Dimensões da vulnerabilidade à dengue a partir da Região Metropolitana do Rio de Janeiro: das escalas de produção do espaço à reprodução do processo saúde-doença-atenção

Abstract

Dengue is an infectious and endemic disease in several urban areas of the country. Being a challenging disease for public managers and civil society, it involves varied and multidimensional analysis dimensions, such as environmental, economic, and social conditions to understand the complexity that the Aedes aegypti mosquito demands from biological and social sciences. This research had the general objective of analyzing the scales of social vulnerability to the dengue arbovirus in the Metropolitan Region of Rio de Janeiro between 2007 and 2019 to identify convergent or divergent patterns of the spread of the dengue arbovirus on the intrametropolitan and intramunicipal scales. The aim of establishing this parallel between intrametropolitan and intramunicipal is to understand how this game of scales can reveal convergent or divergent patterns in the social determination of dengue and, therefore, reveal the spatial logic(s) associated with the spread of the arbovirus. The methodology used sought to understand the spatialization, statistical behavior of social conditions and epidemiological and social patterns on the intra-municipal and inter-municipal scales of RMRJ. From then on, an indicator with dimensions of vulnerability was constructed. The results obtained from the applied methodologies allow us to conclude that the analyzes correspond to reality and can contribute to new investigations on the topic. The results obtained allow us to conclude that the most vulnerable areas are also those most affected by the dengue virus, both on a municipal and urban scale. Furthermore, it was possible to analyze which factors make a given area more vulnerable than others, based on dimensions that include housing conditions, income and education. This research seeks to collaborate in the construction of new ways to mitigate the impacts of the arbovirus and thus, collaborate with other studies and decision-making in the public sector and civil society.