{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T03:26:41Z","timestamp":1778210801013,"version":"3.51.4"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>ABSTRACT  OBJECTIVE  To analyze the determinants for the occurrence of human visceral leishmaniasis linked to the conditions of vulnerability.  METHODS  This is an ecological study, whose spatial analysis unit was the Territorial Analysis Unit in Aragua\u00edna, State of Tocantins, Brazil, from 2007 to 2012. We have carried out an analysis of the sociodemographic and urban infrastructure situation of the municipality. Normalized primary indicators were calculated and used to construct the indicators of vulnerability of the social structure, household structure, and urban infrastructure. From them, we have composed a vulnerability index. Kernel density estimation was used to evaluate the density of cases of human visceral leishmaniasis, based on the coordinates of the cases. Bivariate global Moran\u2019s I was used to verify the existence of spatial autocorrelation between the incidence of human visceral leishmaniasis and the indicators and index of vulnerability. Bivariate local Moran\u2019s I was used to identify spatial clusters.  RESULTS  We have observed a pattern of centrifugal spread of human visceral leishmaniasis in the municipality, where outbreaks of the disease have progressively reached central and peri-urban areas. There has been no correlation between higher incidences of human visceral leishmaniasis and worse living conditions. Statistically significant clusters have been observed between the incidences of human visceral leishmaniasis in both periods analyzed (2007 to 2009 and 2010 to 2012) and the indicators and index of vulnerability.  CONCLUSIONS  The environment in circumscribed areas helps as protection factor or increases the local vulnerability to the occurrence of human visceral leishmaniasis. The use of methodology that analyzes the conditions of life of the population and the spatial distribution of human visceral leishmaniasis is essential to identify the most vulnerable areas to the spread\/maintenance of the disease.<\/jats:p>","DOI":"10.1590\/s1518-8787.2017051006532","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T19:50:17Z","timestamp":1494964217000},"source":"Crossref","is-referenced-by-count":17,"title":["Vulnerability to the transmission of human visceral leishmaniasis in a Brazilian urban area"],"prefix":"10.1590","volume":"51","author":[{"given":"Celina Roma S\u00e1nchez de","family":"Toledo","sequence":"first","affiliation":[{"name":"Secretaria Municipal de Sa\u00fade do Rio de Janeiro,  Brasil"}]},{"given":"Andr\u00e9a Sobral de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Sergio Augusto de Miranda","family":"Chaves","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Paulo Chagastelles","family":"Sabroza","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Luciano Medeiros","family":"Toledo","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Jefferson Pereira","family":"Caldas","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]}],"member":"530","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.4269\/ajtmh.2011.10-0325","article-title":"Identification of risk areas for visceral leishmaniasis in Teresina, Piaui State, Brazil","volume":"84","author":"Almeida AS","year":"2011","journal-title":"Am J Trop Med Hyg"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","DOI":"10.1186\/1476-072X-13-13","article-title":"Prediction of 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