Xue Gong, Xu Zhang, Xinyan Zhang, Yixuan Li, Yang Zhang, Xiaosong Yu
Developing a competency model for Chinese general practitioners: a mixed-methods study
Human resources for health
cutaneous leishmaniasis disease transmitted men animals infected female phlebotomine sandflies considered great environmental public health problem amazon region thus study aimed analyze spatial distribution disease flix xingu state par brazil relationship epidemiological environmental variables period 2012 2016 data used information system par state secretariat health national institute space research brazilian institute geography statistics statistical spatial analysis variables done using nonparametric chisquare statistical test kernel interpolation technique bivariate global moran index municipality 183 confirmed cases nonhomogeneously distributed 5 administrative districts individuals affected adult males brown skin elementary level education rural area residents case series direct relationship observed increase number cases deforestation study area spatial analysis showed different types land use cover related case clusters municipality additionally presence cases protected areas great epidemiological silence indigenous lands thus disease large complex public health problem municipality related social environmental risk factors