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Cutaneous leishmaniasis spatial distribution and epidemiological and environmental risk factors in Cametá, state of Pará, Brazil

2020; Elsevier BV; Volume: 24; Issue: 4 Linguagem: Inglês

10.1016/j.bjid.2020.06.008

1678-4391

Alcinês da Silva Sousa Júnior, Nelson Veiga Gonçalves, Cláudia do Socorro Carvalho Miranda, Bruno de Oliveira Santos, Rafael Aleixo Coelho de Oliveira, Rodrigo Júnior Farias da Costa, Selma Kazumi da Trindade Noguchi, João Sérgio de Sousa Oliveira, Érica Silva de Souza Matsumura, Vera Regina da Cunha Menezes Palácios,

Parasites and Host Interactions

Background:In Brazil, Cutaneous Leishmaniasis (CL) is a major public health issue and affects the population living in the North region.Objectives: This study analyzed the spatial distribution of CL and its relationship with epidemiological and environmental risk factors in Cametá, Pará, Northern Brazil, from 2007 to 2016. Methods:The places where the cases occurred were georeferenced, and epidemiological and environmental analyses were carried out using spatial statistics techniques. Results:The epidemiological analysis showed association between the seasons and the disease.The disease mainly affected individuals who were males, adults, brown and had low schooling, lived in rural area, and had an occupation related to labor activities.Clusters of cases of the disease were identified in urban and rural areas, as well as direct and strong spatial autocorrelation between CL and deforestation.The disease was not distributed homogeneously, possibly because of the demographic dynamics of the municipality, with its intense migratory flows. Conclusion:We highlight the need for a more effective monitoring in the rainiest period, as well as in historically deforested areas, which are areas susceptible to the disease.The technologies used were satisfactory for the construction of epidemiological landscapes of the disease.