Neighborhood Violence Impacts Disease Control and Surveillance: Case Study of Cali, Colombia from 2014 to 2016

摘要: Arboviruses are responsible for a large burden of disease globally and thus subject to intense epidemiological scrutiny. However, variable notably absent from most analyses has been the impact violence on arboviral transmission surveillance. Violence impedes surveillance delivery health preventative services affects an individual’s health-related behaviors when survival takes priority. Moreover, low middle-income countries bear disproportionately high related outcomes, including vector borne diseases. To better understand epidemiology outbreaks in Cali, Colombia, we georeferenced chikungunya (CHIKV), dengue (DENV), Zika (ZIKV) viral cases The National System Surveillance Public Health between October 2014 April 2016. We extracted homicide data municipal monthly reports kernel density distribution IdeasPaz. Crucially, overall higher risk is associated with increased reported DENV, lower rates acute testing, lab versus clinical discordance. In context as potential barrier access preventive services, community approach improve peace should be considered.