Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.

Visceral leishmaniasis (VL) is one of the most prevalent parasitic diseases worldwide. In 2019, 97% of the total numbers of cases in Latin America were reported in Brazil. In São Paulo state, currently 17.6% of infected individuals live in the western region. To study this neglected disease on a reg...

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Autores principales: Regiane Soares Santana, Karina Briguenti Souza, Fernanda Lussari, Elivelton Silva Fonseca, Cristiane Oliveira Andrade, Marcia Mitiko Kaihara Meidas, Lourdes Aparecida Zampieri D'Andrea, Francisco Assis Silva, Edilson Ferreira Flores, Ivete Rocha Anjolete, Luiz Euribel Prestes-Carneiro
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:5b19825ece1b47bb82846c45e888a0c52021-11-25T06:31:46ZCases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.1935-27271935-273510.1371/journal.pntd.0009411https://doaj.org/article/5b19825ece1b47bb82846c45e888a0c52021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009411https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735Visceral leishmaniasis (VL) is one of the most prevalent parasitic diseases worldwide. In 2019, 97% of the total numbers of cases in Latin America were reported in Brazil. In São Paulo state, currently 17.6% of infected individuals live in the western region. To study this neglected disease on a regional scale, we describe the spread of VL in 45 municipalities of the Regional Network for Health Assistance11(RNHA11). Environmental, human VL (HVL), and canine VL (CVL) cases, Human Development Index, and Lutzomyia longipalpis databases were obtained from public agencies. Global Moran's I index and local indicators of spatial association (LISA) statistics were used to identify spatial autocorrelation and to generate maps for the identification of VL clusters. On a local scale, we determined the spread of VL in the city of Teodoro Sampaio, part of the Pontal of Paranapanema. In Teodoro Sampaio, monthly peri-domicile sand fly collection; ELISA, IFAT and Rapid Test serological CVL; and ELISA HVL serum surveys were carried out. In RNHA11 from 2000 to 2018, Lu. longipalpis was found in 77.8%, CVL in 69%, and HVL in 42.2% of the 45 municipalities, and 537 individuals were notified with HVL. Dispersion occurred from the epicenter in the north to Teodoro Sampaio, in the south, where Lu. longipalpis and CVL were found in 2010, HVL in 2018, and critical hotspots of CVL were found in the periphery. Moran's Global Index showed a weak but statistically significant spatial autocorrelation related to cases of CVL (I = 0.2572), and 11 municipalities were identified as priority areas for implementing surveillance and control actions. In RNHA11, a complex array of socioeconomic and environmental factors may be fueling the epidemic and sustaining endemic transmission of VL, adding to the study of a neglected disease in a region of São Paulo, Brazil.Regiane Soares SantanaKarina Briguenti SouzaFernanda LussariElivelton Silva FonsecaCristiane Oliveira AndradeMarcia Mitiko Kaihara MeidasLourdes Aparecida Zampieri D'AndreaFrancisco Assis SilvaEdilson Ferreira FloresIvete Rocha AnjoleteLuiz Euribel Prestes-CarneiroPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009411 (2021)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Regiane Soares Santana
Karina Briguenti Souza
Fernanda Lussari
Elivelton Silva Fonseca
Cristiane Oliveira Andrade
Marcia Mitiko Kaihara Meidas
Lourdes Aparecida Zampieri D'Andrea
Francisco Assis Silva
Edilson Ferreira Flores
Ivete Rocha Anjolete
Luiz Euribel Prestes-Carneiro
Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
description Visceral leishmaniasis (VL) is one of the most prevalent parasitic diseases worldwide. In 2019, 97% of the total numbers of cases in Latin America were reported in Brazil. In São Paulo state, currently 17.6% of infected individuals live in the western region. To study this neglected disease on a regional scale, we describe the spread of VL in 45 municipalities of the Regional Network for Health Assistance11(RNHA11). Environmental, human VL (HVL), and canine VL (CVL) cases, Human Development Index, and Lutzomyia longipalpis databases were obtained from public agencies. Global Moran's I index and local indicators of spatial association (LISA) statistics were used to identify spatial autocorrelation and to generate maps for the identification of VL clusters. On a local scale, we determined the spread of VL in the city of Teodoro Sampaio, part of the Pontal of Paranapanema. In Teodoro Sampaio, monthly peri-domicile sand fly collection; ELISA, IFAT and Rapid Test serological CVL; and ELISA HVL serum surveys were carried out. In RNHA11 from 2000 to 2018, Lu. longipalpis was found in 77.8%, CVL in 69%, and HVL in 42.2% of the 45 municipalities, and 537 individuals were notified with HVL. Dispersion occurred from the epicenter in the north to Teodoro Sampaio, in the south, where Lu. longipalpis and CVL were found in 2010, HVL in 2018, and critical hotspots of CVL were found in the periphery. Moran's Global Index showed a weak but statistically significant spatial autocorrelation related to cases of CVL (I = 0.2572), and 11 municipalities were identified as priority areas for implementing surveillance and control actions. In RNHA11, a complex array of socioeconomic and environmental factors may be fueling the epidemic and sustaining endemic transmission of VL, adding to the study of a neglected disease in a region of São Paulo, Brazil.
format article
author Regiane Soares Santana
Karina Briguenti Souza
Fernanda Lussari
Elivelton Silva Fonseca
Cristiane Oliveira Andrade
Marcia Mitiko Kaihara Meidas
Lourdes Aparecida Zampieri D'Andrea
Francisco Assis Silva
Edilson Ferreira Flores
Ivete Rocha Anjolete
Luiz Euribel Prestes-Carneiro
author_facet Regiane Soares Santana
Karina Briguenti Souza
Fernanda Lussari
Elivelton Silva Fonseca
Cristiane Oliveira Andrade
Marcia Mitiko Kaihara Meidas
Lourdes Aparecida Zampieri D'Andrea
Francisco Assis Silva
Edilson Ferreira Flores
Ivete Rocha Anjolete
Luiz Euribel Prestes-Carneiro
author_sort Regiane Soares Santana
title Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
title_short Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
title_full Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
title_fullStr Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
title_full_unstemmed Cases and distribution of visceral leishmaniasis in western São Paulo: A neglected disease in this region of Brazil.
title_sort cases and distribution of visceral leishmaniasis in western são paulo: a neglected disease in this region of brazil.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/5b19825ece1b47bb82846c45e888a0c5
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