2020
DOI: 10.1590/1413-81232020253.16442018
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A leptospirose humana como doença duplamente negligenciada no Brasil

Abstract: Resumo O objetivo do presente artigo é analisar as discrepâncias e lacunas informacionais que produzem uma versão duplamente negligenciada da leptospirose humana na política pública de saúde brasileira. Para alcançar esse objetivo, comparamos dados de morbidade, mortalidade, custos hospitalares e sociais, perfis populacionais, hábitos dos vetores, determinantes sociais de saúde e práticas diagnósticas relacionadas à leptospirose com outra doença de maior reconhecimento no país: a dengue. Nossa análise mostra q… Show more

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Cited by 32 publications
(44 citation statements)
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References 20 publications
(19 reference statements)
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“…Vivem em condições de sinantropismo, buscando espaços construídos por humanos, onde facilmente encontram comida e água para sobreviverem. Porém, a leptospira possui outros reservatórios como suínos, bovinos, equinos, ovinos e cães (CHAKRABORTY et al, 2010;MARTINS, SPINK, 2018;GUEDES, et al 2020).…”
Section: Resultados E Discussõesunclassified
“…Vivem em condições de sinantropismo, buscando espaços construídos por humanos, onde facilmente encontram comida e água para sobreviverem. Porém, a leptospira possui outros reservatórios como suínos, bovinos, equinos, ovinos e cães (CHAKRABORTY et al, 2010;MARTINS, SPINK, 2018;GUEDES, et al 2020).…”
Section: Resultados E Discussõesunclassified
“…The diagnosis of leptospirosis has already been described in some wild animals, including collared peccaries (Pecari tajacu), from various regions of Brazil and the USA (Luna-Alvarez, Moles-Cervantes, Torres- Barranca & Gual-Sill, 1996;Ito et al, 1998;Jori, Galvez, Mendoza, Cespedes & Mayor, 2009), but this is the first study in the Northeast region of Brazil for this species. The four positive animals reacted to the serogroup Icterohaemorraghiae, which has been identified as the main responsible for the clinical cases of human leptospirosis in Brazil and the rodent Rattus norvegicus is considered the most relevant host (Bharti et al, 2003;Souza et al, 2006;Martins & Spink, 2020). There is an important role for rodents in the transmission of serogroup Icterohaemorraghiae to wild animals that live in captivity, since they are present in agglomeration sites, making contact more favorable, according to the Corrêa et al (2004) and Ministério da Saúde [MS] (2019).…”
Section: Discussionmentioning
confidence: 99%
“…Leptospirosis (LEP) is an acute febrile illness caused by bacteria belonging to the Leptospira genus, transmitted to humans through contact with water contaminated with urine from infected rodents. Leptospira can remain viable in water for several months ( 68 ) and is considered a doubly neglected disease due to the lack of awareness of the Brazilian population regarding its severity ( 69 ). Endemicity is associated to urban areas with poor sanitation and open sewers or rural areas where agricultural practices lead to water contamination with animal urine.…”
Section: Epidemiological Trajectoriesmentioning
confidence: 99%