Verdasquera CD, Pérez SK, Norales MAD, Vázquez PA

Language: Spanish
References: 11
Page: 191-201
PDF size: 309.53 Kb.

ABSTRACT

Introduction: human leptospirosis is the zoonosis carrying the major impacts on the public health in Cuba. During the last 10 years, several outbreaks have been notified in different provinces.
Objectives: to stratify morbidity and mortality due to human leptospirosis according to the epidemiological and spatial structure of Havana from 2001 to 2010.
Methods: an ecological study of time series using the exponential smoothing for trend, the single indicator for stratification and the territorial structure based on land-use criteria.
Results: the year 2002 registered the greatest risk of becoming ill with 4.51/100 000 inhabitants. Between 2001 and 2005, Boyeros and Cotorro municipalities were in the high-risk stratum. During the 2006-2010 period, all municipalities had incidence rates lower than 3/100 000 inhabitants. According to the risk of dying, Regla and San Miguel del Padron were found in highest-risk strata. The fatality rate showed the highest value in 2006, but there has been a decreasing trend since then.
Conclusions: leptospirosis incidence showed differences in its geographical distribution by time-strata, with a period of high incidence in three geographically linked municipalities and subsequent periods of low endemicity throughout the province. According to land-use criteria, the population at the highest risk of becoming ill or dying is concentrated in the outskirts of the city.

REFERENCES

1. Cruz LS, Vargas R, Lopes AA. Leptospirosis: a worldwide resurgent zoonosis and important cause of acute renal failure and death in developing nations. Ethn Dis. 2009;19(1 Suppl 1):S37-41.

2. Ávila González JL, Escalona Gómez R, Rodríguez Albentero Y. Método práctico para el control de la leptospirosis. Correo Científico Médico de Holguín. 2010; 14(2) [citado 22 Nov 2012]. Disponible en: http://www.cocmed.sld.cu/no142/pdf/no142ori10.pdf

3. Ministerio de Salud Pública. Programa Nacional de Prevención y Control de la Leptospirosis. La Habana: MINSAP; 1998. p. 3-5.

4. Verdasquera Corcho D. Leptospirosis humana: un abordaje de su epidemiología en Cuba [Tesis para optar por el título de Doctor en Ciencias Médicas]. La Habana: IPK; 2011 [citado 22 Nov 2012]. Disponible en: http://tesis.repo.sld.cu/315/1/denis_verdasquera.pdf

5. Verdasquera Corcho D, Barreras Suárez BA, Barroso Corría J, Pérez Rodríguez A, Fernández Molina C, Ortega González LM, et al. Mortalidad por leptospirosis humana. Ciudad de La Habana, 2005-2006. Rev Panam Infectol. 2009;11(4): 19-25.

6. Verdasquera Corcho D, Barroso Corría J, Barreras Suárez BA, Pérez Rodríguez A, Pérez Soler K, Obregón Fuentes AM, et al. Factores asociados a la morbilidad por leptospirosis humana. Ciudad de La Habana, 2005-2006. Rev Panam Infectol. 2010;12(1):8-16

7. González A, Pérez K, Sánchez L, Matthys F, González E, Van der Stuyft P. Estratos de incidencia de tuberculosis en los municipios de Cuba: 1999-2002 y 2003-2006. Rev Panam Salud Publica. 2010;28(4):275-81.

8. Andras K. Desarrollo funcional de la Ciudad de La Habana. Barcelona. Rev Geografía. 1884;(17):1-122.

9. Verdasquera Corcho D, Galí Bueno L, Sánchez Valdés L, Alpízar García D, Vega Riverón B, Calas Hechavarria V. Variación de la morbilidad y mortalidad por leptospirosis humana. Cuba, 1998-2007. Rev Panam Infectol. 2010;12(4):22-30.

10. Vera B. Transformaciones territoriales en las zonas periurbanas de Ciudad de La Habana [Tesis de diploma]. La Habana: Facultad de Geografía; 2010. p. 1-33.

11. Ferrer Pozo E. Propuesta de un sistema de indicadores de sostenibilidad ambiental para la agricultura urbana y periurbana en Ciudad de la Habana [Tesis de diploma]. La Habana: Facultad de Geografía; 2010. p. 1-33.