{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:12:40Z","timestamp":1767665560455},"reference-count":29,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the spatial distribution of the risk of Zika virus disease in each region of Colombia during the 2015\u20132016 epidemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An ecological study was designed to estimate the risks for each Colombian region using first\u2010order neighbors, covariate effects, and three adjacent periods of time (beginning, development, and end of the epidemic) to analyze the spatial distribution of the disease based on a Bayesian hierarchical model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Spatial distribution of the estimated risks of Zika virus disease showed that it increased in a strip that crosses the central area of the country from west to east. Analysis of the three time periods showed greater risk of the disease in the central and southern zones\u2014Arauca and Santander\u2014where the increase in risk was four times higher during the peak phase compared with the initial phase of the outbreak.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the identified high\u2010risk areas, integrated surveillance systems for Zika virus disease and its complications must be strengthened to provide up\u2010to\u2010date and accurate epidemiological information. This information would allow those involved in policy and decision making to identify new outbreaks and risk clusters, enabling more focused and accurate measures to target at\u2010risk populations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13048","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T07:02:50Z","timestamp":1579849370000},"page":"55-60","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Spatial distribution of the relative risk of Zika virus disease in Colombia during the 2015\u20132016 epidemic from a Bayesian approach"],"prefix":"10.1002","volume":"148","author":[{"given":"Karen","family":"Fl\u00f3rez\u2010Lozano","sequence":"first","affiliation":[{"name":"Department of Mathematics and Statistics Universidad del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Navarro\u2010Lechuga","sequence":"additional","affiliation":[{"name":"Department of Public Health Universidad\u00a0del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humberto","family":"Llin\u00e1s\u2010Solano","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics Universidad del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Tuesca\u2010Molina","sequence":"additional","affiliation":[{"name":"Department of Public Health Universidad\u00a0del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto","family":"Sisa\u2010Camargo","sequence":"additional","affiliation":[{"name":"Department of Civil and Environmental Engineering Universidad del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcela","family":"Mercado\u2010Reyes","sequence":"additional","affiliation":[{"name":"Department of Public Health Research National Institute of Health  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Ospina\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Public Health Research National Institute of Health  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franklyn","family":"Prieto\u2010Alvarado","sequence":"additional","affiliation":[{"name":"Department of Public Health Research National Institute of Health  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Acosta\u2010Reyes","sequence":"additional","affiliation":[{"name":"Department of Public Health Universidad\u00a0del Norte  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0004636"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.WHO statement on the first meeting of the International Health Regulations (2005) (IHR 2005) Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations.2016.https\u200b:\/\/www.who.int\/news-room\/detai\u200bl\/01-02-2016-who-state\u200bment-on-the-first-meeti\u200bng-of-the-inter\u200bnatio\u200bnal-health-regul\u200bations-(2005)-(ihr-2005)-emerg\u200bency-commi\u200bttee-on-zika-virus-and-obser\u200bved-incre\u200base-in-neuro\u200blogic\u200bal-disor\u200bders-and-neona\u200btal-malfo\u200brmations. 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