{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:30:15Z","timestamp":1776853815897,"version":"3.51.2"},"reference-count":39,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A leishmaniose visceral (LV) pode ser influenciada por fatores clim\u00e1ticos e ambientais. Tocantins \u00e9 o estado com mais incid\u00eancia no Brasil, contribuindo para o aumento dos casos na macrorregi\u00e3o Norte. Este estudo tem objetivo de identificar a correla\u00e7\u00e3o entre a taxa de incid\u00eancia de LV e fatores clim\u00e1ticos e ambientais, nos munic\u00edpios do Estado do Tocantins de 2007 a 2014. As correla\u00e7\u00f5es entre a taxa de incid\u00eancia bruta de LV e as vari\u00e1veis eleva\u00e7\u00e3o, precipita\u00e7\u00e3o, \u00cdndice de Vegeta\u00e7\u00e3o Melhorado (EVI - Enhanced Vegetation Index) e temperatura foram testadas por meio dos \u00edndices de Moran Global e Local, identificando tamb\u00e9m clusters de incid\u00eancia de LV. A an\u00e1lise de vari\u00e2ncia para tend\u00eancia linear foi testada entre as m\u00e9dias das vari\u00e1veis em cada categoria da taxa. Os resultados apontam aumento nas taxas de incid\u00eancia, na medida em que aumentam os valores de precipita\u00e7\u00e3o anual, umidade, EVI e temperatura noturna; e uma rela\u00e7\u00e3o inversa para a eleva\u00e7\u00e3o e temperatura diurna. Os clusters identificados evidenciam que vari\u00e1veis clim\u00e1ticas e ambientais se relacionam \u00e0 incid\u00eancia de LV, devendo haver outros estudos que ajustem os fatores associados aos sujeitos, a fim de dimensionar o quanto o ambiente ou a influ\u00eancia do homem nele impacta na doen\u00e7a.<\/jats:p>","DOI":"10.1590\/0102-311x00047018","type":"journal-article","created":{"date-parts":[[2019,1,12]],"date-time":"2019-01-12T13:05:27Z","timestamp":1547298327000},"source":"Crossref","is-referenced-by-count":17,"title":["Leishmaniose visceral e sua rela\u00e7\u00e3o com fatores clim\u00e1ticos e ambientais no Estado do Tocantins, Brasil, 2007 a 2014"],"prefix":"10.1590","volume":"35","author":[{"given":"Lisiane Lappe dos","family":"Reis","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio Alcirley da Silva","family":"Balieiro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Rodrigues","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Jacirema Ferreira","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Federal do Amazonas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1590\/0037-8682-0243-2017","article-title":"Changes in the epidemiology of visceral leishmaniasis in Brazil from 2001 to 2014","volume":"50","author":"Reis LL","year":"2017","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref2","series-title":"The epidemiology and ecology of leishmaniasis","first-page":"91","volume-title":"Ecoepidemiology of American visceral leishmaniasis in Tocantins State, Brazil: factors associated with the occurrence and spreading of the vector Lutzomyia (Lutzomyia) longipalpis (Lutz & Neiva, 1912) (Diptera: Psychodidae: Phlebotominae)","author":"Afonso MMS","year":"2017"},{"key":"ref3","series-title":"Biomas presentes no Tocantins. Biblioteca Digital da C\u00e2mara dos Deputados.","author":"Silva LAGC."},{"key":"ref4","article-title":"Portaria n\u00ba 104, de 25 de janeiro de 2011. Define as terminologias adotadas em legisla\u00e7\u00e3o nacional, conforme o disposto no Regulamento Sanit\u00e1rio Internacional 2005 (RSI 2005), a rela\u00e7\u00e3o de doen\u00e7as, agravos e eventos em sa\u00fade p\u00fablica de notifica\u00e7\u00e3o compuls\u00f3ria em todo o territ\u00f3rio nacional e estabelece fluxo, crit\u00e9rios, responsabilidades e atribui\u00e7\u00f5es aos profissionais e servi\u00e7os de sa\u00fade","year":"2011","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref5","article-title":"Resolu\u00e7\u00e3o n\u00ba 510, de 07 de abril de 2016","year":"2016","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"issue":"4","key":"ref6","first-page":"3","article-title":"Leishmaniasis - informe epidemiol\u00f3gico de las Am\u00e9ricas","year":"2016","journal-title":"Informe de Leishmaniasis"},{"key":"ref7","series-title":"Indicadores sociais m\u00ednimos - conceitos"},{"issue":"RG2004","key":"ref8","first-page":"1","article-title":"The Shuttle Radar Topography Mission","volume":"45","author":"Farr TG","year":"2007","journal-title":"Rev Geophys"},{"key":"ref9","series-title":"A quasi-global precipitation time series for drought monitoring","author":"Funk CC","year":"2014"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1175\/JCLI-D-12-00823.1","article-title":"The NCEP Climate Forecast System version 2","volume":"27","author":"Saha S","year":"2014","journal-title":"J Clim"},{"key":"ref11","series-title":"MOD11A2: MODIS\/Terra Land Surface Temperature\/Emissivity 8-Day L3 Global 1km SIN Grid V006.","author":"Wan Z"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0034-4257(02)00096-2","article-title":"Overview of the radiometric and biophysical performance of the MODIS vegetation indices","volume":"83","author":"Huete A","year":"2002","journal-title":"Remote Sens Environ"},{"key":"ref13","series-title":"An\u00e1lise espacial de dados geogr\u00e1ficos. v. 1","first-page":"157","volume-title":"An\u00e1lise espacial de \u00e1reas","author":"C\u00e2mara G","year":"2004"},{"key":"ref14","series-title":"New tools for spatial data analysis: proceedings of the specialist meeting","volume-title":"Visualizing multivariate spatial correlation with dynamically linked windows","author":"Anselin L","year":"2002"},{"key":"ref15","series-title":"Guia de vigil\u00e2ncia em sa\u00fade","year":"2014"},{"key":"ref16","first-page":"71","article-title":"Altera\u00e7\u00f5es clim\u00e1ticas na Europa efeito nas doen\u00e7as parasit\u00e1rias humanas","volume":"27","author":"Abrantes P","year":"2009","journal-title":"Rev Port Sa\u00fade P\u00fablica"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"79","DOI":"10.11606\/issn.2316-9036.v0i107p79-90","article-title":"Mudan\u00e7as clim\u00e1ticas e sa\u00fade urbana","volume":"107","author":"Galati EAB","year":"2015","journal-title":"Rev USP"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1186\/1756-3305-7-278","article-title":"Effects of temperature and photoperiod on daily activity rhythms of Lutzomyia longipalpis (Diptera Psychodidae)","volume":"7","author":"Rivas GB","year":"2014","journal-title":"Parasit Vectors"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1038\/s41564-018-0125-7","article-title":"Sequential blood meals promote Leishmania replication and reverse metacyclogenesis augmenting vector infectivity","volume":"3","author":"Serafim TD","year":"2018","journal-title":"Nat Microbiol"},{"key":"ref20","first-page":"228","article-title":"Urbaniza\u00e7\u00e3o pela migra\u00e7\u00e3o em Aragua\u00edna (TO)","volume":"17","author":"Antero R","year":"2016","journal-title":"Caminhos de Geografia"},{"key":"ref21","first-page":"49","article-title":"Vulnerabilidade \u00e0 transmiss\u00e3o da leishmaniose visceral humana em \u00e1rea urbana brasileira","volume":"51","author":"Toledo RCS","year":"2017","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"299","DOI":"10.4081\/gh.2013.88","article-title":"Identification of environmental parameters and risk mapping of visceral leishmaniasis in Ethiopia by using geographical information systems and a statistical approach","volume":"7","author":"Tsegaw T","year":"2013","journal-title":"Geospat Health"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1590\/S0074-02762006000100007","article-title":"Epidemiology of visceral leishmaniasis through spatial analysis, in Belo Horizonte municipality, state of Minas Gerais, Brazil","volume":"101","author":"Margonari C","year":"2006","journal-title":"Mem Inst Oswaldo Cruz"},{"key":"ref24","article-title":"Relative risk of visceral leishmaniasis in Brazil a spatial analysis in urban area","volume":"7","author":"Ara\u00fajo VEM","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.actatropica.2010.11.007","article-title":"Phlebotominae fauna (Diptera Psychodidae) in an urban district of Belo Horizonte, Brazil, endemic for visceral leishmaniasis: characterization of favored locations as determined by spatial analysis","volume":"117","author":"Saraiva L","year":"2011","journal-title":"Acta Trop"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1590\/0037-8682-0099-2014","article-title":"Epidemiological and environmental aspects of visceral leishmaniasis in children under 15 years of age between 2007 and 2012 in the city of Aragua\u00edna, State of Tocantins, Brazil","volume":"47","author":"Oliveira IBB","year":"2014","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref27","first-page":"1","article-title":"Change in global climate and prevalence of visceral leishmaniasis","volume":"3","author":"Rajesh K","year":"2013","journal-title":"International Journal of Scientific and Research Publications"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"190","DOI":"10.7705\/biomedica.v20i3.1060","article-title":"Effects of temperature and diet on the growth and longevity of phlebotomine sand flies (Diptera Psychodidae)","volume":"20","author":"Guzm\u00e1n H","year":"2000","journal-title":"Biom\u00e9dica (Bogot\u00e1)"},{"key":"ref29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0178628","article-title":"Aspects of the ecology of phlebotomine sandflies (Diptera Psychodidae) in the Private Natural Heritage Reserve Sanctuary Cara\u00e7a","volume":"12","author":"Tonelli GB","year":"2017","journal-title":"PLoS One"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.actatropica.2015.04.002","article-title":"Epidemiological aspects of vector, parasite, and domestic reservoir in areas of recent transmission and no reported human cases of visceral leishmaniasis in Brazil","volume":"148","author":"Lara-Silva FO","year":"2015","journal-title":"Acta Trop"},{"key":"ref31","article-title":"Changing demographics of visceral leishmaniasis in northeast Brazil lessons for the future","volume":"12","author":"Lima ID","year":"2018","journal-title":"PLoS One"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1186\/s13071-017-2211-8","article-title":"Ecological parameters of the (S)-9-methylgermacrene-B population of the Lutzomyia longipalpis complex in a visceral leishmaniasis area in S\u00e3o Paulo state, Brazil","volume":"10","author":"Galvis-Ovallos F","year":"2017","journal-title":"Parasit Vectors"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1089\/vbz.2015.1866","article-title":"Environmental factors and ecosystems associated with canine visceral leishmaniasis in Northeastern Brazil","volume":"15","author":"Costa AP","year":"2015","journal-title":"Vector Borne Zoonotic Dis"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1590\/S0102-311X2009000700012","article-title":"Factors associated with the incidence of urban visceral leishmaniasis an ecological study in Teresina, Piau\u00ed State, Brazil","volume":"25","author":"Cerbino Neto J","year":"2009","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1590\/S1984-29612014068","article-title":"Ecology of Lutzomyia longipalpis and Lutzomyia migonei in an endemic area for visceral leishmaniasis","volume":"23","author":"Silva RA","year":"2014","journal-title":"Rev Bras Parasitol Vet"},{"key":"ref36","first-page":"1","article-title":"Os conflitos e as contradi\u00e7\u00f5es na aquisi\u00e7\u00e3o da moradia social nos enclaves de pobreza urbana no Brasil uma an\u00e1lise sobre a cidade de Aragua\u00edna-TO","volume":"2","author":"Vasconcelos Filho JM","year":"2011","journal-title":"Revista Geogr\u00e1fica de Am\u00e9rica Central"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1590\/S1415-790X2004000300011","article-title":"Leishmaniose visceral no Brasil quadro atual, desafios e perspectivas","volume":"7","author":"Gontijo C","year":"2004","journal-title":"Rev Bras Epidemiol"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.rse.2006.05.012","article-title":"Accuracy assessment of the processed SRTM-based elevation data by CGIAR using field data from USA and Thailand and its relation to the terrain characteristics","volume":"104","author":"Gorokhovich Y","year":"2006","journal-title":"Remote Sens Environ"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jag.2012.09.004","article-title":"Evaluation of vertical accuracy of open source Digital Elevation Model (DEM)","volume":"21","author":"Mukherjee S","year":"2013","journal-title":"Int J Appl Earth Obs Geoinf"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csp\/v35n1\/1678-4464-csp-35-01-e00047018.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T08:11:54Z","timestamp":1579853514000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2019000105004&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-311X2019000105004"],"URL":"https:\/\/doi.org\/10.1590\/0102-311x00047018","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e00047018"}}