<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000500787</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Viajeros internacionales y otros indicadores de la transmisión de la COVID-19 en la provincia Santiago de Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[International travelers and other indicators of COVID-19 transmission in Santiago de Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matamoros]]></surname>
<given-names><![CDATA[Larisa Zamora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campo]]></surname>
<given-names><![CDATA[Nelsa María Sagaró del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Luis Eugenio Valdés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silvera]]></surname>
<given-names><![CDATA[Jorge Díaz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Oriente. Santiago de Cuba  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>5</numero>
<fpage>787</fpage>
<lpage>797</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000500787&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000500787&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000500787&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: los viajeros internacionales procedentes de regiones con altas tasas de incidencia de la COVID-19 tienen una elevada probabilidad de estar infectados y propagar la enfermedad al entrar en contacto con otras personas, por lo que resulta necesario investigar la influencia de la entrada de estos viajeros sobre la transmisión, durante la segunda ola de la epidemia.  Objetivo  determinar la influencia de la entrada de viajeros internacionales y otros indicadores sobre la transmisión de la COVID-19 en la provincia Santiago de Cuba.  Métodos:  se desarrolló un estudio ecológico de correlación de la incidencia de COVID-19 con determinadas variables considerando como unidades de análisis los municipios de la provincia Santiago de Cuba. Para conocer la correlación se empleó el coeficiente de correlación de Spearman. Para determinar las variables que más influyeron en la cantidad de casos confirmados se aplicaron la regresión lineal múltiple y por mínimos cuadrados parciales. Mediante la aplicación del análisis de conglomerados se determinaron los municipios más similares.  Resultados: se obtuvieron seis modelos y la formación de varios conglomerados. El municipio Santiago de Cuba resultó atípico. Las variables que más influyeron fueron: viajeros, viajeros con COVID-19, cantidad de focos, cantidad de asintomáticos, densidad poblacional y colaborador. Dentro de las regiones y países que determinaron el modelo se encuentran América, Europa, España, México y Venezuela.  Conclusiones: la cantidad de viajeros con y sin COVID-19 ha sido un detonante de la cantidad de casos infectados durante la epidemia en Santiago de Cuba.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: International travelers from regions with high incidence rates of COVID-19 have a high probability of being infected and spreading the disease when in contact with other people, so it is necessary to investigate the influence of the entry of these travelers on the transmission of COVID-19 during the second wave of the epidemic.  Objective  To determine the influence of the entry of international travelers and other indicators on the transmission of COVID-19 in Santiago de Cuba province.  Methods  an ecological study of correlation of the incidence of COVID-19 with certain variables was developed considering as units of analysis the municipalities of Santiago de Cuba province. Spearman's correlation coefficient was used to determine the correlation. To determine the variables that most influenced the number of confirmed cases, multiple linear regression and partial least squares were applied. Cluster analysis was used to determine the most similar municipalities.  Results six models and the formation of several clusters were obtained. The municipality of Santiago de Cuba was atypical. The most influential variables were: travelers, travelers with COVID, number of outbreaks, number of asymptomatic, population density and collaborator. The regions and countries that determined the model were America, Europe, Spain, Mexico and Venezuela.  Conclusions  the number of travelers with and without COVID-19 has been a trigger for the number of infected cases in the epidemic in Santiago de Cuba.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[salud del viajero]]></kwd>
<kwd lng="es"><![CDATA[transmisión de enfermedad infecciosa]]></kwd>
<kwd lng="es"><![CDATA[epidemias]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[travelers&#8217; health]]></kwd>
<kwd lng="en"><![CDATA[disease transmission, infectious]]></kwd>
<kwd lng="en"><![CDATA[epidemias]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Consideraciones sobre medidas de distanciamiento social y medidas relacionadas con los viajes en el contexto de la respuesta a la pandemia de COVID-19]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Washington ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhong]]></surname>
<given-names><![CDATA[Ping]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Correlation between travellers departing from Wuhan before the Spring Festival and subsequent spread of COVID-19 to all provinces in China.]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Guo,]]></surname>
<given-names><![CDATA[Songxue]]></given-names>
</name>
<name>
<surname><![CDATA[Chen.]]></surname>
<given-names><![CDATA[Ting]]></given-names>
</name>
</person-group>
<source><![CDATA[J Travel Med.]]></source>
<year>2020</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>taaa036</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chinazzi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Ajelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gioannini]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Litvinova]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Merler]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vespignani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak]]></article-title>
<source><![CDATA[Science]]></source>
<year>2020</year>
<volume>368</volume>
<numero>6489</numero>
<issue>6489</issue>
<page-range>395-400</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Khosrawipour]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Kocbach]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Mikolajczyk]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schubert]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bania]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China]]></article-title>
<source><![CDATA[J Travel Med]]></source>
<year>2020</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>taaa037</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zamora Matamoros]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sagaró del Campo]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Valdés García]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Benítez Jiménez]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Entrada de viajeros y densidad poblacional en la propagación de la COVID-19 en Cuba.]]></article-title>
<source><![CDATA[Rev Cubana Med.]]></source>
<year>2020</year>
<volume>59</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario de Salud 2019]]></source>
<year>2020</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Dirección de Registros Médicos y Estadísticas de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Facultad de Matemática y Computación</collab>
<source><![CDATA[Dashboard Cuba: Covid-19]]></source>
<year>2020</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MATCOM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Niehus]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[De Salazar]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Taylor]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Lipsitch]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quantifying bias of COVID-19 prevalence and severity estimates in Wuhan, China that depend on reported cases in international travelers.]]></article-title>
<source><![CDATA[medRxiv]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tuite]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Rees]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Fisman]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estimation of COVID-19 outbreak size in Italy based on international case exportations]]></article-title>
<source><![CDATA[medRxiv]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Herck]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Van Damme]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Castelli]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Zuckerman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nothdurft]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Van Damme]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge, Attitudes and Practices in Travel-related Infectious Diseases The European Airport Survey]]></article-title>
<source><![CDATA[J Travel Med]]></source>
<year>2004</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sagaró del Campo]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Zamora Matamoros]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Por qué emplear el análisis estadístico implicativo en los estudios de causalidad en salud?]]></article-title>
<source><![CDATA[RCIM]]></source>
<year>2019</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>88-103</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kadi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Khelfaoui]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Population density, a factor in the spread of COVID-19 in Algeria statistic study]]></article-title>
<source><![CDATA[Bull Natl Res Cent]]></source>
<year>2020</year>
<volume>44</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carozzi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Provenzano]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Roth]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Urban Density and Covid-19. IZA Discussion Paper No, 13440]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Bonn ]]></publisher-loc>
<publisher-name><![CDATA[Iza Institute of Labor Economics]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Labrada]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez-Mojena]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Velázquez-Pérez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transmisión asintomática y presintomática del SARS-CoV-2: la cara oculta de la COVID-19.]]></article-title>
<source><![CDATA[Anales de la Academia de Ciencias de Cuba]]></source>
<year>2020</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
