“…Also, during 2015, several Pará's municipalities faced severe drought (Clésio, 2015). As a consequence, several resources and ecosystem services have been affected (Alpino, Sena, & Freitas, 2016), possibly altering the HAV transmission intensity for the given year (CANN, THOMAS, SALMON, P. WYN-JONES, & KAY, 2013;Gullón, Varela, Martínez, & Gómez-Barroso, 2017). Finally, the diminishment in the HAV annual state mean PNC of the last years can be explained by the Pará's overall sanitation conditions improvement, especially on the urban regions as Belém municipality (K. D. S. Santos et al, 2019).…”