Local spatial analysis of genotype-clustered TB/DM patients in the study area.

<p>Getis-Ord Gi* showed a hotspot in Camerino Z. Mendoza and Nogales municipalities. 27% (29/108) of patients with DM had Z scores above 1.96 (red dots). In the other municipalities, Z scores are lower than1.96 which means there was random spatial distribution (yellow dots) or a coldspot (blue dots). Thirty-eight percent (41/108) of patients with diabetes had Z scores lower than -1.96 (blue dots), and 88% (36/41) were in the Orizaba municipality. The zoomed area shows the urban health center of Mendoza (white star) and the #4 IMSS family heath unit (blue star). The star in the center of each spatial aggregate indicates the health center where patients received clinical care; 38% (11/29) attended the urban health center of Mendoza and 10% (3/29) the #4 IMSS family health unit of the same municipality. The remaining 52% (15/29) either attended the health center in Nogales municipality or other health centers. Municipalities identified by Roman numerals as in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0193911#pone.0193911.g002" target="_blank">Fig 2</a> [<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0193911#pone.0193911.ref052" target="_blank">52</a>].