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@PhDThesis{Furtado:2018:CoHaUm,
               author = "Furtado, Michelle Andrade",
                title = "O complexo da hantavirose em um p{\'o}lo sucroalcooleiro do 
                         Estado de S{\~a}o Paulo investigado pela an{\'a}lise funcional 
                         da paisagem",
               school = "Instituto Nacional de Pesquisas Espaciais (INPE)",
                 year = "2018",
              address = "S{\~a}o Jos{\'e} dos Campos",
                month = "2018-02-28",
             keywords = "s{\'{\i}}ndrome cardiopulmonar por hantav{\'{\i}}rus, 
                         hantav{\'{\i}}rus, uso e ocupa{\c{c}}{\~a}o da terra, 
                         an{\'a}lise da paisagem, cana de a{\c{c}}{\'u}car, hantavirus 
                         pulmonary syndrome, land-use and land-cover, landscape analysis, 
                         sugarcane.",
             abstract = "A S{\'{\i}}ndrome Cardiopulmonar por Hantav{\'{\i}}rus (SCPH), 
                         tamb{\'e}m conhecida como hantavirose, {\'e} doen{\c{c}}a 
                         infecciosa grave. No estado de S{\~a}o Paulo para o 
                         per{\'{\i}}odo de 1993 a fevereiro de 2017 apresentou-se uma 
                         taxa de letalidade de 53,3%, sendo as microrregi{\~o}es de 
                         Ribeir{\~a}o Preto e S{\~a}o Carlos as que notificaram o maior 
                         n{\'u}mero de casos. Nesta regi{\~a}o se estabeleceu uma 
                         economia ligada ao setor sucroalcooleiro que contribuiu para 
                         altera{\c{c}}{\~o}es nos usos e coberturas da terra 
                         reconfigurando a paisagem regional. Este trabalho parte da 
                         hip{\'o}tese que as altera{\c{c}}{\~o}es nesta paisagem, 
                         associadas {\`a} cadeia sucroalcooleira, afetaram os arranjos de 
                         localiza{\c{c}}{\~a}o e produziram novos espa{\c{c}}os 
                         potenciais para o encontro entre roedores (reposit{\'o}rios) e 
                         homens e s{\~a}o parte importante para a compreens{\~a}o da 
                         emerg{\^e}ncia de novos padr{\~o}es epidemiol{\'o}gicos 
                         relacionados {\`a} produ{\c{c}}{\~a}o da hantavirose nestes 
                         territ{\'o}rios. Para tratar a complexidade destas 
                         rela{\c{c}}{\~o}es e as velocidades e intensidades destas 
                         transforma{\c{c}}{\~o}es tem faltado um arcabou{\c{c}}o 
                         te{\'o}rico-conceitual consistente em que se possa formular esta 
                         quest{\~a}o de maneira integrada, que observe a natureza das 
                         intera{\c{c}}{\~o}es entre o homem e o seu ambiente. Dessa 
                         forma, este estudo busca nos trabalhos seminais do in{\'{\i}}cio 
                         do s{\'e}culo XX as bases conceituais para trabalhar as 
                         rela{\c{c}}{\~o}es sa{\'u}de-ambiente em um contexto de 
                         mudan{\c{c}}as ambientais e clim{\'a}ticas no s{\'e}culo XXI, o 
                         conceito de foco natural de doen{\c{c}}as transmiss{\'{\i}}veis 
                         de Evgeny Nikanorovich Pavlovsky e o conceito de complexo 
                         patog{\^e}nico de Maximillian Sorre. O objetivo deste estudo foi 
                         propor uma metodologia que seja capaz de localizar, caracterizar, 
                         medir e representar a din{\^a}mica espa{\c{c}}o-temporal das 
                         {\'a}reas de contato potencial que se estabelecem entre o 
                         reservat{\'o}rio do hantav{\'{\i}}rus e a popula{\c{c}}{\~a}o 
                         de humanos utilizando como eixo metodol{\'o}gico a an{\'a}lise 
                         funcional da paisagem. Para tanto, foram realizadas 3 
                         an{\'a}lises principais: 1 - Tipologia de padr{\~o}es de 
                         paisagem de interesse ao complexo da hantavirose, onde cada 
                         padr{\~a}o representa o potencial de presen{\c{c}}a dos roedores 
                         reservat{\'o}rios do hantav{\'{\i}}rus e as possibilidades de 
                         contato com a popula{\c{c}}{\~a}o humana; 2 - Tipologia de 
                         borda da paisagem para a classe Cerrado (principal habitat do 
                         reservat{\'o}rio do hantav{\'{\i}}rus) e para as classes Urbano 
                         e Ch{\'a}cara (classes com maior concentra{\c{c}}{\~a}o Humana) 
                         que expresse o contato potencial entre o roedor reservat{\'o}rio 
                         do hantav{\'{\i}}rus e humanos e analisar a {\'a}rea de estudo 
                         com o uso de m{\'e}tricas de contraste de borda; 3 - Identificar 
                         setores censit{\'a}rios que apresentem condi{\c{c}}{\~o}es 
                         sociais e ambientais relativas {\`a}s moradias e {\`a} 
                         popula{\c{c}}{\~a}o que sejam mais suscet{\'{\i}}veis ao 
                         contato potencial entre roedores reservat{\'o}rios do 
                         hantav{\'{\i}}rus e humanos utilizando para isso um indicador 
                         sint{\'e}tico, o {\'{\I}}ndice S{\'o}cio-Ambiental do 
                         Hantav{\'{\i}}rus (ISAH). Essa metodologia foi aplicada {\`a}s 
                         microrregi{\~o}es de Ribeir{\~a}o Preto e S{\~a}o Carlos em 
                         dois momentos no tempo, 2003 e 2010. Os resultados apontaram que 
                         os padr{\~o}es de paisagem mais encontrados na regi{\~a}o de 
                         estudo foram Cana-de-a{\c{c}}{\'u}car e mosaicos de cobertura 
                         (PX) e Mosaico de agricultura exceto cana-de-a{\c{c}}{\'u}car e 
                         mosaicos de cobertura (PIX). A trajet{\'o}ria destes padr{\~o}es 
                         de paisagem os definem como respons{\'a}veis pelas maiores 
                         reestrutura{\c{c}}{\~o}es no espa{\c{c}}o produzido na 
                         regi{\~a}o. A literatura aponta que esses padr{\~o}es de 
                         paisagem s{\~a}o habitats onde os roedores reservat{\'o}rio do 
                         hantav{\'{\i}}rus tendem a dominar, onde a soropreval{\^e}ncia 
                         para o hantav{\'{\i}}rus entre esses roedores tende a ser maior 
                         e um local onde as pessoas tamb{\'e}m est{\~a}o presentes, o que 
                         condiz com essa ser a regi{\~a}o com maior n{\'u}mero de casos 
                         da doen{\c{c}}a no Estado de S{\~a}o Paulo. A tipologia de 
                         bordas da paisagem para a classe Cerrado mostrou uma 
                         simplifica{\c{c}}{\~a}o da paisagem em {\'a}reas onde as 
                         lavouras de cana-de-a{\c{c}}{\'u}car j{\'a} est{\~a}o xii 
                         estabelecidas h{\'a} mais tempo, e dominam uma grande parte do 
                         territ{\'o}rio, sendo que essas {\'a}reas notificaram grande 
                         parte do n{\'u}mero de casos da regi{\~a}o. Esse resultado traz 
                         um alerta {\`a}s {\'a}reas que ainda n{\~a}o notificaram casos 
                         de SCPH e est{\~a}o cada vez mais com suas {\'a}reas destinadas 
                         a essas grandes lavouras de cana-de-a{\c{c}}{\'u}car. Al{\'e}m 
                         disso, os padr{\~o}es de paisagem PX e PIX, que j{\'a} davam 
                         suporte {\`a} presen{\c{c}}a humana na realiza{\c{c}}{\~a}o de 
                         suas atividades laborais, est{\~a}o cada vez mais pr{\'o}ximos 
                         de {\'a}reas urbanas, constituindo as franjas peri-urbanas das 
                         cidades deste espa{\c{c}}o regional, com isso, ampliando as 
                         chances de contato entre reservat{\'o}rios e o homem. Esta 
                         situa{\c{c}}{\~a}o reconfigura o espa{\c{c}}o de 
                         produ{\c{c}}{\~a}o da doen{\c{c}}a e cria novas {\'a}reas de 
                         exposi{\c{c}}{\~a}o potencial, o que se constitui como parte do 
                         quadro de mudan{\c{c}}a para a emerg{\^e}ncia de novos 
                         padr{\~o}es epidemiol{\'o}gicos locais e, assim, novas 
                         possibilidades de leitura para o complexo patol{\'o}gico 
                         associado {\`a} SCPH no estado de S{\~a}o Paulo. O padr{\~a}o 
                         PX, que representa a cana-de-a{\c{c}}{\'u}car, foi o {\'u}nico 
                         padr{\~a}o que analisado conjuntamente com ISAH obteve 
                         correla{\c{c}}{\~a}o com os munic{\'{\i}}pios que j{\'a} 
                         notificaram casos de SCPH, demonstrando que as 
                         condi{\c{c}}{\~o}es da paisagem, modificadas pelo complexo da 
                         cana-de-a{\c{c}}{\'u}car, aliadas {\`a}s condi{\c{c}}{\~o}es 
                         prec{\'a}rias das fam{\'{\i}}lias e dos domic{\'{\i}}lios 
                         s{\~a}o um preditor ao contato potencial ao hantav{\'{\i}}rus. 
                         ABSTRACT: Hantavirus Pulmonary Syndrome (HPS) is a serious 
                         infectious disease. In the state of S{\~a}o Paulo for the period 
                         from 1993 to February 2017, it presented a case fatality rate of 
                         53.3%, with the micro-regions of Ribeir{\~a}o Preto and S{\~a}o 
                         Carlos reporting the highest number of cases. In this region was 
                         established an economy linked to the sugar and alcohol sector that 
                         contributed to changes in land uses and coverages reconfiguring 
                         the regional landscape. This work is based on the hypothesis that 
                         changes in this landscape, associated with the sugar - alcohol 
                         chain, affected the location arrangements and produced new 
                         potential spaces for the encounter between rodents (repositories) 
                         and men and are an important part for understanding the emergence 
                         of new epidemiological related patterns the production of 
                         hantavirus in these territories. To deal with the complexity of 
                         these relations and the velocities and intensities of these 
                         transformations there has been a lack of a theoretical-conceptual 
                         framework in which this question can be formulated in an 
                         integrated way, observing the nature of the interactions between 
                         man and his environment. Evgeny Nikanorovich Pavlovsky's concept 
                         of the natural focus of transmissible diseases in the early 
                         twentieth century was the conceptual basis for working on 
                         health-environment relations in a context of environmental and 
                         climatic changes in the 21st century concept of pathogenic complex 
                         of Maximillian Sorre. The objective of this study was to propose a 
                         methodology that is able to locate, characterize, measure and 
                         represent the spatiotemporal dynamics of potential contact areas 
                         established between the hantavirus reservoir and the human 
                         population using the functional analysis of landscape. In order to 
                         do so, three main analyzes were carried out: 1 - Typology of 
                         landscape patterns of interest to the hantavirus complex, where 
                         each pattern represents the potential presence of rodents 
                         reservoirs of hantavirus and the possibilities of contact with the 
                         human population; 2 - Landscape edge typology for the Cerrado 
                         class (main habitat of the hantavirus reservoir) and for Urban and 
                         Farmstead classes (classes with higher human concentration) that 
                         express the potential contact between the rodent reservoir of 
                         hantavirus and humans and to analyze the area study with the use 
                         of edge contrast metrics; 3 - Identify census tracts that present 
                         social and environmental conditions related to housing and 
                         population that are more susceptible to potential contact between 
                         rodent reservoirs of hantavirus and humans using a synthetic 
                         indicator, the Hantavirus Socio-Environmental Index (HSEI). This 
                         methodology was applied to the micro regions of Ribeir{\~a}o 
                         Preto and S{\~a}o Carlos at two points in time, 2003 and 2010. 
                         The results showed that the most common landscape patterns in the 
                         study region were Sugarcane and cover mosaics (PX) and Mosaic of 
                         agriculture except sugar cane and cover mosaics (PIX). The 
                         trajectory of these landscape patterns defines them as responsible 
                         for the major restructurings in the space produced in the region. 
                         The literature points out that these xiv landscape patterns are 
                         habitats where rodent reservoirs of hantavirus tend to dominate, 
                         where the seroprevalence for hantavirus among these rodents tend 
                         to be larger and a place where people are also present, which 
                         suits that being the region with the highest number of cases of 
                         the disease in the State of S{\~a}o Paulo. The landscape edge 
                         typology for the Cerrado class showed a simplification of the 
                         landscape in areas where sugarcane plantations have already been 
                         established for a long time, and dominate a large part of the 
                         territory, and these areas have notified a large part of the 
                         number of region cases. This result brings an alert to the areas 
                         that have not yet notified cases of HPS and are increasingly with 
                         their areas destined to these large sugar cane plantations. In 
                         addition, the PX and PIX landscape patterns, which already 
                         supported human presence in the performance of their work 
                         activities, are increasingly close to urban areas, constituting 
                         the peri-urban fringes of the cities of this regional space, 
                         thereby expanding the chances of contact between reservoirs and 
                         man. This situation reconfigures the area of production of the 
                         disease and creates new areas of potential exposure, which is part 
                         of the change framework for the emergence of new local 
                         epidemiological patterns and, therefore, new reading possibilities 
                         for the pathological complex associated with HPS in the state of 
                         SP. The PX standard, which represents sugarcane, was the only 
                         standard that analyzed together with ISAH, obtained a correlation 
                         with the municipalities that have reported cases of HPS, 
                         demonstrating that the conditions of the landscape, modified by 
                         the sugarcane complex, allied to the conditions households are a 
                         predictor of potential contact with hantavirus.",
            committee = "Kampel, Silvana Amaral (presidente) and Monteiro, Ant{\^o}nio 
                         Miguel Vieira (orientador) and Escada, Maria Isabel Sobral 
                         (orientadora) and K{\"o}rting, Thales Sehn and Barcellos Neto, 
                         Christovam de Castro and Kiffer, Carlos Roberto Veiga",
         englishtitle = "The complex of hantavirosis in a sucroalcooler pole of the State 
                         of S{\~a}o Paulo investigated by the functional analysis of the 
                         landscape.",
             language = "pt",
                pages = "135",
                  ibi = "8JMKD3MGP3W34P/3QJH7AH",
                  url = "http://urlib.net/rep/8JMKD3MGP3W34P/3QJH7AH",
           targetfile = "publicacao.pdf",
        urlaccessdate = "29 nov. 2020"
}


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