Botelho Andrea Cristina Alpoim, Natal Delsio
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP.
Rev Soc Bras Med Trop. 2009 Sep-Oct;42(5):503-8. doi: 10.1590/s0037-86822009000500006.
An epidemiological study was conducted on cases of visceral leishmaniasis that were notified in Campo Grande between 2001 and 2006, using data from the Brazilian information system for notifiable diseases (Sistema de Informação de Agravos de Notificação, SINAN). In 2001, 577 cases were notified, giving an incidence of 1.47 cases/100,000. This rose to 20.98 cases/100,000 in 2006. From 2002 onwards, new cases were notified every month. Children up to nine years of age accounted for 40% of the cases. Males accounted for 64% of the cases and females, 36%. The death rate ranged from 5 to 11%, with a mean of 8%. Among the 44 deaths, 33 (75%) were male cases and 11 (25%) were female cases. Although elderly people accounted for 9% of the cases, mortality among them reached 39%. There were 27 cases of Leishmania /HIV coinfection (5%), with a mortality rate of 15%, mostly among men aged 20 to 49 years. A process of disease endemization with a high rate of incidence was observed.
利用巴西法定传染病信息系统（Sistema de Informação de Agravos de Notificação, SINAN）的数据，对2001年至2006年期间在大坎普城通报的内脏利什曼病病例进行了一项流行病学研究。2001年通报了577例病例，发病率为1.47例/10万。这一数字在2006年升至20.98例/10万。从2002年起，每月都有新病例通报。9岁以下儿童占病例的40%。男性占病例的64%，女性占36%。死亡率在5%至11%之间，平均为8%。在44例死亡病例中，33例（75%）为男性病例，11例（25%）为女性病例。尽管老年人占病例的9%，但其死亡率达到39%。有27例利什曼病/HIV合并感染病例（5%），死亡率为15%，主要发生在20至49岁的男性中。观察到一个发病率很高的疾病地方化过程。
