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Evolution of Socioeconomic Conditions and Its Relation to Spatial–Temporal Changes of Giardiasis and Helminthiasis in Amazonian Children

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Abstract

This study analyzed the evolution of socioeconomic, sanitary, and personal factors as well as spatiotemporal changes in the prevalence of helminthiasis and giardiasis in urban Amazonian children between 2003 and 2011. Child age, lack of sanitation, and lack of access to bottled water were identified as significant associated factors for helminthiasis and giardiasis. There was an overall improvement in socioeconomic and sanitary conditions in the city resulting in decreased helminth prevalences from 12.42 to 9.63% between 2003 and 2010, but the prevalence increased to 15.03% in 2011 due to migratory movement and unstable sanitary conditions. As for Giardiasis, socioeconomic and environmental changes were not enough to reduce prevalence (16% in 2003 and 23% in 2011). Spatial analysis identified a significant cluster for helminthiasis in an area of poor housing conditions. Control programs in the Amazon need to target high-risk areas focusing changes in sanitation, water usage, and health education.

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Acknowledgments

We thank the population and the local health and government authorities in both cities for their help. This study received financial aid from the UFAC (Brazil) and FUNTAC (Programa Pesquisa para o SUS Edital MS/CNPq/FDCT-FUNTAC/SESACRE n. 01/09 and 01/10, Programa Primeiros Projetos FUNTAC/MCT/CNPq/CT-INFRA/n. 001/2010) and support from the UFAC Master Program in Public Health. Research fellowships were awarded by CNPq, UFAC, DECIT, and CAPES-Reuni.

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Authors and Affiliations

  1. Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, BR 364 km 04, Rio Branco, Acre, Cep 69919-769, Brazil

    B. M. Delfino, R. G. Campos, T. M. Pereira, S. A. S. Mantovani, H. Oliart-Guzmán, A. C. Martins, A. M. Braña, F. L. C. C. Branco, J. A. Filgueira-Júnior, A. P. Santos, T. S. Araújo, C. S. M. Oliveira, A. A. Ramalho, P. T. Muniz & M. da Silva-Nunes

  2. Programa de Computação Científica, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, Brazil

    C. T. Codeço

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  1. B. M. Delfino
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  2. R. G. Campos
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  3. T. M. Pereira
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  4. S. A. S. Mantovani
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  5. H. Oliart-Guzmán
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  8. F. L. C. C. Branco
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  9. J. A. Filgueira-Júnior
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  10. A. P. Santos
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  12. C. S. M. Oliveira
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  13. A. A. Ramalho
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  14. P. T. Muniz
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  15. C. T. Codeço
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Correspondence to M. da Silva-Nunes.

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Delfino, B.M., Campos, R.G., Pereira, T.M. et al. Evolution of Socioeconomic Conditions and Its Relation to Spatial–Temporal Changes of Giardiasis and Helminthiasis in Amazonian Children. EcoHealth 13, 743–760 (2016). https://doi.org/10.1007/s10393-016-1167-z

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