Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Sociedade Brasileira de Medicina Tropical |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017 |
Resumo: | From 1977 (index case) to 2006, 87 cases of visceral leishmaniasis were confirmed in the municipality of Rio de Janeiro, Brazil, in periurban areas on the continental and coastal slopes of the Pedra Branca massif and the continental slopes of the Gericinó massif. The majority (65.5%) of the patients were more than five years old, predominantly males (61.5%), but without any difference between the sexes below the age of 14 years. The overall fatality rate was 10.4%. Two cases of visceral leishmaniasis/human immunodeficiency virus coinfection were detected. Leishmania chagasi was isolated from human and canine cases. The associations between the presence of phlebotomines and human and canine migrations, disorderly occupation involving degradation of environmental preservation areas and poor socioeconomic conditions may have created a favorable setting for the establishment and propagation of the disease. Close epidemiological surveillance associated with traditional control measures and others (active case researches, land clearing and health education), reduced the incidence of human cases from 2.8 per 100,000 inhabitants in 1981 to less than 0.01 per 100,000 since 1997. The canine infection rates decreased from 4.6% in 1984 to 1.6% in 2008. Lutzomyia longipalpis was not detected in some locations where human and canine cases occurred. In the years 2007 and 2008, no new human cases were reported, but there is a persistent and worrisome residual canine seroprevalence. |
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Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and controlVisceral leishmaniasisEco-epidemiologyEnvironmental factorsControlRio de JaneiroFrom 1977 (index case) to 2006, 87 cases of visceral leishmaniasis were confirmed in the municipality of Rio de Janeiro, Brazil, in periurban areas on the continental and coastal slopes of the Pedra Branca massif and the continental slopes of the Gericinó massif. The majority (65.5%) of the patients were more than five years old, predominantly males (61.5%), but without any difference between the sexes below the age of 14 years. The overall fatality rate was 10.4%. Two cases of visceral leishmaniasis/human immunodeficiency virus coinfection were detected. Leishmania chagasi was isolated from human and canine cases. The associations between the presence of phlebotomines and human and canine migrations, disorderly occupation involving degradation of environmental preservation areas and poor socioeconomic conditions may have created a favorable setting for the establishment and propagation of the disease. Close epidemiological surveillance associated with traditional control measures and others (active case researches, land clearing and health education), reduced the incidence of human cases from 2.8 per 100,000 inhabitants in 1981 to less than 0.01 per 100,000 since 1997. The canine infection rates decreased from 4.6% in 1984 to 1.6% in 2008. Lutzomyia longipalpis was not detected in some locations where human and canine cases occurred. In the years 2007 and 2008, no new human cases were reported, but there is a persistent and worrisome residual canine seroprevalence.Sociedade Brasileira de Medicina Tropical - SBMT2009-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017Revista da Sociedade Brasileira de Medicina Tropical v.42 n.5 2009reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/S0037-86822009000500017info:eu-repo/semantics/openAccessMarzochi,Mauro Celio de AlmeidaFagundes,AlineAndrade,Moacir Vieira deSouza,Marcos Barbosa deMadeira,Maria de FátimaMouta-Confort,EliameSchubach,Armando de OliveiraMarzochi,Keyla Belizia Feldmaneng2009-11-30T00:00:00Zoai:scielo:S0037-86822009000500017Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2009-11-30T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false |
dc.title.none.fl_str_mv |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
title |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
spellingShingle |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control Marzochi,Mauro Celio de Almeida Visceral leishmaniasis Eco-epidemiology Environmental factors Control Rio de Janeiro |
title_short |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
title_full |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
title_fullStr |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
title_full_unstemmed |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
title_sort |
Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control |
author |
Marzochi,Mauro Celio de Almeida |
author_facet |
Marzochi,Mauro Celio de Almeida Fagundes,Aline Andrade,Moacir Vieira de Souza,Marcos Barbosa de Madeira,Maria de Fátima Mouta-Confort,Eliame Schubach,Armando de Oliveira Marzochi,Keyla Belizia Feldman |
author_role |
author |
author2 |
Fagundes,Aline Andrade,Moacir Vieira de Souza,Marcos Barbosa de Madeira,Maria de Fátima Mouta-Confort,Eliame Schubach,Armando de Oliveira Marzochi,Keyla Belizia Feldman |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Marzochi,Mauro Celio de Almeida Fagundes,Aline Andrade,Moacir Vieira de Souza,Marcos Barbosa de Madeira,Maria de Fátima Mouta-Confort,Eliame Schubach,Armando de Oliveira Marzochi,Keyla Belizia Feldman |
dc.subject.por.fl_str_mv |
Visceral leishmaniasis Eco-epidemiology Environmental factors Control Rio de Janeiro |
topic |
Visceral leishmaniasis Eco-epidemiology Environmental factors Control Rio de Janeiro |
description |
From 1977 (index case) to 2006, 87 cases of visceral leishmaniasis were confirmed in the municipality of Rio de Janeiro, Brazil, in periurban areas on the continental and coastal slopes of the Pedra Branca massif and the continental slopes of the Gericinó massif. The majority (65.5%) of the patients were more than five years old, predominantly males (61.5%), but without any difference between the sexes below the age of 14 years. The overall fatality rate was 10.4%. Two cases of visceral leishmaniasis/human immunodeficiency virus coinfection were detected. Leishmania chagasi was isolated from human and canine cases. The associations between the presence of phlebotomines and human and canine migrations, disorderly occupation involving degradation of environmental preservation areas and poor socioeconomic conditions may have created a favorable setting for the establishment and propagation of the disease. Close epidemiological surveillance associated with traditional control measures and others (active case researches, land clearing and health education), reduced the incidence of human cases from 2.8 per 100,000 inhabitants in 1981 to less than 0.01 per 100,000 since 1997. The canine infection rates decreased from 4.6% in 1984 to 1.6% in 2008. Lutzomyia longipalpis was not detected in some locations where human and canine cases occurred. In the years 2007 and 2008, no new human cases were reported, but there is a persistent and worrisome residual canine seroprevalence. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0037-86822009000500017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical v.42 n.5 2009 reponame:Revista da Sociedade Brasileira de Medicina Tropical instname:Sociedade Brasileira de Medicina Tropical (SBMT) instacron:SBMT |
instname_str |
Sociedade Brasileira de Medicina Tropical (SBMT) |
instacron_str |
SBMT |
institution |
SBMT |
reponame_str |
Revista da Sociedade Brasileira de Medicina Tropical |
collection |
Revista da Sociedade Brasileira de Medicina Tropical |
repository.name.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT) |
repository.mail.fl_str_mv |
||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br |
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