Cutaneous leishmaniasis in protected environmental areas in the Eastern Amazon: the case of São Félix do Xingu, Pará, Brazil.

Autor: De Oliveira RAC; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil. aleixorafaelll@gmail.com., Miranda CDSC; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Guedes JA; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Filgueiras TGM; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Bichara CNC; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Araújo MS; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Martins CNSAT; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Nunes EFC; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Cabeça ALLCR; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., De Rezende MAC; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Noguchi SKDT; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil., Gonçalves NV; Epidemiology and Geoprocessing Laboratory of the Amazon (EPIGEO), Pará State University (UEPA), Belém, Brazil.
Jazyk: angličtina
Zdroj: Journal of infection in developing countries [J Infect Dev Ctries] 2021 Nov 30; Vol. 15 (11), pp. 1724-1730. Date of Electronic Publication: 2021 Nov 30.
DOI: 10.3855/jidc.13936
Abstrakt: Introduction: Cutaneous Leishmaniasis is a disease transmitted to men and animals by infected female phlebotomine sandflies and is considered a great environmental and public health problem in the Amazon region. Thus, the study aimed to analyze the spatial distribution of this disease in São Félix do Xingu, in the state of Pará, Brazil, and its relationship with epidemiological and environmental variables, in the period from 2012 to 2016.
Methodology: The data used were from the Information System of the Pará State Secretariat of Health, the National Institute for Space Research and the Brazilian Institute of Geography and Statistics. The statistical and spatial analysis of the variables were done using non-parametric chi-square statistical test, kernel interpolation technique and the Bivariate Global Moran Index.
Results: The municipality had 183 confirmed cases, non-homogeneously distributed in 5 administrative districts. The individuals most affected were adult males with brown skin, an elementary level of education and rural area residents. In the case series, a direct relationship was observed between the increase of the number of cases and deforestation in the study area. The spatial analysis showed different types of land use and cover related to case clusters in the municipality. Additionally, there was a presence of cases in protected areas and a great epidemiological silence in indigenous lands.
Conclusions: Thus, this disease is a large and complex public health problem in the municipality, related to social and environmental risk factors.
Competing Interests: No Conflict of Interest is declared
(Copyright (c) 2021 Rafael Aleixo Coelho de Oliveira, Claudia do Socorro Carvalho Miranda, Juan Andrade Guedes, Tainara Carvalho Garcia Miranda Filgueiras, Clea Nazare Carneiro Bichara, Marilia de Souza Araujo, Claudia Nazare de Souza Almeida Titan Martins, Erica Feio Carneiro Nunes, Ana Lydia Lédo de Castro Ribeiro Cabeca, Manoel Antonio Costa de Rezende, Selma Kazumi da Trindade Noguchi, Nelson Veiga Goncalves.)
Databáze: MEDLINE
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