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Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015

INTRODUCTION: Human visceral leishmaniasis (HVL) primarily occurs in regions that present socioeconomic, health, and environmental vulnerability. In Pernambuco, Brazil, this neglected zoonosis has expanded in magnitude as well as geographically, and efforts to manage HVL have been insufficient to c...

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Main Authors: Sousa, Jaqueline Maria dos Santos, Ramalho, Walter Massa, Melo, Marcia Almeida de
Format: Artigo
Language: English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2019
Subjects:
Zoonoses
Epidemiologia
Doenças transmissíveis
Vigilância sanitária
Online Access: https://dx.doi.org/10.1590/0037-8682-0047-2018
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spelling ir-10482-333192019-11-05T19:14:30Z Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015 Sousa, Jaqueline Maria dos Santos Ramalho, Walter Massa Melo, Marcia Almeida de Zoonoses Epidemiologia Doenças transmissíveis Vigilância sanitária INTRODUCTION: Human visceral leishmaniasis (HVL) primarily occurs in regions that present socioeconomic, health, and environmental vulnerability. In Pernambuco, Brazil, this neglected zoonosis has expanded in magnitude as well as geographically, and efforts to manage HVL have been insufficient to contain its spread. The objective of this study was to describe the epidemiological profile of human illness due to HVL during 2006 to 2015 in Pernambuco State. METHODS: This study was conducted using secondary data collected from the Health Information System. RESULTS: During the study period, Pernambuco accounted for 2.4% of HVL cases in Brazil, with 49.6% of these concentrated in the macroregions of São Francisco Valley and Araripe. The percentage of municipalities that reported cases at the beginning of the study period increased from 21.1% (n = 39) to 43.8% (n = 81) by the end of the period. Cases were found predominantly among males, brown-skinned individuals, children aged 1-4 years, and individuals with incomplete 1st to 4th grade education. Coinfection with HIV was present in 5.6% of cases. Incidence was 9.7 cases per 100,000 inhabitants, and lethality was 12.3%. CONCLUSIONS: HVL has shown worrying expansion and evolution, in addition to high lethality, in Pernambuco. The only study of its kind in the past decade, it was evident from this study that despite efforts to contain this disease, HVL in Pernambuco exhibits patterns similar to those described in previous studies. Based on our results, we suggest reassessing the current prevention and control measures in the state. 2019-01-02T13:50:25Z 2019-01-02T13:50:25Z 2018 Artigo SOUSA, Jaqueline Maria dos Santos; RAMALHO, Walter Massa; MELO, Marcia Almeida de. Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015. Revista da Sociedade Brasileira de Medicina Tropical, Uberaba, v. 51, n. 5, p. 622-630, set./out. 2018. DOI: http://repositorio.unb.br/handle/10482/33319. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822018000500622&lng=en&nrm=iso. Acesso em: 22 maio 2019. http://dx.doi.org/10.1590/0037-8682-0047-2018. https://dx.doi.org/10.1590/0037-8682-0047-2018 en Acesso Aberto Revista da Sociedade Brasileira de Medicina Tropical - (CC BY) - Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822018000500622&lng=en&tlng=en. Acesso em: 22 maio 2019. application/pdf Sociedade Brasileira de Medicina Tropical - SBMT
institution REPOSITORIO UNB
collection REPOSITORIO UNB
language English
topic Zoonoses
Epidemiologia
Doenças transmissíveis
Vigilância sanitária
spellingShingle Zoonoses
Epidemiologia
Doenças transmissíveis
Vigilância sanitária
Sousa, Jaqueline Maria dos Santos
Ramalho, Walter Massa
Melo, Marcia Almeida de
Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
description INTRODUCTION: Human visceral leishmaniasis (HVL) primarily occurs in regions that present socioeconomic, health, and environmental vulnerability. In Pernambuco, Brazil, this neglected zoonosis has expanded in magnitude as well as geographically, and efforts to manage HVL have been insufficient to contain its spread. The objective of this study was to describe the epidemiological profile of human illness due to HVL during 2006 to 2015 in Pernambuco State. METHODS: This study was conducted using secondary data collected from the Health Information System. RESULTS: During the study period, Pernambuco accounted for 2.4% of HVL cases in Brazil, with 49.6% of these concentrated in the macroregions of São Francisco Valley and Araripe. The percentage of municipalities that reported cases at the beginning of the study period increased from 21.1% (n = 39) to 43.8% (n = 81) by the end of the period. Cases were found predominantly among males, brown-skinned individuals, children aged 1-4 years, and individuals with incomplete 1st to 4th grade education. Coinfection with HIV was present in 5.6% of cases. Incidence was 9.7 cases per 100,000 inhabitants, and lethality was 12.3%. CONCLUSIONS: HVL has shown worrying expansion and evolution, in addition to high lethality, in Pernambuco. The only study of its kind in the past decade, it was evident from this study that despite efforts to contain this disease, HVL in Pernambuco exhibits patterns similar to those described in previous studies. Based on our results, we suggest reassessing the current prevention and control measures in the state.
format Artigo
author Sousa, Jaqueline Maria dos Santos
Ramalho, Walter Massa
Melo, Marcia Almeida de
author_sort Sousa, Jaqueline Maria dos Santos
title Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
title_short Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
title_full Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
title_fullStr Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
title_full_unstemmed Demographic and clinical characterization of human visceral leishmaniasis in the State of Pernambuco, Brazil between 2006 and 2015
title_sort demographic and clinical characterization of human visceral leishmaniasis in the state of pernambuco, brazil between 2006 and 2015
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2019
url https://dx.doi.org/10.1590/0037-8682-0047-2018
_version_ 1672205556700413952
score 13.657419

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