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巴西的皮肤利什曼病,特别提及亚马逊地区该疾病的生态流行病学。

The dermal leishmaniases of Brazil, with special reference to the eco-epidemiology of the disease in Amazonia.

作者信息

Lainson R, Shaw J J, Silveira F T, de Souza A A, Braga R R, Ishikawa E A

机构信息

Seção de Parasitologia, Instituto Evandro Chagas, Belém, PA, Brasil.

出版信息

Mem Inst Oswaldo Cruz. 1994 Jul-Sep;89(3):435-43. doi: 10.1590/s0074-02761994000300027.

Abstract

Six species of Leishmania are at present known to cause cutaneous and/or mucocutaneous leishmaniasis in Brazil, and they are all to be found in the Amazon region of this country. The eco-epidemiology of each is discussed, with the observation that the Amazonian leishmaniases are all zoonoses, with their source in silvatic mammals and phlebotomine sandfly vectors. With man's destruction of the natural forest in southern Brazil, some sandfly species have survived by adapting to a peridomestic or domiciliary habitat in rural areas. Some domestic animals, such as dogs and equines are seemingly now involved in the epidemiology of the disease. No such process has yet been reported in the Amazon region, but may well take place with the continuing devastation of its forest.

摘要

目前已知有六种利什曼原虫会在巴西引发皮肤和/或黏膜皮肤利什曼病,且在该国的亚马逊地区均有发现。文中讨论了每种利什曼原虫的生态流行病学,并指出亚马逊地区的利什曼病均为人畜共患病,其源头是野生哺乳动物和白蛉传播媒介。随着巴西南部天然森林遭到破坏,一些白蛉物种通过适应农村地区的近家栖或家栖栖息地得以存活。一些家畜,如狗和马,现在似乎也参与到了该病的流行病学传播过程中。亚马逊地区尚未有此类情况的报道,但随着该地区森林持续遭到破坏,这种情况很可能会发生。

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