American cutaneous leishmaniasis associated with degradation of native forest, regardless of economic, social and infrastructure vulnerability

Abstract

American cutaneous leishmaniasis (ACL) is a notifiable dermatozoonosis with relevant morbidity. The present study aimed to evaluate the epidemiological aspects of cases of ACL reported in Northern Paraná (2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016), as well as to georeference and analyse the influence of economic, social and environmental variables. Data from ACL notification forms were obtained and the patients' houses were georeferenced.Descriptive statistics, calculations of disease incidence and proportion of vegetation cover by municipality, spatial analysis, multiple linear regression and vulnerability analysis by census sector (CS) were performed. One thousand four hundred fiftyone cases of ACL were reported in the 89 municipalities of four regional health (RH). The average incidence of cases per 10,000 inhabitants was as follows: 11.58, 8.79, 4.92 and 4.03 in 18thRH, 15thRH, 16thRH and 17thRH. Peaks of incident cases were observed in 2008, 2012 and 2015. There was a statistically significant difference between the HR when comparing the proportions of the variables gender, age, education level, area of residence, clinical form, diagnostic criteria, response to treatment and drug used in case of failure. It was observed that the lower the proportion of remaining Atlantic Forest, the greater the incidence of ACL in the municipality. With regard to clusters analysis, treatment abandonment clusters were observed in How to cite this article: Caldart ET, Sevá ADP, Pinto-Ferreira F, et al. American cutaneous leishmaniasis associated with degradation of native forest, regardless of economic, social and infrastructure vulnerability. Zoonoses Public Health.

Knowledge, attitude and prevention measures of students towards cutaneous leishmaniasis in Delanta district, Northeast Ethiopia

“…Over 95% of the global burden of cutaneous leishmaniasis (CL) has been reported from Central Asia, Mediterranean basin, Middle East and America ( Leishmaniasis Key facts [Internet], 2020 ). Major ecological changes like urbanization, deforestation and other environmental activities are contributed to the global distribution of leishmaniasis ( Leishmaniasis Key facts [Internet], 2020 ; Rachel Tidman et al, 2021 ; Caldart et al, 2021 ). In Ethiopia, the prevalence of leishmaniasis was estimated to be 9.13% ( Haftom et al, 2020 ) and in 2019, about 1665 cases of CL were reported to World Health Organization (WHO) ( Leishmaniasis: status of endemicity of Cutaneous leishmaniasis 2019 [Internet], 2019 ).…”

Leishmania spp. in indigenous populations: A mini-review

“…Therefore, vulnerable human populations such as indigenous communities may be exposed within both periurban and remote areas near preserved areas ( 11 ). Moreover, since sandflies and Leishmania spp.…”

Preliminary observations of the urbanization and domiciliation of the American cutaneous leishmaniasis in Rio Branco, Acre, Western Amazon

“…Changes in the environment and landscape may alter the dynamics of vectors and hosts and, consequently, the transmission of etiological agents. As ACL presents a high diversity of causative parasites and vector species, distinct epidemiological profiles may be identified in different regions of Brazil 6 , 7 .…”