Esquistossomose em área de ecoturismo do Estado de Minas Gerais, Brasil

Massara, Crístiano Lara; Amaral, Graciela Larissa; Caldeira, Roberta Lima; Drummond, Sandra; Enk, Martin Johannes; Carvalho, Omar dos Santos

doi:10.1590/s0102-311x2008000700025

Cited by 21 publications

(21 citation statements)

References 7 publications

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“…Several occurrences have been reported in the metropolitan regions of Belo Horizonte (Enk et al 2003, Massara et al 2008, Recife (Barbosa et al 2000(Barbosa et al , 2001a and Aracaju (de Jesus et al 2002) and in the countryside of São Paulo (Tomé et al 2003). The present paper confirms this observation and corroborates previous reports of increasing schistosomiasis transmission, especially in urban areas where mostly middle and upper class people, who have never been in contact with the disease, are becoming infected and suffering from the acute form of schistosomiasis.…”

Section: Discussionmentioning

confidence: 99%

“…Together with the development of the tourism business and a lack of basic sanitation infrastructure, schistosomiasis cases have been frequently recorded in several Brazilian regions (Barbosa et al 2000, 2001a, b, de Jesus et al 2002, Tomé et al 2003, Enk et al 2003, Massara et al 2008). Many of the tourists, who have never been exposed to the disease, can develop its acute form.…”

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confidence: 99%

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Rural tourism: a risk factor for schistosomiasis transmission in Brazil

Enk¹,

Amaral

Silva

et al. 2010

Mem. Inst. Oswaldo Cruz

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This paper reports an outbreak of acute schistosomiasis among 38 tourists who rented a country house in the district of Igarapé, the metropolitan region of Belo Horizonte, Brazil, during a holiday period in 2006. A total number of 32 individuals were positive for Schistosoma mansoni. Results of stool examinations revealed individual S. mansoni egg counts per gram of faeces (epg) ranging from 4-768 epg with a geometric mean egg count of 45. The most frequent clinical symptoms were abdominal pain (78.1%), headache (75%), fever (65.6%), dry cough (65.2%) and both diarrhoea and asthenia (59.4%). A malacological survey of the area, where 22 specimens of Biomphalaria glabrata were collected, revealed three (13.6%) specimens eliminating Schistosoma cercariae. This investigation re-confirms a recently described pattern of schistosomiasis infection, resulting in the acute form of the disease and connected to rural tourism, which contributes to the spread of the disease among the middle-class and into non-endemic areas. The lack of specific knowledge about acute schistosomiasis among health services causes an increased number of unnecessary diagnostic procedures and delays in accurate diagnosis and treatment, resulting in considerable discomfort for the patients

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Rural tourism: a risk factor for schistosomiasis transmission in Brazil

Enk¹,

Amaral

Silva

et al. 2010

Mem. Inst. Oswaldo Cruz

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“…Cabe ressaltar também, que a referida doença, ainda é comum em importantes regiões turísticas com uso recreacional das águas, como na Serra do Cipó, em Minas Gerais (MASSARA et al, 2008). …”

Section: Segurança Da Atividade Recreacionalunclassified

Protocolo Para Avaliação Da Qualidade Sanitária E Ambiental Em Balneários De Águas Doces No Brasil

Lopes

Oliveira

2017

Hygeia

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RESUMOA utilização das águas para a recreação consiste em um dos usos mais nobres dos recursos hídricos, dada a sua importância histórica à sociedade, bem como alternativa de lazer em meio natural. Entretanto, o monitoramento em águas doces é escasso, além apresentar uma legislação desatualizada, cuja metodologia não considera e/ou estabelece padrões para outros elementos, como riscos de natureza física e qualidade estética das águas, que possam comprometer a utilização e a qualidade da atividade recreacional de contato primário. Buscando complementar a metodologia baseada na análise de água, estabelecida pela Resolução CONAMA n o 274/2000 este artigo tem por objetivo a elaboração de um protocolo de avaliação, abrangendo aspectos sanitários, estéticos e de segurança para avaliação integrada de balneários. Para a elaboração da proposta, foi realizado um levantamento de indicadores de inspeção sanitária aplicados à balneários de água doce, por meio da análise de manuais de referência, trabalhos técnicos e acadêmicos, selecionando aqueles com maior relevância e aplicabilidade para águas doces no Brasil, abrangendo aspectos de infraestrutura local, condições do entorno e área de drenagem e segurança da prática recreacional. O protocolo gerado, foi aplicado em cinco balneários da porção mineira da Estrada Real, visando testar a metodologia proposta. Deste modo, o protocolo proposto, adaptado ao contexto brasileiro, é condizente com os principais guias de gestão de balneários utilizados por agências ambientais de países com longa tradição em gestão de balneabilidade. Essa ferramenta complementar à avaliação da qualidade das águas, permite identificar fatores de risco potencias para prática recreacional, que não são detectados nos programas de monitoramento da qualidade das águas, bem como pode subsidiar e orientar o estabelecimento e/ou condução de programas de monitoramento conforme as especificidades locais. Palavras-chave:Balneabilidade. Riscos à saúde. Gestão de Recursos hídricos. ABSTRACTThe recreational water use is one of the most noble uses of water resources, given its historical importance to society, as a leisure alternative in natural environments. However, freshwater monitoring is scarce, besides presenting an outdated legislation that does not include or establish standards for other variables, as physical risks and aesthetic quality. Seeking to complement the current methodology based in water quality, established by CONAMA n o 274/2000, this paper aims to develop an assessment protocol, including health, aesthetic and safety aspects for integrated assessment of recreational areas to guide the establishment and/or conducting monitoring programs according local specificities. To prepare the proposal, a survey of sanitary inspection indicators applied to freshwater Recebido em: 11/10/2016 Aceito para publicação em: 23/07/2017

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“…Poor rural communities continue to be major areas of schistosomiasis transmission 1 . With the phenomena of urbanization (migration to the outskirts of large cities), all aspects of the disease are reappearing, such as: neuroschistosomiasis, pulmonary hypertension, hepatosplenic schistosomiasis, acute episodes, glomerulonephritis and pyogenic liver abscesses [1][2][3][4][5][6][7][8][9][10][11][12][13] . The State of Minas Gerais presents one of the highest prevalence rates for schistosomiasis in Brazil 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Malacological survey of Biomphalaria snails in municipalities along the Estrada Real in the southeast of the State of Minas Gerais, Brazil

Tibiriçá

Mitterofhe²,

Castro³

et al. 2011

Rev. Soc. Bras. Med. Trop.

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Introduction:The increasing practice of ecotourism and rural tourism in the State of Minas Gerais, Brazil, highlights the importance of studies concerning the occurrence of potential intermediate hosts of Schistosoma mansoni. This study aimed to identify species of Biomphalaria snails in municipalities along the Estrada Real, an important Brazilian tourism project. Methods: The specimens were collected in different water collections of 36 municipalities along the Estrada Real in the southeast of the State of Minas Gerais. Biomphalaria species were characterized using both morphological and molecular approaches. The research was conducted between August 2005 and September 2009 and all the sites visited were georeferenced using GPS. Results: Six Biomphalaria species were found in 30 of the 36 municipalities studied: glabrata, tenagophila, straminea, peregrina, occidentalis and schrammi. The first three species of Biomphalaria, recognized as intermediate hosts of S. mansoni, were present in 33.3%, 47.2% and 8.3% of the municipalities studied, respectively. The mollusks were found in different types of water collections and no infection by S. mansoni was detected. The highest occurrence of Biomphalaria concentration was verified in the area covered by the Caminho Novo route (Diamantina/MG to Rio de Janeiro/RJ). Conclusions: Considering the occurrence of schistosomiasis in the State of Minas Gerais and the socioeconomic repercussions involved in the Estrada Real Project, this work focuses on the vulnerability of water collections due to the presence of Biomphalaria mollusks and emphasizes the need for epidemiological surveillance and sanitary and educational measures integrated with the local community and tourism sectors.

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Esquistossomose em área de ecoturismo do Estado de Minas Gerais, Brasil

Cited by 21 publications

References 7 publications

Rural tourism: a risk factor for schistosomiasis transmission in Brazil

Rural tourism: a risk factor for schistosomiasis transmission in Brazil

Protocolo Para Avaliação Da Qualidade Sanitária E Ambiental Em Balneários De Águas Doces No Brasil

Malacological survey of Biomphalaria snails in municipalities along the Estrada Real in the southeast of the State of Minas Gerais, Brazil

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