Use este identificador para citar ou linkar para este item: http://repositorio.bc.ufg.br/handle/ri/16703
Tipo do documento: Artigo
Título: Modelling the force of infection for hepatitis A in an urban population-based survey: a comparison of transmission patterns in brazilian macro-regions
Autor: Ximenes, Ricardo Arraes de Alencar
Martelli, Celina Maria Turchi
Amaku, Marcos
Sartori, Ana Marli Christovam
Soárez, Patricia Coelho de
Novaes, Hillegonda Maria Dutilh
Pereira, Leila Maria Moreira Beltrão
Moreira, Regina Célia
Figueiredo, Gerusa Maria
Azevedo, Raymundo Soares de
Abstract: Background: This study aimed to identify the transmission pattern of hepatitis A (HA) infection based on a primary dataset from the Brazilian National Hepatitis Survey in a pre-vaccination context. The national survey conducted in urban areas disclosed two epidemiological scenarios with low and intermediate HA endemicity. Methods: A catalytic model of HA transmission was built based on a national seroprevalence survey (2005 to 2009). The seroprevalence data from 7,062 individuals aged 5–69 years from all the Brazilian macro-regions were included. We built up three models: fully homogeneous mixing model, with constant contact pattern; the highly assortative model and the highly assortative model with the additional component accounting for contacts with infected food/water. Curves of prevalence, force of infection (FOI) and the number of new infections with 99% confidence intervals (CIs) were compared between the intermediate (North, Northeast, Midwest and Federal District) and low (South and Southeast) endemicity areas. A contour plot was also constructed. Results: The anti- HAV IgG seroprevalence was 68.8% (95% CI, 64.8%–72.5%) and 33.7% (95% CI, 32.4%–35.1%) for the intermediate and low endemicity areas, respectively, according to the field data analysis. The models showed that a higher force of infection was identified in the 10- to 19-year-old age cohort (,9,000 infected individuals per year per 100,000 susceptible persons) in the intermediate endemicity area, whereas a higher force of infection occurred in the 15- to 29-year-old age cohort (,6,000 infected individuals per year per 100,000 susceptible persons) for the other macro-regions. Conclusion: Our findings support the shift of Brazil toward intermediate and low endemicity levels with the shift of the risk of infection to older age groups. These estimates of HA force of infection stratified by age and endemicity levels are useful information to characterize the pre-vaccination scenario in Brazil.
País: Estados unidos
Unidade acadêmica: Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG)
Citação: XIMENES, Ricardo Arraes de Alencar et al. Modelling the force of infection for hepatitis A in an urban population-based survey: a comparison of transmission patterns in brazilian macro-regions. Plos One, San Francisco, v. 9, n. 5, p. e94622, 2014.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1371/journal.pone.0094622
Identificador do documento: 10.1371/journal.pone.0094622
URI: http://repositorio.bc.ufg.br/handle/ri/16703
Data de publicação: 20-Mai-2014
Aparece nas coleções:IPTSP - Artigos publicados em periódicos

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