Spatiotemporal evolution of dengue outbreaks in Brazil.

BACKGROUND: Dengue is a mosquito-borne febrile disease infecting millions of people worldwide. Identification of high-risk areas will allow public health services to concentrate their efforts in areas where outbreaks are most likely to occur. The present study focuses on describing the spatiotemporal evolution of dengue outbreaks in Brazil from 2000 to 2018. METHOD: To assess the pattern behaviour and spatiotemporal trend of dengue outbreaks, the non-parametric kernel estimator method and the Mann-Kendall test, respectively, were used. Bivariate global Moran's I statistic was used to test the spatial correlation between dengue outbreaks, temperature, precipitation and population data. RESULTS: Our results revealed that the transmission cycles of dengue outbreaks vary in different spatiotemporal scenarios, with intermittent periods of outbreaks. In the period of study, outbreak clusters were primarily concentrated in the Northeast region and the transmission of dengue extended throughout Brazil until 2018. The probability of occurrence of dengue outbreaks was higher in high temperatures. Further, these space-time fluctuations in the number of outbreaks in the different regions were probably related to the high mobility between the populations of these regions, circulating serotypes and susceptible populations. CONCLUSIONS: The distribution of dengue outbreaks is not random; it can be modified by socioeconomic and climatic moving boundaries.

The influence of urban heat islands and socioeconomic factors on the spatial distribution of Aedes aegypti larval habitats.

We addressed the potential associations among the temporal and spatial distribution of larval habitats of Aedes (Stegomyia) aegypti, the presence of urban heat islands and socioeconomic factors. Data on larval habitats were collected in Santa Bárbara d'Oeste, São Paulo, Brazil, from 2004 to 2006, and spatial and temporal variations were analysed using a wavelet-based approach. We quantified urban heat islands by calculating surface temperatures using the results of wavelet analyses and grey level transformation from Thematic Mapper images (Landsat 5). Ae. aegypti larval habitats were geo-referenced corresponding to the wavelet analyses to test the potential association between geographical distribution of habitats and surface temperature. In an inhomogeneous spatial point process, we estimated the frequency of occurrence of larval habitats in relation to temperature. The São Paulo State Social Vulnerability Index in the municipality of Santa Barbára d'Oeste was used to test the potential association between presence of larval habitats and social vulnerability. We found abundant Ae. aegypti larval habitats in areas of higher surface temperature and social vulnerability and fewer larval habitats in areas with lower surface temperature and social vulnerability.