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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2237-9622
Abstract
PAVINATI, Gabriel; LIMA, Lucas Vinícius de; PALMIERI, Isadora Gabriella Silva and MAGNABOSCO, Gabriela Tavares. Distribution and spatial autocorrelation of viral hepatitis B and C in Paraná, Brazil: an ecological study, 2011-2019. Epidemiol. Serv. Saúde [online]. 2023, vol.32, n.2, e2022888. Epub July 19, 2023. ISSN 1679-4974. http://dx.doi.org/10.1590/s2237-96222023000200015.
Objective:
to analyze the distribution and spatial autocorrelation of hepatitis B and C detection rates in the state of Paraná, Brazil.
Methods:
this was an ecological study of hepatitis B and C notifications held on the Notifiable Health Conditions Information System, between 2011 and 2019. Percentage change in detection rates between the first and last three-year periods was estimated. Spatial autocorrelation was analyzed using Moran’s index.
Results:
there were 16,699 notifications of hepatitis B, with a greater reduction in detection in the North (-30.0%) and Northwest (-25.9%) macro-regions. There were clusters of high occurrence in the Foz do Iguaçu, Francisco Beltrão and Cascavel regions between 2011 and 2019. There were 10,920 notifications of hepatitis C, with a greater reduction in detection in the Northwest macro-region (-18.9%) and an increase in the West (51.1%). The Paranaguá region recorded a high detection cluster between 2011 and 2016.
Conclusion:
hepatitis B and C showed heterogeneous distribution between health regions.
Keywords : Hepatitis B; Hepatitis C; Ecological Studies; Spatial Analysis.