RT Journal Article T1 Dengue, Chikungunya, and Zika: Spatial and Temporal Distribution in Rio de Janeiro State, 2015–2019 A1 Pereira de Almeida, Paula María A1 Araújo Nobre, Aline A1 Câmara, Daniel Cardoso Portela A1 Costa, Luciana Moura Martins A1 Reis, Izabel Cristina dos A1 Ribeiro, Mário Sérgio A1 Giordano Dias, Cristina Maria A1 Ayllón Santiago, Tania A1 Honório, Nildimar Alves AB Simultaneous spatial circulation of urban arboviral diseases, such as dengue, chikungunya, and Zika, is a major challenge. In this ecological study of urban arboviruses performed from 2015 to 2019, we analyzed the spatial and temporal dynamics of these arboviruses in all 92 municipalities and nine health regions of Rio de Janeiro state. Annual cumulative incidences are presented for all three arboviruses throughout the study period. Spatial analyses of the three studied arboviruses showed distinct behaviors among municipalities and health regions. Co-circulation of the three arboviruses in the state and a heterogeneous spatiotemporal pattern was observed for each disease and region, with dengue having a higher annual incidence during the five years of the study, as well as two consecutive epidemic years in the state. The increase in transmission in different regions of the state in one year culminated in an epidemic in the state in the following year. A high annual cumulative incidence of chikungunya occurred in municipalities from 2017 to 2019 and of Zika only in 2016. Some municipalities with higher population densities showed higher incidences for some arboviruses and appeared to contribute to the dissemination to cities of lower demographic density and maintenance of these urban arboviruses. Thus, regions recording increased incidences of the three diseases in their territories for long periods should be considered municipal poles, as they initiated and sustained high transmission within their region. PB MDPI YR 2022 FD 2022 LK https://hdl.handle.net/20.500.14352/101774 UL https://hdl.handle.net/20.500.14352/101774 LA eng NO de Almeida, P.M.P.; Nobre, A.A.; Câmara, D.C.P.; Costa, L.M.M.; dos Reis, I.C.; Ribeiro, M.S.; Dias, C.M.G.; Ayllón, T.; Honório, N.A. Dengue, Chikungunya, and Zika: Spatial and Temporal Distribution in Rio de Janeiro State, 2015–2019. Trop. Med. Infect. Dis. 2022, 7, 141. https://doi.org/10.3390/tropicalmed7070141 NO Brazilian Federal Agency for Support and Evaluation of Graduate Education NO Fundation Carlos Chagas Filho de Amparo (Rio de Janeiro, Brazil) NO Instituto Oswaldo Cruz (Brazil) DS Docta Complutense RD 4 abr 2025