{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T06:29:57Z","timestamp":1771655397984,"version":"3.50.1"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cutaneous leishmaniasis (CL) is a neglected disease widely distributed in Maranh\u00e3o, Brazil and presents a significant public health problem. However, its transmission dynamics and determining factors are not clearly understood. In this context, geospatial technologies help interpret the process. This study, then, characterized the space\u2013time dynamics and the influence of social vulnerability on CL in an endemic area in Northeast Brazil. This is an ecological study about new cases of CL in Maranh\u00e3o, from 2007 to 2020, obtained directly from the Notifiable Diseases Information System. The incidence rate was smoothed using a spatial empirical Bayesian method. Subsequently, global and local Moran statistics and their association with social vulnerability indicators were determined. Disease distribution was not random but grouped in space and time. All Social Vulnerability Index domains were positively correlated with the CL incidence. A likely cluster was detected in western Maranh\u00e3o (P\u2005&amp;lt;\u20050.001), which encompassed 18 municipalities, from January 2007 to December 2013, with a high relative risk (5.06). The research findings suggest that planning public health actions and allocating resources should be prioritized in these areas to help effectively reduce the incidence of the disease.<\/jats:p>","DOI":"10.1093\/jme\/tjad163","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T19:31:11Z","timestamp":1703878271000},"page":"481-490","source":"Crossref","is-referenced-by-count":4,"title":["Spatial-temporal risk clusters, social vulnerability, and identification of priority areas for surveillance and control of cutaneous leishmaniasis in Maranh\u00e3o, Brazil: an ecological study"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4976-2044","authenticated-orcid":false,"given":"Rom\u00e1rio","family":"de Sousa Oliveira","sequence":"first","affiliation":[{"name":"Universidade Estadual do Maranh\u00e3o, Programa de Biodiversidade, Ambiente e Sa\u00fade (PPGBAS), Pra\u00e7a Duque de Caxias , s\/n, Morro do Alecrim, Caxias, Maranh\u00e3o, 65604-380 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Brayner","family":"Andrade Pimentel","sequence":"additional","affiliation":[{"name":"Universidade Federal do Maranh\u00e3o, Programa de P\u00f3s-gradua\u00e7\u00e3o em Biodiversidade e Biotecnologia \u2013 Rede BIONORTE, Avenida dos Portugueses, 1966, Bacanga , S\u00e3o Lu\u00eds, Maranh\u00e3o, 65080-805 , Brazil|"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-0408","authenticated-orcid":false,"given":"Rosa Cristina","family":"Ribeiro da Silva","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Maranh\u00e3o, Programa de Biodiversidade, Ambiente e Sa\u00fade (PPGBAS), Pra\u00e7a Duque de Caxias , s\/n, Morro do Alecrim, Caxias, Maranh\u00e3o, 65604-380 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0990-2441","authenticated-orcid":false,"given":"Antonia","family":"Suely Guimar\u00e3es-e-Silva","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Maranh\u00e3o, Programa de Biodiversidade, Ambiente e Sa\u00fade (PPGBAS), Pra\u00e7a Duque de Caxias , s\/n, Morro do Alecrim, Caxias, Maranh\u00e3o, 65604-380 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2550-8383","authenticated-orcid":false,"given":"Maria Edileuza","family":"Soares Moura","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Maranh\u00e3o, Programa de Biodiversidade, Ambiente e Sa\u00fade (PPGBAS), Pra\u00e7a Duque de Caxias , s\/n, Morro do Alecrim, Caxias, Maranh\u00e3o, 65604-380 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4652-4884","authenticated-orcid":false,"given":"Val\u00e9ria Cristina","family":"Soares Pinheiro","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Maranh\u00e3o, Programa de Biodiversidade, Ambiente e Sa\u00fade (PPGBAS), Pra\u00e7a Duque de Caxias , s\/n, Morro do Alecrim, Caxias, Maranh\u00e3o, 65604-380 , Brazil"},{"name":"Universidade Federal do Maranh\u00e3o, Programa de P\u00f3s-gradua\u00e7\u00e3o em Biodiversidade e Biotecnologia \u2013 Rede BIONORTE, Avenida dos Portugueses, 1966, Bacanga , S\u00e3o Lu\u00eds, Maranh\u00e3o, 65080-805 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"2024031313175599600_CIT0001","first-page":"243","article-title":"Epidemiological profile of American cutaneous leishmaniasis cases in the state of Maranh\u00e3o from 2015 to 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geoespaciais.","author":"Araujo","year":"2016"},{"key":"2024031313175599600_CIT0006","first-page":"e02242023","article-title":"Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with neglected tropical diseases","volume-title":"Rev Soc Bras Med Trop","author":"Ara\u00fajo","year":"2023"},{"key":"2024031313175599600_CIT0007","first-page":"107","article-title":"A review of spatial methods in epidemiology, 2000\u20132010","volume-title":"Annu Rev Public Health","author":"Auchincloss","year":"2012"},{"key":"2024031313175599600_CIT0008","first-page":"e0011405","article-title":"Temporal patterns, spatial risks, and characteristics of tegumentary leishmaniasis in Brazil in the first twenty years of the 21st century","volume-title":"PLoS Negl Trop Dis","author":"Belo","year":"2023"},{"key":"2024031313175599600_CIT0009","first-page":"272","article-title":"Software review: scanning for clusters in space and time: a tutorial review of 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