Evidence map›Paper›PMID 42138871›Full record

ArticleRevista brasileira de epidemiologia = Brazilian journal of epidemiology2026

Spatial and temporal distribution of Brazilian spotted fever in an endemic area: epidemiological profile of a zoonosis in constant adaptation to anthropogenic actions.

Jardel Brasil, Adriano Pinter, Rodrigo Nogueira Angerami, Maria Rita Donalisio

Abstract read
In one paragraph

Article in Revista brasileira de epidemiologia = Brazilian journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jardel BrasilHealth Surveillance Unit, Health Secretariat of Americana, Americana, SP, Brazil.ORCID http://orcid.org/0000-0002-9536-5314
Adriano PinterSchool of Veterinary Medicine and Animal Science, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-4596-3268
Rodrigo Nogueira AngeramiGraduate Program in Public Health, Universidade Estadual de Campinas, Campinas, SP, Brazil.ORCID http://orcid.org/0000-0002-4976-9238
Maria Rita DonalisioGraduate Program in Public Health, Universidade Estadual de Campinas, Campinas, SP, Brazil.ORCID http://orcid.org/0000-0003-4457-9897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the spatial and temporal distribution of probable infection sites (PIS) for Brazilian spotted fever (BSF) and to evaluate changes in the occurrence pattern in an endemic area in the interior of the state of São Paulo.

methodsA cross-sectional study was conducted with 40 confirmed cases of BSF (2007-2024) with identified PIS in the municipality of Americana, São Paulo. Data were obtained from the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação), epidemiological investigation reports, and acarological surveys. For each georeferenced PIS, data on microclimate, altimetry, slope, Normalized Difference Vegetation Index (NDVI), and proximity to water bodies were analyzed.

resultsCases were atypically concentrated in the first half of the year, differing from the expected pattern for areas of transmission by Amblyomma sculptum, influenced by the outbreak recorded in 2018. PIS were concentrated near water bodies, in areas of degraded riparian forest and microclimates characterized by mild temperatures and high humidity, with low NDVI values, low altitude, and low slope. Spatial clustering was observed, along with an expansion of transmission toward urbanized areas over the study period: initially (2007-2015, nine cases) in the northern/northeastern portion of the municipality, in bordering regions, and more recently (2016-2024, 25 cases) advancing toward central areas, with the formation of large clusters.

conclusionThe findings indicate an eco-epidemiological alert scenario associated with the proximity between high densities of vectors, amplifying hosts, and human populations, reinforcing the need for intensified surveillance and targeted health education starting in the second quarter of the year.

Indexed as

Endemic DiseasesRocky Mountain Spotted FeverZoonosesAnimalsBrazilCross-Sectional StudiesFemaleHumansSpatio-Temporal Analysis

Identifiers

PMID42138871
PMCPMC13159492

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.