<?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>S1727-897X2022000500885</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistema de vigilancia epidemiológica de arbovirosis. Cienfuegos, año 2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological surveillance system for arboviruses. Cienfuegos, 2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Acosta]]></surname>
<given-names><![CDATA[Hilda María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones López]]></surname>
<given-names><![CDATA[Lidierkys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toledo Romani]]></surname>
<given-names><![CDATA[María Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteagudo Díaz]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Buergo]]></surname>
<given-names><![CDATA[Delfín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Linares Pérez]]></surname>
<given-names><![CDATA[Nivaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Medicina Tropical Pedro Kouri  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Provincial de Higiene Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Escuela Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>5</numero>
<fpage>885</fpage>
<lpage>894</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000500885&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000500885&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000500885&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: las arbovirosis continúan siendo un problema de salud en el mundo y en Cuba. La vigilancia de estas enfermedades es hoy prioridad en muchos países.  Objetivo:  describir el actual sistema de vigilancia de las arbovirosis en Cienfuegos durante el año 2019.  Métodos: se realizó una investigación en sistemas y servicios de salud. Se exploraron 10 servicios de vigilancia. El sistema se describió en términos de: componentes, definición de caso, fuentes y flujo de datos, arquitectura tecnológica y tipos de vigilancia. Se realizó revisión documental, aplicación de una lista de chequeo, entrevistas a informantes claves y análisis de serie cronológica de arbovirosis 2014-2019.  Resultados: la vigilancia se articula en red a través de sus componentes. La definición de caso se modifica en períodos epidémicos. Existen varias fuentes de datos de las cuales se nutre el sistema, algunas recogen información no útil para la vigilancia. La vigilancia basada en indicadores es la que se utiliza, no así la vigilancia basada en eventos y no existe un sistema informatizado que integre toda la información lo cual puede limitar su validez.  Conclusiones:  el sistema de vigilancia de las arbovirosis en Cienfuegos comparte características con los que se desarrollan a nivel internacional, sin embargo se identificaron limitaciones que pueden conspirar con el funcionamiento de algunos de sus atributos, cuestión que habría que explorar en próximos estudios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  arboviruses continue to be a health problem in the world and in Cuba. Surveillance of these diseases is now a priority in many countries.  Objective  to describe the current arbovirus surveillance system in Cienfuegos during 2019.  Methods  The research was carried out in health systems and services. 10 surveillance services were explored. The system is described in terms of: components, case definition, data sources and flow, technological architecture, and types of surveillance. A documentary review, application of a checklist, interviews with key informants and analysis of the chronological series of arboviruses 2014-2019 were carried out.  Results:  surveillance is articulated in a network through its components. The case definition is modified in epidemic periods. There are several data sources from which the system feeds, some collect information that is not useful for surveillance. Surveillance based on indicators is what is used, but surveillance based on events is not, and there is no computerized system that integrates all the information, which can limit its validity.  Conclusions:  the arbovirus surveillance system in Cienfuegos shares characteristics with those developed internationally, however, limitations were identified that may conspire with the functioning of some of its attributes, an issue that should be explored in future studies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[monitoreo epidemiológico]]></kwd>
<kwd lng="es"><![CDATA[infecciones por arbovirus]]></kwd>
<kwd lng="en"><![CDATA[epidemiological monitoring]]></kwd>
<kwd lng="en"><![CDATA[arbovirus infections]]></kwd>
</kwd-group>
</article-meta>
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