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LETICIA RAMÍREZ AMAYA, Secretaria de Educación Pública, y JORGE CARLOS ALCOCER VARELA, Secretario de Salud, con fundamento en los artículos 1o., 3o. y 4o. de la Constitución Política de los Estados Unidos Mexicanos; 38 y 39 de la Ley Orgánica de la Administración Pública Federal; 15, fracción I, 49, 75, 75 Bis, 78, párrafo segundo, 113, fracción XXII y 115, fracciones XV y XVI de la Ley General de Educación; 47, fracciones I y II y 49, fracciones I y II de la Ley General de Educación Superior; 2o., fracciones I y II, 3o., fracciones XI y XII, 6o., fracciones X y XI, 7o., fracción XIII Bis, 66, párrafo primero, 111, fracciones I y II, 112, fracción III, 113, 114, 115, fracciones II, IV, VI, VII, IX, X y XI, 159, fracción V, 212, párrafos segundo y tercero y 301, párrafo segundo de la Ley General de Salud; 50, fracción VIII y 103, fracción I de la Ley General de los Derechos de Niñas, Niños y Adolescentes; 1, fracciones I y II, 3, párrafo primero, 4, fracción I, 16, párrafos primero y segundo, 17 y 18, fracciones V, VI y VIII de la Ley General de la Alimentación Adecuada y Sostenible; 1, 4, párrafo primero y 5, fracción XVI del Reglamento Interior de la Secretaría de Educación Pública; 1, 6, párrafo primero y 7, fracciones XVI y XXVI del Reglamento Interior de la Secretaría de Salud, y

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Guía Vacunación Antirrábica 2024 (FINAL)

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Prevención y control de la rabia. 2-NOM-011-SSA2-2011

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Prevención y control de la rabia. 2-NOM-011-SSA2-2011

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Guía técnica para la atención de focos rábicos

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Guía técnica para la atención de focos rábicos

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Vol. 66 Núm. 5, sept-oct (2024): La transformación del sistema público de salud en México | Salud Pública de México

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Salud Pública de México es una publicación periódica electrónica, bimestral, publicada por el Instituto Nacional de Salud Pública (con domicilio en Avenida Universidad núm. 655, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329-3000, página web, www.insp.mx), con ISSN: 1606-7916 y Reserva de Derechos al Uso Exclusivo con número: 04-2012-071614550600-203, ambos otorgados por el Instituto Nacional del Derecho de Autor. Editor responsable: Carlos Oropeza Abúndez. Responsable de la versión electrónica: Subdirección de Comunicación Científica y Publicaciones, Avenida Universidad núm. 655, planta baja, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329 3000. Fecha de última modificación: 17 de septiembre de 2024. D.R. © por el sitio: Instituto Nacional de Salud Pública.

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Identifying urban hotspots of dengue, chikungunya, and Zika transmission in Mexico to support risk stratification efforts: a spatial analysis

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Identifying urban hotspots of dengue, chikungunya, and Zika transmission in Mexico to support risk stratification efforts: a spatial analysis

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Affiliations

¹ Centro Nacional de Programas Preventivos y Control de Enfermedades (CENAPRECE), Ministry of Health, Mexico.

² Collaborative Unit for Entomological Bioassays (UCBE), Campus de Ciencias Biologicas y Agropecuarias, Universidad Autonoma de Yucatan, Merida, Yucatan, Mexico.

³ Servicios de Salud de Yucatan, Merida, Yucatan.

⁴ Sociedad Mexicana de Salud Publica, Mexico City, Mexico.

⁵ Subsecretaria de Prevencion y Promocion de la Salud, Mexico City, Mexico.

⁶ Facultad de Ciencias Biologicas Universidad Autónoma de Nuevo Leon, San Nicolas de los Garza, Nuevo Leon, Mexico.

⁷ Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.

⁸ Pan American Health Organization (PAHO), Department of Communicable Diseases and Environmental Determinants of Health, Washington DC, USA.

⁹ Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autonoma de Yucatan, Merida, Yucatan, Mexico.

¹⁰ Centers for Disease Control and Prevention, Atlanta, GA, USA.

¹¹ Department of Environmental Sciences, Emory University, Atlanta, GA, USA. Electronic address: gmvazqu@emory.edu.

Affiliations

¹ Centro Nacional de Programas Preventivos y Control de Enfermedades (CENAPRECE), Ministry of Health, Mexico.

² Collaborative Unit for Entomological Bioassays (UCBE), Campus de Ciencias Biologicas y Agropecuarias, Universidad Autonoma de Yucatan, Merida, Yucatan, Mexico.

³ Servicios de Salud de Yucatan, Merida, Yucatan.

⁴ Sociedad Mexicana de Salud Publica, Mexico City, Mexico.

⁵ Subsecretaria de Prevencion y Promocion de la Salud, Mexico City, Mexico.

⁶ Facultad de Ciencias Biologicas Universidad Autónoma de Nuevo Leon, San Nicolas de los Garza, Nuevo Leon, Mexico.

⁷ Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.

⁸ Pan American Health Organization (PAHO), Department of Communicable Diseases and Environmental Determinants of Health, Washington DC, USA.

⁹ Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autonoma de Yucatan, Merida, Yucatan, Mexico.

¹⁰ Centers for Disease Control and Prevention, Atlanta, GA, USA.

¹¹ Department of Environmental Sciences, Emory University, Atlanta, GA, USA. Electronic address: gmvazqu@emory.edu.

Abstract

Background: Effective Aedes aegypti control is limited, in part, by the difficulty in achieving sufficient intervention coverage. To maximise the effect of vector control, areas with persistently high numbers of Aedes-borne disease cases could be identified and prioritised for preventive interventions. We aimed to identify persistent Aedes-borne disease hotspots in cities across southern Mexico.

Methods: In this spatial analysis, geocoded cases of dengue, chikungunya, and Zika from nine endemic Mexican cities were aggregated at the census-tract level. We included cities that were located in southern Mexico (the arbovirus endemic region of Mexico), with a high burden of dengue cases (ie, more than 5000 cases reported during a 10-year period), and listed as high priority for the Mexican dengue control and prevention programme. The Getis-Ord Gi*(d) statistic was applied to yearly slices of the dataset to identify spatial hotspots of each disease in each city. We used Kendall's W coefficient to quantify the agreement in the distribution of each virus.

Findings: 128 507 dengue, 4752 chikungunya and 25 755 Zika clinical cases were reported between Jan 1, 2008, and Dec 31, 2016. All cities showed evidence of transmission heterogeneity, with a mean of 17·6% (SD 4·7) of their total area identified as persistent disease hotspots. Hotspots accounted for 25·6% (SD 9·7; range 12·8-43·0) of the population and 32·1% (10·5; 19·6-50·5) of all Aedes-borne disease cases reported. We found an overlap between hotspots of 61·7% for dengue and Zika and 53·3% for dengue and chikungunya. Dengue hotspots in 2008-16 were significantly associated with dengue hotspots detected during 2017-20 in five of the nine cities. Heads of vector control confirmed hotspot areas as problem zones for arbovirus transmission.

Interpretation: This study provides evidence of the overlap of Aedes-borne diseases within geographical hotspots and a methodological framework for the stratification of arbovirus transmission risk within urban areas, which can guide the implementation of surveillance and vector control.

Funding: USAID, the US Centers for Disease Control and Prevention, the Canadian Institutes of Health Research, International Development Research Centre, Fondo Mixto CONACyT (Mexico)-Gobierno del Estado de Yucatan, and the US National Institutes of Health.

Translation: For the Spanish translation of the abstract see Supplementary Materials section.

PubMed Disclaimer

Conflict of interest statement

Declaration of interests We declare no competing interests.

Cited by

Metagenomic analysis of individual mosquito viromes reveals the geographical patterns and drivers of viral diversity.

Pan YF, Zhao H, Gou QY, Shi PB, Tian JH, Feng Y, Li K, Yang WH, Wu D, Tang G, Zhang B, Ren Z, Peng S, Luo GY, Le SJ, Xin GY, Wang J, Hou X, Peng MW, Kong JB, Chen XX, Yang CH, Mei SQ, Liao YQ, Cheng JX, Wang J, Chaolemen, Wu YH, Wang JB, An T, Huang X, Eden JS, Li J, Guo D, Liang G, Jin X, Holmes EC, Li B, Wang D, Li J, Wu WC, Shi M. Pan YF, et al. Nat Ecol Evol. 2024 May;8(5):947-959. doi: 10.1038/s41559-024-02365-0. Epub 2024 Mar 22. Nat Ecol Evol. 2024. PMID: 38519631

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national center for biotechnology information

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Identifying urban hotspots of dengue, chikungunya, and Zika transmission in Mexico to support risk stratification efforts: a spatial analysis - PubMed

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For the Spanish translation of the abstract see Supplementary Materials section.

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Documento técnico para la implementación de intervenciones basado en escenarios operativos genéricos para el control del Aedes aegypti

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Documento técnico para la implementación de intervenciones basado en escenarios operativos genéricos para el control del Aedes aegypti

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Documento técnico para la implementación de intervenciones basado en escenarios operativos genéricos para el control del Aedes aegypti

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Las arbovirosis como el dengue, el chikungunya y la fiebre de Zika, transmitidas principalmente por los mosquitos Aedes aegypti y A. albopictus, son problemas de salud pública en la Región de las Américas... El reciente episodio de rápida dispersión del ZIKV en las Américas llamó la atención sobre la importancia de estructurar y fortalecer las actividades de control de A.

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Identificando focos urbanos de dengue,...

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Identificando focos urbanos de dengue,...