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Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control

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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.
Autores principais:Marzochi,Mauro Celio de Almeida
Outros Autores: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
Assunto:Visceral leishmaniasis Eco-epidemiology Environmental factors Control Rio de Janeiro
Ano:2009
País:Brasil
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
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author Marzochi,Mauro Celio de Almeida
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
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
country_str BR
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datacite.creators.creator.creatorName.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
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datacite.subjects.subject.fl_str_mv Visceral leishmaniasis
Eco-epidemiology
Environmental factors
Control
Rio de Janeiro
datacite.titles.title.fl_str_mv Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control
dc.creator.none.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.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
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
dc.subject.none.fl_str_mv Visceral leishmaniasis
Eco-epidemiology
Environmental factors
Control
Rio de Janeiro
dc.title.fl_str_mv Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and control
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
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.
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person_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
publishDate 2009
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spelling Visceral leishmaniasis in Rio de Janeiro, Brazil: eco-epidemiological aspects and controlMarzochi,Mauro Celio de AlmeidaFagundes,AlineAndrade,Moacir Vieira deSouza,Marcos Barbosa deMadeira,Maria de FátimaMouta-Confort,EliameSchubach,Armando de OliveiraMarzochi,Keyla Belizia FeldmanVisceral leishmaniasisEco-epidemiologyEnvironmental factorsControlRio de Janeiroopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017URLHasVersion2009-10-01From 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.engtext/htmlSociedade Brasileira de Medicina Tropical - SBMTRevista 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:SBMTjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
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
status SINGLETON
status_str VoR
subject.fl_str_mv Visceral leishmaniasis
Eco-epidemiology
Environmental factors
Control
Rio de Janeiro
title 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_short 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
topic Visceral leishmaniasis
Eco-epidemiology
Environmental factors
Control
Rio de Janeiro
topic_facet Visceral leishmaniasis
Eco-epidemiology
Environmental factors
Control
Rio de Janeiro
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822009000500017
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