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Malaria intensity in Colombia by regions and populations

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dc.creatorFeged Rivadeneira, Alejandro
dc.creatorÁngel, Andrés
dc.creatorGonzález-Casabianca, Felipe
dc.creatorRivera, Camilo
dc.creator.googleFeged-Rivadeneira, Alejandrospa
dc.creator.googleÁngel, Andrésspa
dc.creator.googleGonzález-Casabianca, Felipespa
dc.creator.googleRivera, Camilospa
dc.date.accessioned2019-02-15T16:36:43Z
dc.date.available2019-02-15T16:36:43Z
dc.date.created2018
dc.date.issued2018-09-12
dc.description.abstractDetermining the distribution of disease prevalence among heterogeneous populations at the national scale is fundamental for epidemiology and public health. Here, we use a combination of methods (spatial scan statistic, topological data analysis and epidemic profile) to study measurable differences in malaria intensity by regions and populations of Colombia. This study explores three main questions: What are the regions of Colombia where malaria is epidemic? What are the regions and populations in Colombia where malaria is endemic? What associations exist between epidemic outbreaks between regions in Colombia? Plasmodium falciparum is most prevalent in the Pacific Coast, some regions of the Amazon Basin, and some regions of the Magdalena Basin. Plasmodium vivax is the most prevalent parasite in Colombia, particularly in the Northern Amazon Basin, the Caribbean, and municipalities of Sucre, Antioquia and Cordoba. We find an acute peak of malarial infection at 25 years of age. Indigenous and Afrocolombian populations experience endemic malaria (with household transmission). We find that Plasmodium vivax decreased in the most important hotspots, often with moderate urbanization rate, and was re-introduced to locations with moderate but sustained deforestation. Infection by Plasmodium falciparum, on the other hand, steadily increased in incidence in locations where it was introduced in the 2009-2010 generalized epidemic. Our findings suggest that Colombia is entering an unstable transmission state, where rapid decreases in one location of the country are interconnected with rapid increases in other parts of the country. © 2018 Feged-Rivadeneira et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0203673
dc.identifier.issn1932-6203
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/19083
dc.language.isoengspa
dc.publisher.departmentFacultad de estudios internacionales políticos y urbanos
dc.relation.citationTitlePLoS ONE
dc.relation.citationVolumeVol. 13
dc.relation.ispartofPLoS ONE, ISSN:1932-6203, Vol. 13 (2018)spa
dc.relation.urihttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0203673&type=printablespa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.bibliographicCitationRubio-Palis, Y., Zimmerman, R.H., Ecoregional classification of malaria vectors in the neotropics (1997) Journal of Medical Entomology, 34 (5), pp. 499-510. , https://doi.org/10.1093/jmedent/34.5.499, PMID: 9379453spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectEstudio controladospa
dc.subjectDeforestaciónspa
dc.subjectClasificación de enfermedadesspa
dc.subjectTransmisión de enfermedadesspa
dc.subjectEnfermedad Endémicaspa
dc.subjectEpidemiaspa
dc.subjectEtnicidadspa
dc.subjectHumanospa
dc.subjectEstudio clínico principalspa
dc.subjectMalariaspa
dc.subjectPaludismo falciparumspa
dc.subjectMasculinospa
dc.subjectNo humanospa
dc.subjectPlasmodium vivax paludismospa
dc.subjectInvestigación de la poblaciónspa
dc.subjectUrbanizaciónspa
dc.subjectHemisferio oestespa
dc.subject.ddcEnfermedadesspa
dc.subject.keywordWestern Hemisphereeng
dc.subject.keywordUrbanizationeng
dc.subject.keywordIncidenceeng
dc.subject.keywordPopulation Researcheng
dc.subject.keywordPlasmodium Vivax Malariaeng
dc.subject.keywordNonhumaneng
dc.subject.keywordMaleeng
dc.subject.keywordMalaria Falciparumeng
dc.subject.keywordMajor Clinical Studyeng
dc.subject.keywordHumaneng
dc.subject.keywordEthnicityeng
dc.subject.keywordEpidemiceng
dc.subject.keywordEndemic Diseaseeng
dc.subject.keywordDisease Transmissioneng
dc.subject.keywordDisease Classificationeng
dc.subject.keywordDeforestationeng
dc.subject.keywordControlled Studyeng
dc.subject.lembMalariaspa
dc.subject.lembPlasmodiumspa
dc.subject.lembEpidemiologíaspa
dc.titleMalaria intensity in Colombia by regions and populationsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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