2007
DOI: 10.1590/s0102-311x2007000400007
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Mudanças no padrão epidemiológico da malária em área rural do médio Rio Negro, Amazônia brasileira: análise retrospectiva

Abstract: Foi realizado um estudo retrospectivo dos casos de malária ocorridos entre 1992 e 2004 no Município de Barcelos, Amazonas, Brasil, aprofundando as informações existentes na área altamente endêmica do Rio Padauri, afluente do Rio Negro. Foram identificados 16.795 casos de malária, sendo 61,4% (10.318) da área rural e 38,6% (6.477) da área urbana, com uma incidência parasitária anual média de 136,7 por mil habitantes na área urbana e 613,6 na área rural. A incidência parasitária anual média no Rio Padauri foi de… Show more

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Cited by 17 publications
(13 citation statements)
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“…The increase in the percentage of P. falciparum infections observed in this study may be directly related to the delay in implementing the necessary actions to stop outbreaks of transmission 35 , since 74.38% of cases started treatment after 48 hours of onset of first symptoms.…”
Section: Discussionmentioning
confidence: 81%
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“…The increase in the percentage of P. falciparum infections observed in this study may be directly related to the delay in implementing the necessary actions to stop outbreaks of transmission 35 , since 74.38% of cases started treatment after 48 hours of onset of first symptoms.…”
Section: Discussionmentioning
confidence: 81%
“…Moreover, after the suspicion of a case, the deadline for starting the treatment has been effective, on average 90.79% of the cases started treatment within 24 hours of collection of the blood sample. The rate of hospitalization increased from 21% in 2003 to 35 Regarding the origin of imported cases 89.97% come from states that are part of the Amazon, especially the state of Pará, which borders Tocantins and 8.72% are coming from two neighboring countries -Guiana and Suriname; left only 1.31% of the cases arising from other states of Brazil and six other countries (Table 3).…”
Section: Resultsmentioning
confidence: 99%
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“…Apesar de a malária ter classicamente maior impacto sobre as populações rurais (16)(17)(18), observa-se, na atualidade, com o intenso êxodo rural de tendência mundial, uma dinâmica de transmissão mais periurbana, em ambiente com boa receptividade, fundamentalmente pela ocupação desordenada, em áreas próximas à floresta tropical, com condições sanitárias e de instrução precárias (6). Situação semelhante pode ser vista na capital do Amazonas, Manaus (19).…”
Section: Discussionunclassified
“…The northern region of the State has the municipalities traversed by the Madeira River and its tributaries in addition to a large contingency of streams. The high rates of incidence in this region can be explained by the fact that these streams present favorable conditions for disease maintenance, where the inhabitants are asymptomatic carriers of the parasite [27][28][29].…”
Section: Discussionmentioning
confidence: 99%