Your browser doesn't support javascript.
loading
Neighborhood Violence Impacts Disease Control and Surveillance: Case Study of Cali, Colombia from 2014 to 2016.
Krystosik, Amy R; Curtis, Andrew; LaBeaud, A Desiree; Dávalos, Diana M; Pacheco, Robinson; Buritica, Paola; Álvarez, Álvaro A; Bhatta, Madhav P; Rojas Palacios, Jorge Humberto; James, Mark A.
Afiliación
  • Krystosik AR; Department of Pediatrics, Division of Infectious Disease, Stanford University, Grant Building, S 374, 300 Pasteur Drive, Stanford, CA 94305-5208, USA. akrystos@stanford.edu.
  • Curtis A; Department of Biostatistics, Environmental Health Sciences, and Epidemiology, College of Public Health, Kent State University, Kent, OH 44240, USA. akrystos@stanford.edu.
  • LaBeaud AD; Department of Geography, the GIS, Health & Hazards Lab, Kent State University, Kent, OH 44240, USA. acurti13@kent.edu.
  • Dávalos DM; Department of Pediatrics, Division of Infectious Disease, Stanford University, Grant Building, S 374, 300 Pasteur Drive, Stanford, CA 94305-5208, USA. dlabeaud@stanford.edu.
  • Pacheco R; Department of Public Health and Community Medicine, Universidad Icesi, Cali 760031, Colombia. dmdavalos@icesi.edu.co.
  • Buritica P; Department of Public Health and Community Medicine, Universidad Icesi, Cali 760031, Colombia. robinson.pacheco.73@gmail.com.
  • Álvarez ÁA; Grupo de Investigación en Epidemiología y Servicios, Universidad Libre, Cali 760031, Colombia. robinson.pacheco.73@gmail.com.
  • Bhatta MP; Grupo de Investigación en Epidemiología y Servicios, Universidad Libre, Cali 760031, Colombia. p3107@hotmail.com.
  • Rojas Palacios JH; Caucaseco Scientific Research Center, Cali 760031, Colombia. alvaro1@stanford.edu.
  • James MA; Stanford University School of Medicine Research IRT, 3172 Porter Drive, Stanford, CA 94305-5208, USA. alvaro1@stanford.edu.
Int J Environ Res Public Health ; 15(10)2018 09 29.
Article en En | MEDLINE | ID: mdl-30274270
Arboviruses are responsible for a large burden of disease globally and are thus subject to intense epidemiological scrutiny. However, a variable notably absent from most epidemiological analyses has been the impact of violence on arboviral transmission and surveillance. Violence impedes surveillance and delivery of health and preventative services and affects an individual's health-related behaviors when survival takes priority. Moreover, low and middle-income countries bear a disproportionately high burden of violence and related health outcomes, including vector borne diseases. To better understand the epidemiology of arboviral outbreaks in Cali, Colombia, we georeferenced chikungunya (CHIKV), dengue (DENV), and Zika (ZIKV) viral cases from The National System of Surveillance in Public Health between October 2014 and April 2016. We extracted homicide data from the municipal monthly reports and kernel density of homicide distribution from IdeasPaz. Crucially, an overall higher risk of homicide is associated with increased risk of reported DENV, lower rates of acute testing, and higher rates of lab versus clinical discordance. In the context of high violence as a potential barrier to access to preventive health services, a community approach to improve health and peace should be considered.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arbovirus / Violencia / Brotes de Enfermedades / Transmisión de Enfermedad Infecciosa / Dengue / Fiebre Chikungunya Tipo de estudio: Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Colombia Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arbovirus / Violencia / Brotes de Enfermedades / Transmisión de Enfermedad Infecciosa / Dengue / Fiebre Chikungunya Tipo de estudio: Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Colombia Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza