Nasser Jeanette Trigo, Donalisio Maria Rita, Vasconcelos Cíntia Honório
Prefeitura Municipal de Campinas, Campinas, SP.
Rev Soc Bras Med Trop. 2009 May-Jun;42(3):309-14. doi: 10.1590/s0037-86822009000300013.
This 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 1993/1995 and 2002/2003. Socio-demographic (gender, age, occupation, residence time), closeness of domicile to forest, and clinical form of the disease were studied. Although socio-environment characteristics of the areas were different, epidemics profiles were similar. Age, sex and occupational distribution suggest peri-domestic transmission. Proximity to forest has been a risk factor.
这是一项具有生态学特征的回顾性研究,描述了1992年至2003年期间圣保罗坎皮纳斯市美洲皮肤利什曼病病例的流行病学模式和地理分布。通过全球定位系统对可能的感染地点进行地理定位,并使用巴西国家空间研究所的Spring 4.01 Beta软件进行空间描述。应用核估计器来识别病例集中区域,在1993/1995年和2002/2003年在市区发现了三个病例强度较高的流行区。研究了社会人口统计学特征(性别、年龄、职业、居住时间)、住所与森林的距离以及疾病的临床形式。尽管各地区的社会环境特征不同,但流行特征相似。年龄、性别和职业分布表明存在家庭周边传播。靠近森林一直是一个危险因素。