Article 15, 1 out. 2015. Disponível em: <https://ete-online.biomedcentral.com/articles/10.1186/s12982-015-0036-5>. Acesso em: 14 jun. 2017. doi: https://ete-online.biomedcentral.com/articles/10.1186/s12982-015-0036-5.
Abstract:	Background: Hantavirus infection is an emerging zoonosis transmitted by wild rodents. In Brazil, high case-fatality rates among humans infected with hantavirus are of serious concern to public health authorities. Appropriate preventive measures partly depend on reliable knowledge about the geographical distribution of this disease. Methods: Incidence of hantavirus infections in Brazil (1993–2013) was analyzed. Epidemiological, socioeconomic, and demographic indicators were also used to classify cities’ vulnerability to disease by means of multi-criteria decision analysis (MCDA). Results: From 1993 to 2013, 1752 cases of hantavirus were registered in 16 Brazilian states. The highest incidence of hantavirus was observed in the states of Mato Grosso (0.57/100,000) and Santa Catarina (0.13/100,000). Based on MCDA analysis, municipalities in the southern, southeastern, and midwestern regions of Brazil can be classified as highly vulnerable. Most municipalities in northern and northeastern Brazil were classified as having low vulnerability to hantavirus cardiopulmonary syndrome. Conclusions: Although most human infections by hantavirus registered in Brazil occurred in the southern region of the country, a greater vulnerability to hantavirus was found in the Brazilian Midwest. This result reflects the need to strengthen surveillance where the disease has thus far gone unreported.
Unidade Acadêmica:	Faculdade de Medicina (FMD)
Licença:	© 2015 de Oliveira et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/ publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
DOI:	0.1186/s12982-015-0036-5
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