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Peer reviewedOpen accessLeptospirosis

Spatial and temporal dynamics of leptospirosis in South Brazil: A forecasting and nonlinear regression analysis

PLOS Neglected Tropical Diseases·

Alessandra Jacomelli Teles, Bianca Conrad Bohm, Suellen Caroline Matos Silva, Nádia Campos Pereira Bruhn, Fábio Raphael Pascoti Bruhn

DOI
10.1371/journal.pntd.0011239
PMID
PMCID
OpenAlex
W4365482859
Study type
Ecological study
Publisher
Public Library of Science (PLoS)
Article type
journal-article
Integrity
current

Why this research matters now

The predictive model can serve as a tool for epidemiological analysis and healthcare service planning. The spatial and temporal clustering findings underscore the need for intersectoral surveillance and community control policies addressing municipal disparities in Brazil.

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Structured evidence summary

Research question

The study examined spatial and temporal patterns of leptospirosis cases in South Brazil to identify transmission trends, high-risk areas, and to develop a predictive model for disease incidence.

Study design

Ecological study analyzing leptospirosis cases across 497 municipalities in Rio Grande do Sul, Brazil, from 2007 to 2019. Time series analysis used generalized additive models and seasonal autoregressive integrated moving average (SARIMA) models, with spatial analysis applying hotspot density techniques.

Population and setting

The study covered all 497 municipalities in the state of Rio Grande do Sul, South Brazil, focusing on the Centro Oriental Rio Grandense and metropolitan Porto Alegre mesoregions where the highest incidence was recorded.

Main findings

Highest incidence occurred in the Centro Oriental Rio Grandense and metropolitan Porto Alegre mesoregions, identified as high-risk clusters. Temporal peaks were observed in 2011, 2014, and 2019. The SARIMA model predicted declining incidence in early 2020 followed by an increase in the latter half of the year.

Public-health relevance

The predictive model can serve as a tool for epidemiological analysis and healthcare service planning. The spatial and temporal clustering findings underscore the need for intersectoral surveillance and community control policies addressing municipal disparities in Brazil.

Important limitations

This summary is limited to the supplied single-article abstract and metadata. The original paper is required for decision-grade interpretation, including assessment of model validation, data quality, generalizability, and methodological constraints.

GIDS interpretation

This peer-reviewed ecological study provides methods for identifying geographic and temporal patterns of leptospirosis in endemic settings. The disease classification, geographic metadata, and surveillance-relevant topics facilitate discovery in literature searches related to zoonotic disease monitoring and spatial epidemiology in Brazil.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 8 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topichas pathogen typestudied instudied population settinguses study design