{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:04:11Z","timestamp":1773288251230,"version":"3.50.1"},"reference-count":23,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,15]]},"abstract":"<p><bold>Objective.<\/bold> To describe the epidemiological aspects of an outbreak of yellow fever (YF) that occurred in the state of Esp\u00edrito Santo, Brazil, from 1 January 2017 \u2013 31 July 2017.<\/p>\n<p><bold>Methods.<\/bold> A descriptive, quantitative, retrospective approach analyzed secondary data obtained from the national notification systems, Information System of Diseases Notifications (SINAN), Laboratory Environment Manager (GAL), and the Esp\u00edrito Santo Health Secretariat (SESA).<\/p>\n<p><bold>Results.<\/bold> From 1 January 2017 \u2013 8 July 2017, a total of 824 cases were reported in Esp\u00edrito Santo, 307 (37%) of which were confirmed as YF. Of these, 95 (30.9%) died from the disease. Men were those most affected, corresponding to 244 (79.5%) cases, and women to 63 (20.5%) cases. The greatest incidence rate registered was in the city of Santa Leopoldina (380.2 cases\/100 000 inhabitants). The outbreak evolved rapidly and a response was possible due to a multidisciplinary group created specifically to tackle the YF outbreak.<\/p>\n<p><bold>Conclusions.<\/bold> The data were received and analyzed quickly and the response, consisting of immediate treatment of the cases and a blocking vaccination strategy, was developed to halt the progression of this fatal disease. In spite of these efforts, the case fatality rate of yellow fever remained high.<\/p>","DOI":"10.26633\/rpsp.2019.29","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T08:59:21Z","timestamp":1552381161000},"page":"1","source":"Crossref","is-referenced-by-count":9,"title":["Yellow fever outbreak in a rural-urban mixed community of Esp\u00edrito Santo, Brazil: epidemiological aspects"],"prefix":"10.26633","volume":"43","author":[{"given":"T\u00e1lib Moys\u00e9s","family":"Moussallem","sequence":"first","affiliation":[{"name":"Special Center for Epidemiological Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"},{"name":"talib_moussallem@hotmail.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Gava","sequence":"additional","affiliation":[{"name":"Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla Spandl","family":"Ardisson","sequence":"additional","affiliation":[{"name":"Center for Strategic Information and Responses in Health Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clemilda Soares","family":"Marques","sequence":"additional","affiliation":[{"name":"Center for Strategic Information and Responses in Health Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giselle Calmon","family":"Graceli","sequence":"additional","affiliation":[{"name":"Special Center for Epidemiological Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline da Penha","family":"Valadares Koski","sequence":"additional","affiliation":[{"name":"Special Center for Epidemiological Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilton Luiz","family":"Almada","sequence":"additional","affiliation":[{"name":"Center for Strategic Information and Responses in Health Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre Rodrigues da","family":"Silva","sequence":"additional","affiliation":[{"name":"D\u00f3rio Silva Hospital, Esp\u00edrito Santo State Health Secretariat, Serra, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Antonio Alves de","family":"Jesus","sequence":"additional","affiliation":[{"name":"D\u00f3rio Silva Hospital, Esp\u00edrito Santo State Health Secretariat, Serra, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilsa Aparecida Pimenta","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Health Surveillance Management, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa Cristina","family":"Cardoso da Silva","sequence":"additional","affiliation":[{"name":"Special Center for Epidemiological Surveillance, Esp\u00edrito Santo State Health Secretariat, Vit\u00f3ria, Esp\u00edrito Santo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Vasconcelos PFC. 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