{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:39:45Z","timestamp":1784543985910,"version":"3.55.0"},"reference-count":17,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. J. Biol."],"abstract":"<jats:p>Abstract Tuberculosis is a critical public health challenge in Brazil, with the state of Par\u00e1 reporting high incidence rates driven by social inequalities, rapid urbanization, and adverse climatic conditions. This study analyzes the epidemiology of tuberculosis in the Metropolitan Region of Bel\u00e9m from 2018 to 2022, correlating social and environmental determinants with the impacts of climate change. Georeferenced data, temporal analysis, and predictive modeling were employed to identify epidemiological patterns and high-incidence clusters. Bel\u00e9m accounted for 60.1% of cases in the region, highlighting the influence of population density and socioeconomic vulnerabilities exacerbated by extreme climatic events. The findings underscore the need to integrate public policies and sustainability, emphasizing COP30 as an opportunity to catalyze both local and global actions.<\/jats:p>","DOI":"10.1590\/1519-6984.293623","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T22:26:21Z","timestamp":1744842381000},"source":"Crossref","is-referenced-by-count":2,"title":["Impact of climate change and social determinants on the spatial and epidemiological distribution of tuberculosis in the state of Par\u00e1: a perspective for COP 30"],"prefix":"10.1590","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4895-0059","authenticated-orcid":false,"given":"G.A.","family":"Tavares-Coh\u00e9n","sequence":"first","affiliation":[{"name":"Universidade Federal do Par\u00e1,  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Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6641-4618","authenticated-orcid":false,"given":"M.P.","family":"Moreira-Sena","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7714-9700","authenticated-orcid":false,"given":"B.C.","family":"Brito-Alves","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4987-6588","authenticated-orcid":false,"given":"U.G.","family":"El-Awar","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1,  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Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9363-5766","authenticated-orcid":false,"given":"L.W.","family":"Pereira-Sena","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1,  Brasil; Universidade Federal do Par\u00e1,  Brasil; Universidade Federal do Sul e Sudeste do Par\u00e1,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1186\/s12916-021-02063-9","article-title":"Tuberculosis related disability: a systematic review and meta-analysis","volume":"19","author":"ALENE K.A.","year":"2021","journal-title":"BMC Medicine"},{"key":"ref2","series-title":"Manual de recomenda\u00e7\u00f5es para o controle da tuberculose no 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between latent Mycobacterium tuberculosis infection and Venezuelan migrants","author":"ZAMBONIN F.","year":"2024"}],"container-title":["Brazilian Journal of Biology"],"original-title":["Impacto das mudan\u00e7as clim\u00e1ticas e dos determinantes sociais na distribui\u00e7\u00e3o espacial e epidemiol\u00f3gica da tuberculose no estado do Par\u00e1: uma perspectiva para a COP 30"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1519-69842025000100155&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T22:26:24Z","timestamp":1744842384000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1519-69842025000100155&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":17,"alternative-id":["S1519-69842025000100155"],"URL":"https:\/\/doi.org\/10.1590\/1519-6984.293623","relation":{},"ISSN":["1678-4375","1519-6984"],"issn-type":[{"value":"1678-4375","type":"electronic"},{"value":"1519-6984","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e293623"}}