Distribuição espacial dos casos de leishmaniose tegumentar americana no município de Campinas, Estado de São Paulo, no período de 1992 a 2003

Abstract

RESUMO ABSTRACTThis is a retrospective study with ecological features that describes the epidemiological pattern and geographical distribution of American tegumentary leishmaniasis cases in Campinas, São Paulo, between 1992 and 2003. The probable infection locations were georeferenced by means of Global Position System and spatially described using Spring 4.01 Beta software from the Brazilian National Space Research Institute. A kernel estimator was applied to identify areas of case concentration, three epidemic areas with higher case intensity were found in the municipal area in 1993/1995and 2002/2003, closeness of domicile to forest, and clinical form of the disease were studied. Although socio-environment characteristics of the areas were different, epidemics profile were similar. Age, sex and occupational distribution suggest peri-domestic transmission. Proximity to forest has being a risk factor.

Leishmaniose tegumentar americana no município de Jussara, estado do Paraná, Brasil: série histórica de 21 anos

“…Poucas pesquisas analisaram a escolaridade dos indivíduos acometidos pela LTA. A variável foi incluída na investigação em 1998 e a falta de preenchimento do campo foi uma constante nas fichas de notificação, o que dificulta sua interpretação 22 . Mesmo assim, no presente estudo encontrou-se que 68% dos pacientes (n=212) tinham até sete anos de escola frequentados.…”

“…Estima-se que 3 a 5% dos casos de manifestação cutânea desenvolvam lesão mucosa 28 . No presente estudo 94% (n=375) dos pacientes apresentaram a forma cutânea semelhante ao registrado em outros estados do país 5,21,22,27 . A coinfecção HIV/ LTA foi identificada em um caso (0,25%).…”

Spatial analysis of leishmaniasis in Brazil: a systematized review

“…Nasser et al . 8 studied 60 cases reported between 1992 and 2003 in Campinas, Sao Paulo State, where the highest concentration of cases was in the rural area bordering the urban area.…”

The first canine visceral leishmaniasis outbreak in Campinas, State of São Paulo Southeastern Brazil

“…Cases of ATL were associated with the presence of riparian forest or small fragments of wooded areas. The great majority of cases suggested that the residence itself was the probable site of infection, and these residences were always situated close to or inside the forest 12,13 .…”