title: Quali-quantitative study of the social variables defining transmission scenarios of Argentine Hemorrhagic Fever in the provinces of Buenos Aires and Santa Fe, 2001-2010.
abstract: The aim of this paper was to characterize transmission scenarios of Argentine Hemorrhagic Fever in the post-vaccination period (2001-2010). The study was made up of three phases. The first consisted of a quantitative analysis using the database of the Dr. Julio I. Maiztegui National Institute of Human Viral Diseases [Instituto Nacional de Enfermedades Virales Humanas] regarding the confirmed cases in the period of study (221 cases). Taking into account the transmission site and the known endemic area, cases were grouped into three hypothetical transmission scenarios, identified as: a) classical, b) emerging-reemerging, c) traveling. In the second phase, in order to test these hypotheses, in-depth interviews were carried out from August to September 2011 within an intentionally selected sample of patients distributed proportionally among the three hypotheses. Finally, in the third stage, the data obtained for each hypothetical scenario were grouped into three spatiotemporal scales: the microscale (subject), the mesoscale (locality) and macroscale (region). The results show that new transmission sites are associated with the social dynamics of cereal production and port-bound routes.
authors.affiliation: ANLIS, CeNDIE, CONICET, Argentina.
authors.forename: Andrea
authors.initials: A
authors.lastname: Mastrangelo
authors.affiliation: ANLIS, CeNDIE, Argentina.
authors.forename: Paula
authors.initials: P
authors.lastname: Tagliabue
authors.affiliation: Área comunicación, Universidad Nacional del Noroeste de Buenos Aires, Argentina.
authors.forename: Lorena
authors.initials: L
authors.lastname: Berro
authors.affiliation: Municipalidad de Rosario, Argentina.
authors.forename: Darío
authors.initials: D
authors.lastname: De Carolis
authors.affiliation: ANLIS, INEVH, Argentina.
authors.forename: Anabel
authors.initials: A
authors.lastname: Sinchi
authors.affiliation: ANLIS, INEVH, Argentina.
authors.forename: Clara
authors.initials: C
authors.lastname: Digilio
authors.affiliation: ANLIS, INEVH, Argentina.
authors.forename: Delia
authors.initials: D
authors.lastname: Enria
mesh_terms: D001118:Argentina / Q000453:epidemiology; D016208:Databases, Factual; D005260:Female; D006478:Hemorrhagic Fever, American / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D008297:Male; D036301:Qualitative Research; D062206:Spatial Analysis; D014611:Vaccination
keywords: Argentinian Hemorrhagic Fever; Anthropology; Disease Prevention; Argentina