<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742022000100314</article-id>
<article-id pub-id-type="doi">10.1590/s1679-49742022000100013</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Leishmaniose visceral no Piauí, 2007-2019: análise ecológica de séries temporais e distribuição espacial de indicadores epidemiológicos e operacionais]]></article-title>
<article-title xml:lang="es"><![CDATA[Leishmaniasis visceral en Piauí, Brasil, 2007-2019: análisis ecológico de series temporales y distribución espacial de indicadores epidemiológicos y operativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Visceral leishmaniasis in Piauí, Brazil, 2007-2019: an ecological time series analysis and spatial distribution of epidemiological and operational indicators]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaves]]></surname>
<given-names><![CDATA[André Felipe de Castro Pereira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Igor Vinícius Soares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[Matheus Oliveira de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa Neto]]></surname>
<given-names><![CDATA[Francisco Aragão de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascarenhas]]></surname>
<given-names><![CDATA[Márcio Dênis Medeiros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Piauí Centro de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Estadual do Piauí Centro de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal do Piauí Centro de Inteligência em Agravos Tropicais Emergentes e Negligenciados ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742022000100314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742022000100314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742022000100314&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo  Analisar indicadores epidemiológicos e operacionais, a tendência temporal e a distribuição espacial da leishmaniose visceral (LV), bem como a coinfecção LV-HIV no estado do Piauí, Brasil, no período de 2007 a 2019.  Métodos  Estudo ecológico de séries temporais. Empregou-se a regressão de Prais-Winsten para analisar a tendência da incidência, letalidade e indicadores operacionais da LV.  Resultados  A incidência média de LV no estado foi de 6,03/100 mil habitantes, com tendência crescente na faixa de 40-59 anos [variação percentual anual (VPA) = 3,88; IC95% 0,49;7,40]; e nas regiões localizadas ao sul do estado: Tabuleiros do Alto Parnaíba (VPA = 14,19; IC95% 3,91;25,50); e Chapada das Mangabeiras (VPA = 12,15; IC95% 6,69;24,96). A letalidade média foi de 6,02%, mantendo-se estável. A taxa média de evolução para cura foi de 52,58%, com tendência decrescente (VPA = -5,67; IC95% -8,05;-3,23).  Conclusão  Houve tendência de aumento na incidência e de redução na taxa de cura da leishmaniose visceral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo  Analizar los indicadores epidemiológicos y operativos, la tendencia temporal y la distribución espacial de la leishmaniasis visceral (LV), así como la coinfección LV-VIH el estado de Piauí, Brasil, de 2007 a 2019.  Métodos  Estudio ecológico de series temporales ecológicas. Se utilizó la regresión de Prais-Winsten para analizar la tendencia en indicadores de incidencia, letalidad y operacional del LV.  Resultados  La incidencia media de LV em estado fue de 6,03/100 mil habitantes, con tendencia creciente en grupos de 40 a 59 años [variación porcentual anual (VPA) = 3,88; IC95% 0,49;7,40] y en regiones ubicadas al sur del estado: Tabuleiros do Alto Parnaíba (VPA = 14,19; IC95% 3,91;25,50) y Chapada das Mangabeiras (VPA = 12,15; IC95% 6,69;24,96). La letalidad promedio fue de 6,02%, permaneciendo estable. La tasa media de evolución a la cura fue 52,58%, con tendencia decreciente (VPA = -5,67; IC95% -8,05; -3,23).  Conclusión  Hubo tendencia de aumento en la incidencia y reducción en la tasa de cura de LV.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective  To analyze epidemiological and operational indicators, the temporal trend and spatial distribution of visceral leishmaniasis (VL), as well as VL-HIV co-infection in the state of Piauí, Brazil, from 2007 to 2019.  Methods  This was an ecological time series study. Prais-Winsten regression was used to analyze the trend of VL incidence, case fatality ratio and operational indicators.  Results  Mean VL incidence in the state was 6.03/100,000 inhabitants, with a rising trend in the 40-59 age group [annual percent change (APC) = 3.88; 95%CI 0.49;7.40] and in the regions located in the south of the state: Tabuleiros do Alto Parnaíba (APC = 14.19; 95%CI 3.91;25.50) and Chapada das Mangabeiras (APC = 12.15; 95%CI 6.69;24.96). Mean case fatality ratio was 6.02% and it remained stable. The mean rate of progression to cure was 52.58%, with a falling trend (APC = -5.67; 95%CI -8.05; -3.23).  Conclusion  There was rising trend in VL incidence and a falling trend in its cure rate.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Leishmaniose Visceral]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia]]></kwd>
<kwd lng="pt"><![CDATA[Indicadores de Morbimortalidade]]></kwd>
<kwd lng="pt"><![CDATA[Notificação de Doenças]]></kwd>
<kwd lng="pt"><![CDATA[Sistemas de Informação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Estudos de Séries Temporais]]></kwd>
<kwd lng="es"><![CDATA[Leishmaniasis Visceral]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Indicadores de Morbimortalidad]]></kwd>
<kwd lng="es"><![CDATA[Notificación de Enfermedades]]></kwd>
<kwd lng="es"><![CDATA[Sistemas de Información en Salud]]></kwd>
<kwd lng="es"><![CDATA[Estudios de Series Temporales]]></kwd>
<kwd lng="en"><![CDATA[Leishmaniasis, Visceral]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Indicators of Morbidity and Mortality]]></kwd>
<kwd lng="en"><![CDATA[Disease Notification]]></kwd>
<kwd lng="en"><![CDATA[Health Information Systems]]></kwd>
<kwd lng="en"><![CDATA[Time Series Studies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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