1. Epidemiology of Visceral Leishmaniasis in a Reemerging Focus of Intense Transmission in Minas Gerais State, Brazil
- Author
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Marcela Esteves Gomes, Estefânia Conceição Apolinário, Edelberto Santos Dias, Jennifer Cunha Peixoto, Emerson Cotta Bodevan, Aimara da Costa Pinheiro, Holbiano Saraiva de Araújo, Aline Tanure, and Ricardo Andrade Barata
- Subjects
Adult ,Male ,medicine.medical_specialty ,Veterinary medicine ,Article Subject ,Adolescent ,Lutzomyia longipalpis ,Clinical exam ,lcsh:Medicine ,Communicable Diseases, Emerging ,General Biochemistry, Genetics and Molecular Biology ,Disease Outbreaks ,law.invention ,Young Adult ,Dogs ,Risk Factors ,law ,Epidemiology ,medicine ,Animals ,Humans ,Dog Diseases ,Child ,Aged ,Aged, 80 and over ,General Immunology and Microbiology ,business.industry ,Incidence ,lcsh:R ,Infant, Newborn ,Infant ,General Medicine ,Middle Aged ,medicine.disease ,Visceral leishmaniasis ,Transmission (mechanics) ,Child, Preschool ,Leishmaniasis, Visceral ,Female ,business ,Brazil ,Research Article - Abstract
This study was developed in the urban area of Governador Valadares, a reemerging focus of intense transmission of visceral leishmaniasis (VL) in Brazil, presenting 86 human cases of VL from 2008 to 2011. The disease prevailed in males (73.2%) with most patients between 0 and 9 years (44.1%) and a lethality rate of 16.2%. A canine survey was carried out on 16,529 domestic dogs in 35 districts in the area and it showed that 30.2% of them (4,992 dogs) were positive for VL by serum assays. Prevalence ratios for canine VL varied between 13.6% and 53.4%. The clinical exam of 343 seropositive dogs showed that 49.9% of them were considered symptomatic, with larger prevalence of canine VL being in short-furred animals (90%). The entomological survey was performed in eight districts, where 2,539 phlebotomines were captured, preferentially in the peridomicile (84.5%).Lutzomyia longipalpiswas the predominant species (90%) suggesting its participation in the VL transmission in the area. The correlation between canine prevalence andL. longipalpisdensity was evaluated.
- Published
- 2013