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BackgroundBrazil is a tropical country that is largely covered by rainforests and other natural ecosystems, which provide ideal conditions for the existence of many arboviruses. However, few analyses have examined the associations between environmental factors and arboviral diseases. Thus, based on the hypothesis of correlation between environment and epidemiology, the proposals of this study were (1) to obtain the probability of occurrence of Oropouche, Mayaro, Saint Louis and Rocio fevers in Brazil based on environmental conditions corresponding to the periods of occurrence of the outbreaks; (2) to describe the macroclimatic scenario in Brazil in the last 50 years, evaluating if there was any detectable tendency to increase temperatures and (3) to model future expansion of those arboviruses in Brazil based on future temperature projections.Methodology/Principal findingsOur model assessed seven environmental factors (annual rainfall, annual temperature, elevation, seasonality of temperature, seasonality of precipitation, thermal amplitude, and daytime temperature variation) for their association with the occurrence of outbreaks in the last 50 years. Our results suggest that various environmental factors distinctly influence the distribution of each arbovirus, with temperature being the central determinant of disease distribution in all high-risk areas. These areas are subject to change, since the average temperature of some areas has increased significantly over the time.Conclusions/SignificanceThis is the first spatio-temporal study of the Oropouche, Mayaro, Saint Louis, and Rocio arboviruses, and our results indicate that they may become increasingly important public health problems in Brazil. Thus, next studies and control programs should include these diseases and also take into consideration key environmental elements.

The analysis of the influence of edaphic finer textures, as a facilitating factor for the expansion of forest formations in the absence of fire, was possible thanks to rare characteristics found in a savanna fragment located in the State of São Paulo, Brazil. The total suppression of fire for over four decades, and the occurrence of two savanna physiognomies, cerrado sensu stricto and cerradão, allowed the conduction of this study based on the hypothesis that cerradão, a physiognomy of forest aspect consisting of fire-sensitive tree and shrubs species, is favored by fire absence and higher soil hydric retention capacity. Edaphic samples were collected from a regular grid of 200 m 2 for the production of isopletic maps of the distribution of clay, fine sand, coarse sand and silt edaphic textures by the geostatistic method of ordinary kriging. Changes in the areas occupied by both savanna physiognomies, defined on the basis of aerial photographs taken over a period of 43 years, were assessed through mean variation rates. Besides corroborating the hypothesis of edaphic hydric retention as a facilitating factor for the expansion of forest physiognomies in savanna areas, we were able to infer the positive influence of higher precipitation on the increase in cerradão expansion rates.

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Introduction: Brazil experiences a large number of visceral leishmaniasis (VL) cases. Our objective was to examine both spatial patterns of dispersion and space-time trends for this disease. Methods: We used all autochthonous confirmed cases of VL in Brazil from 2001 to 2017. Results: Throughout Brazil, 53,715 human cases of VL were recorded. The Northeast, Southeast, and Midwest regions of Brazil were the most affected areas and presented a higher risk of transmission. Regarding spatiotemporal variation, significant differences were observed each year, with a peak in 2005. Conclusions: The dynamics of VL showed a clear non-random pattern of spread in Brazil.

Background Dengue is a mosquito-borne febrile disease infecting millions of people worldwide. Identification of high-risk areas will allow public health services to concentrate their efforts in areas where outbreaks are most likely to occur. The present study focuses on describing the spatiotemporal evolution of dengue outbreaks in Brazil from 2000 to 2018. Method To assess the pattern behaviour and spatiotemporal trend of dengue outbreaks, the non-parametric kernel estimator method and the Mann–Kendall test, respectively, were used. Bivariate global Moran's I statistic was used to test the spatial correlation between dengue outbreaks, temperature, precipitation and population data. Results Our results revealed that the transmission cycles of dengue outbreaks vary in different spatiotemporal scenarios, with intermittent periods of outbreaks. In the period of study, outbreak clusters were primarily concentrated in the Northeast region and the transmission of dengue extended throughout Brazil until 2018. The probability of occurrence of dengue outbreaks was higher in high temperatures. Further, these space-time fluctuations in the number of outbreaks in the different regions were probably related to the high mobility between the populations of these regions, circulating serotypes and susceptible populations. Conclusions The distribution of dengue outbreaks is not random; it can be modified by socioeconomic and climatic moving boundaries.

We addressed the potential associations among the temporal and spatial distribution of larval habitats of Aedes (Stegomyia) aegypti, the presence of urban heat islands and socioeconomic factors. Data on larval habitats were collected in Santa Bárbara d'Oeste, São Paulo, Brazil, from 2004 to 2006, and spatial and temporal variations were analysed using a wavelet-based approach. We quantified urban heat islands by calculating surface temperatures using the results of wavelet analyses and grey level transformation from Thematic Mapper images (Landsat 5). Ae. aegypti larval habitats were geo-referenced corresponding to the wavelet analyses to test the potential association between geographical distribution of habitats and surface temperature. In an inhomogeneous spatial point process, we estimated the frequency of occurrence of larval habitats in relation to temperature. The São Paulo State Social Vulnerability Index in the municipality of Santa Barbára d'Oeste was used to test the potential association between presence of larval habitats and social vulnerability. We found abundant Ae. aegypti larval habitats in areas of higher surface temperature and social vulnerability and fewer larval habitats in areas with lower surface temperature and social vulnerability.

Scorpion envenomation is a significant public health concern in São Paulo, Brazil, and its incidence and mortality have increased in recent decades. The present study analyzed documented scorpion envenomation notifications from 2008 to 2018 throughout the 645 municipalities of São Paulo. Annual incidence and mortality rates were calculated and stratified according to sex and age. The local empirical Bayesian method and Getis-Ord Gi* statistic were used to represent standardized incidence rates in the municipalities and to identify high- and low-risk agglomerates. The incidence rate of scorpion envenomation quintupled between 2008 and 2018. Overall, the risk was higher for man, and increased with age. Deaths due to envenomation, however, were concentrated almost entirely in children 0–9 years of age. Incidence maps showed that the risk of envenomation increased in almost all regions and municipalities of São Paulo throughout the study period. The highest incidence rates were found in the western, northwestern and northern regions of the state, in contrast to the São Paulo metropolitan area and southern and coastal regions. Hot spots were identified in the Presidente Prudente, Barretos, São José do Rio Preto, and Araçatuba regional health districts, which over time formed a single high-risk cluster. In spatial terms, however, deaths were randomly distributed. In this study, we identified areas and populations at risk of scorpion envenomation and associated–fatalities, which can be used to support decision-making by health services to reduce human contact with these arachnids and avoid fatalities, especially in children.