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2003年至2012年巴西马托格罗索州朗多诺波利斯市内脏利什曼病的空间分析:疾病传播地区的人类、犬类和病媒分布

Spatial analysis of visceral leishmaniasis in the municipality of Rondonópolis, in the Brazilian State of Mato Grosso, from 2003 to 2012: human, canine and vector distribution in areas of disease transmission.

作者信息

Guimarães Alexander Gonçalves Ferreira, Alves Gustavo Benedito Medeiros, Pessoa Anita de Moura, Junior Nelson Jorge da Silva

机构信息

Programa de Pós-Graduação Stricto Sensu em Ciências Ambientais e Saúde, Pontifícia Universidade Católica de Goiás, Goiânia, Goiás, Brazil.

Laboratório de Geoprocessamento, Programa de Pós-Graduação Stricto Sensu em Geografia, Universidade Federal do Mato Grosso, Rondonópolis, Mato Grosso, Brazil.

出版信息

Rev Soc Bras Med Trop. 2015 May-Jun;48(3):291-300. doi: 10.1590/0037-8682-0001-2015.

Abstract

INTRODUCTION

Visceral leishmaniasis (VL) is a zoonosis of great importance to public health and is considered a neglected disease by the World Health Organization. The disease has expanded and become more prevalent in urban areas in Brazil.

METHODS

Geospatial analyses were performed and thematic maps of the triad of the disease were produced for the study period (2003-2012) in the urban area of the municipality of Rondonópolis in the midwestern State of Mato Grosso (MT), Brazil, TerraView 4.2.2 software was used for the analyses.

RESULTS

A total of 87.9% of the 186 confirmed human cases of VL were cured. Children between the ages of 1 and 4 were the most affected. Registered deaths were predominant among adults aged 60 years or older. The urban area of the municipality consists of eight strata and 12 census districts include 237 neighborhoods. All sectors had confirmed cases of VL. During the study period, human cases of the disease were recorded in 90 neighborhoods. The 23 deaths from the disease were distributed in 21 neighborhoods. Sandflies carrying the parasite were captured in 192 out of 200 neighborhoods evaluated for the presence of the VL vector. The presence of dogs carrying the parasite was confirmed in, 140 out of 154 surveyed neighborhoods.

CONCLUSIONS

The data demonstrated the endemic nature of VL, with a high percentage of infected children, a high distribution of canine infection, and a wide adaptation and dispersal of the vectors in the urban environment. These results, illustrate the process of urbanization of VL in the municipality of Rondonópolis, MT, Brazil.

摘要

引言

内脏利什曼病(VL)是一种对公共卫生极为重要的人畜共患病,被世界卫生组织视为一种被忽视的疾病。该疾病在巴西城市地区不断蔓延且愈发普遍。

方法

在巴西中西部马托格罗索州(MT)朗多诺波利斯市的市区,对研究期间(2003 - 2012年)进行了地理空间分析,并制作了该疾病三元组的专题地图,分析使用了TerraView 4.2.2软件。

结果

186例确诊的人类VL病例中,共有87.9%被治愈。1至4岁的儿童受影响最为严重。登记死亡病例主要集中在60岁及以上的成年人中。该市市区由八个阶层组成,12个人口普查区包括237个社区。所有区域均有确诊的VL病例。在研究期间,该疾病的人类病例记录在90个社区。23例因该疾病死亡的病例分布在21个社区。在评估VL病媒存在情况的200个社区中,有192个社区捕获到携带寄生虫的白蛉。在154个接受调查的社区中,有140个社区确认存在携带寄生虫的犬类。

结论

数据表明VL具有地方流行性,感染儿童比例高,犬类感染分布广泛,病媒在城市环境中广泛适应和传播。这些结果说明了巴西马托格罗索州朗多诺波利斯市VL的城市化进程。

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