Author:
de Aguiar Pontes Pamplona Ysabely,do Nascimento Anderson Marcos Vieira,de Olinda Ricardo Alves,Barbieri Carolina Luisa Alves,Braga Alfésio Luís Ferreira,Martins Lourdes Conceição
Abstract
Abstract
Background
Measles is a contagious viral disease that seriously affects children. The measles vaccine is widely recommended in Brazil and in the world; however, the disease remains relevant for the health authorities. The aim of the present study was to evaluate first and second dose of measles vaccine coverage (VC) in the cities of São Paulo and its spatial dynamics between 2015 and 2020. Method: In this mixed-type ecological study, we used secondary, public domain data from 2015 to 2020, extracted from the Digital Information System of the National Immunization Program, Mortality Information System and the National Live Birth Information System. After calculating the VC, the following four categories were created: very low, low, adequate, and high, and the spatial autocorrelation of VC was analyzed using the Global and Local Moran’s statistics.
Results
A steady decline in adherence to the vaccination was observed, which dynamically worsened until 2020, with a high number of cities fitting the classification of ineffective coverage and being potentially harmful to the effectiveness of the immunization activities of their neighbors.
Conclusion
A direct neighborhood pattern was observed between the units with low vaccination coverage, which implied that the reduction in measles VC was somehow related to and negatively influenced by the geographic location and social culture of these areas.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference29 articles.
1. BRASIL. Epidemiological surveillance of measles in Brazil–epidemiological weeks 1 to 52 of 2021. v. Vol. 53, [s.d.]; 2022.
2. Waldman EA, Sato APS. Path of infectious diseases in Brazil in the last 50 years: an ongoing challenge. Rev Saude Publica. 2016;50:68. https://doi.org/10.1590/S1518-8787.2016050000232.
3. Souza LG, Pereira DE, MC. Evolution of the measles outbreak in Brazil and the combat and prevention actions practiced. JRG J Acad Stud. 2020;3:230–47.
4. Nunes DM, Menezes FC, Igansi CN, Araújo WN, Segatto TC, Costa KC, et al. MMR and MMR vaccine coverage survey and factors associated with non-vaccination in Santa Maria, Distrito Federal, Brasil, 2012. Rev Pan Amaz Saúde, Ananindeua. 2018;9:9–17.
5. Temporão JG. Brazil’s national immunization program: origins and development. [História, ciências, saúde—Manguinhos]. Hist Cienc Saúde Manguinhos. 2003;10:601–17. https://doi.org/10.1590/S0104-59702003000500008.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献