Monteiro Wuelton Marcelo, Neitzke-Abreu Herintha Coeto, Ferreira Maria Eugenia Moreira da Costa, Melo Gisely Cardoso de, Barbosa Maria das Graças Vale, Lonardoni Maria Valdrinez Campana, Silveira Thais Gomes Verzignassi, Teodoro Ueslei
Curso de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, AM.
Rev Soc Bras Med Trop. 2009 Sep-Oct;42(5):509-14. doi: 10.1590/s0037-86822009000500007.
Information on the role of population mobility in maintaining American tegumentary leishmaniasis in the State of Paraná is scarce. Population mobility was evaluated as a risk factor for this endemic disease in three mesoregions of Paraná, using data built up at the State University of Maringá, covering 1987 to 2004. A total of 1,933 cases were notified, mostly among migrants (54.4%). The municipalities with the greatest numbers of cases notified were Maringá (358), Doutor Camargo (108) and Terra Boa (105). The rural cases were predominantly autochthonous (89.8%), while the urban cases were mostly among migrants (84.8%) (p < 0.0001). Among the rural autochthonous cases, there was no difference between the sexes (p = 0.127), whereas among the urban migrant cases, men predominated (p < 0.0001). The migrant cases were mostly related to mobility within and between municipalities. Population mobility seems to be an important variable in the epidemiology of this disease in the State of Paraná.
关于人口流动在巴拉那州维持美洲皮肤利什曼病方面所起作用的信息很少。利用马林加州立大学收集的1987年至2004年的数据，在巴拉那州的三个中区域将人口流动评估为这种地方病的一个风险因素。共报告了1933例病例，大多数病例发生在移民中（54.4%）。报告病例数最多的市是马林加（358例）、卡马古医生市（108例）和特拉博阿市（105例）。农村病例主要为本地病例（89.8%），而城市病例大多发生在移民中（84.8%）（p<0.0001）。在农村本地病例中，男女之间没有差异（p=0.127），而在城市移民病例中，男性占主导（p<0.0001）。移民病例大多与市内和市际流动有关。人口流动似乎是巴拉那州这种疾病流行病学中的一个重要变量。
