01600nas a2200217 4500000000100000008004100001260001200042653002200054653001700076653002100093100001500114700001500129700002300144700001500167700001400182245013400196856006700330490000700397520096400404022001401368 2024 d c01/202410aNeglected disease10aEpidemiology10aTropical Climate1 aOliveira R1 aPimentel K1 aAlmeida-de-Souza F1 aPinheiro V1 aBezerra J00aMortality from neglected tropical diseases in the state of Maranhão, Brazil: a guidance for health planning in vulnerable areas. uhttps://www.scielo.br/j/bjb/a/n9Gp3WZ8Yq6PgpQPYbp6XJS/?lang=en0 v843 a

Neglected tropical diseases (NTD) are chronic infectious diseases affecting low-income populations (mainly in tropical and subtropical climates), characterized by high morbidity and low mortality. This study described the epidemiology of mortality from NTDs in the state of Maranhão, Brazil. Data from the Brazilian Mortality Information System evidenced 2,642 deaths from NTDs between 2001 and 2021; 31.13% were related to leishmaniasis (mainly the visceral form) and 20.82% to leprosy. A total of 211 municipalities in Maranhão had registered mortality due to NTDs. We identified, high-risk spatial and spatiotemporal conglomerates in the western and southern areas of Maranhão, comprising mostly municipalities with high social vulnerability and low human development. Integrated mapping of NTDs may allow the development of public intervention policies and is an important strategy to control and eliminate NTDs in the most affected populations.

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