<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642020000400421</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v22n4.87535</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comportamiento epidemiológico de la leptospirosis en México durante el periodo 2013-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiologic behavior of leptospirosis in México during the period 2013-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yescas-Benítez]]></surname>
<given-names><![CDATA[José E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero-Perez]]></surname>
<given-names><![CDATA[Nallely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Díaz]]></surname>
<given-names><![CDATA[Hugo E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valladares-Carranza]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peláez-Acero]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Ubaldo]]></surname>
<given-names><![CDATA[Ana L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zaragoza-Bastida]]></surname>
<given-names><![CDATA[Adrian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma del Estado de Hidalgo  ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma del Estado de Hidalgo  ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Jurisdicción Sanitaria  ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma del Estado de México Facultad de Medicina Veterinaria y Zootecnia ]]></institution>
<addr-line><![CDATA[Toluca Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Autónoma del Estado de Hidalgo Area Académica de Medicina Veterinaria y Zootecnia del Instituto de Ciencias Agropecuarias ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Autónoma del Estado de Hidalgo Area Académica de Medicina Veterinaria y Zootecnia del Instituto de Ciencias Agropecuarias ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad Autónoma del Estado de Hidalgo  ]]></institution>
<addr-line><![CDATA[Hidalgo ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>22</volume>
<numero>4</numero>
<fpage>421</fpage>
<lpage>427</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642020000400421&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642020000400421&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642020000400421&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Determinar el comportamiento temporal y espacial de la leptospirosis en México durante el periodo 2013-2019.  Materiales y Métodos Se utilizó la información depositada en los boletines epidemiológicos del Sistema Nacional de Vigilancia Epidemiológica de México. Para determinar el comportamiento espacial se construyeron canales endémicos y análisis de series de tiempo. Para determinar el comportamiento espacial, se utilizó el modelo estadístico espacial Scan.  Resultados Se determinó que los casos de leptospirosis en México se presentan todo el año; sin embargo, los picos endémicos se observaron en los meses de agosto, septiembre y octubre. Con respecto al comportamiento espacial, no se determinó ninguna agrupación estadísticamente; no obstante, los estados con la mayor prevalencia fueron: Sinaloa, con 146.7 casos por cada millón de habitantes, y Tabasco, con 142 casos por cada millón de habitantes.  Discusión La leptospirosis es una enfermedad influenciada por los hábitos y las costumbres de la población, al igual que por variables climatológicas que favorecen el contacto con el agente etiológico. Esto coincide con lo reportado por otros estudios que han determinado que la incidencia de leptospirosis aumenta durante la época de lluvia y que esta enfermedad se relaciona con actividades de recreación en zonas tropicales.  Conclusiones La leptospirosis es una enfermedad zoonótica emergente de gran importancia en México, que se presenta con mayor frecuencia en época de lluvias. Los estados de Sinaloa y Tabasco son los más afectados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objetive To determine the temporal and spatial behavior of leptospirosis in Mexico during the period 2013-2019.  Materials and Methods It was used the information deposited in the epidemiological bulletins of National System of Epidemiological Surveillance of Mexico. To determine spatial behavior, endemic channels and time series analyzes were constructed. The spatial statistical model Scan was used to determine the spatial behavior.  Results It was determined that leptospirosis cases in Mexico occur throughout the year, however endemic peaks were observed during the months of August, September and October. Regarding to spatial behavior, it was not statistically determined any aggrupation, nevertheless the States with the highest prevalence were Sinaloa with 146.7 cases per million of habitants and Tabasco with 142 cases per million of habitants.  Discussion Leptospirosis is a disease which is affected by habits and customs of the populations, as well as by climatological events, favoring the contact with the etiological agent, which coincides with that reported in other studies, in which it was determined that leptospirosis incidence increases during the rainy season, likewise, it was reported that this disease is related to recreational activities in tropical areas.  Conclusions To date leptospirosis is an important emerging zoonotic disease in Mexico, the disease occurs more frequently during rainy season, being Sinaloa and Tabasco the most affected States by this disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Leptospirosis]]></kwd>
<kwd lng="es"><![CDATA[zoonosis]]></kwd>
<kwd lng="es"><![CDATA[epidemiología (fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Leptospirosis]]></kwd>
<kwd lng="en"><![CDATA[zoonoses]]></kwd>
<kwd lng="en"><![CDATA[epidemiology (source: MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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