Analysis of the process of malaria transmission elimination with a spatial approach to incidence variation in the Brazilian Amazon, 2016* * This article is derived a postdoctoral fellowship research conclusion paper entitled 'Implementation and evaluation of the Malaria Incidence Monitoring System (SIMAM) in the Amazon Region: a look at vulnerable populations', presented by Rui Moreira Braz to the Health Information and Communication Postgraduate Program, of the Oswaldo Cruz Foundation 'Brazil without Misery' Postdoctoral Course, in 2017.

Rui Moreira Braz Christovam Barcellos About the authors

Abstract

Objective:

to identify areas where malaria transmission has been eliminated and levels of malaria incidence variation in the Brazilian Amazon in 2016, and to present an indicator of priorities for control actions.

Methods:

an ecological study was conducted with data from the Malaria Epidemiological Surveillance Information System (Sivep-Malaria); municipalities were classified into three groups - elimination achieved, in the process of elimination and in search of reduction -; a composite indicator was created to stratify municipalities prioritized for control actions.

Results:

a total of 337 (41.7%) municipalities were found to have achieved elimination, 398 (49.3%) were in the process of elimination and 73 (9.0%) were in search of reduction; the priority indicator created identified 71 municipalities that accounted for 95% of cases.

Conclusion:

the vast majority of municipalities have already achieved elimination of malaria transmission or are in the process of eliminating transmission; the priority indicator may contribute to targeting malaria control actions.

Keywords:
Malaria; Monitoring; Spatial Analysis; Ecological Studies

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