American cutaneous Leishmaniasis in the city of Jussara, state of Paraná, Brazil: historical series of 21 years

• Autor(a) principal: Oliveira, Rosângela Ziggiotti de
• Data de Publicação: 2016
• Outros Autores: Oliveira, Letícia Ziggiotti de, Lima, Meiri Vanderlei Nogueira de, Lima, Airton Pereira de, Lima, Renata Bernardini de, Silva, Diego Gafuri, Lopes, Fábio Rangel Gobeti
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Espaço para a Saúde (Online)
• Texto Completo: https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/285
• topic: Cutaneous leishmaniasis - Prevention; Endemics Control; Epidemiology.; Leishmaniose Cutânea – Prevenção; Controle de Endemia; Epidemiologia.

American Tegumentary Leishmaniasis (ATL) is a disease caused by protozoa of the genus Leishmania, and is transmitted to humans by the bite of phlebotominae mosquitos. In recent years, Brazil has presented an increase in the number of cases and the disease has expanded its geographic extension. The Brazilian Southern region, state of Paraná, registers more than 90% of notifications, and the city of Jussara, located on the northwest of the State, has one of the largest coefficients of disease detection (299.4 cases/100,000 inhabitants). The objective of this study was to describe the clinical and epidemiological features of endemic ATL in the city between 1994 and 2014. Coefficients fluctuation over the years was observed. There were 399 cases notified. The disease was more frequent in men, young adults, with transmission especially related to rural work. The autochthonism of the disease was of 97.5%. The predominant clinical form was cutaneous, and access to diagnostic examination was observed for all the infected hosts. The advances in diagnosis and treatment, and the difficulties of disease control measures, especially those related to the vector, are acknowledged.