Laboratório de Parasitologia, Universidade Federal dos Vales dos Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
Secretaria Municipal de Saúde, Diamantina, MG, Brazil.
Yale J Biol Med. 2021 Jun 30;94(2):209-215. eCollection 2021 Jun.
: The present study was carried out in the rural and urban area of Diamantina/Minas Gerais (MG), an endemic municipality for visceral leishmaniasis (VL) in Brazil. : Patient notification records, canine prevalence, and phlebotomine fauna were evaluated. : In the period from 2016 to 2018, eight human cases were confirmed, with three deaths, predominantly in males. In the same period, a total of 1,388 dogs resided in the rural and urban area of the municipality were submitted to the DPP® and ELISA, with a percentage of confirmed canine cases of 29.9% and 29.4%, respectively. The entomological study conducted in the municipality revealed the presence of 10 species of sand flies, with a predominance of (55.75%), mainly in the rural area. : Unlike what is happening in urban centers, the results of this study suggest that the VL in Diamantina is in the process of urbanization, given the high percentage of confirmed canine cases and the high density of in the rural area of the municipality. These risk factors warn about the need for continuous surveillance and the need to control actions of VL in this area.
本研究在巴西内脏利什曼病(VL)流行的米纳斯吉拉斯州迪阿曼蒂纳(Diamantina)农村和城市地区进行。评估了患者通知记录、犬类流行率和白蛉种群。在 2016 年至 2018 年期间,共确诊了 8 例人类病例,其中 3 例死亡,主要为男性。同期,该市政农村和城市地区共有 1388 只犬接受了 DPP®和 ELISA 检测,犬类确诊病例的百分比分别为 29.9%和 29.4%。在该市进行的昆虫学研究发现了 10 种沙蝇,其中 (55.75%)占主导地位,主要在农村地区。与城市中心的情况不同,这项研究的结果表明,由于犬类确诊病例的高百分比和该市政农村地区 的高密度,迪阿曼蒂纳的 VL 正在城市化进程中。这些风险因素警告需要持续监测,并需要在该地区控制 VL 的行动。