Abstract

This is a retrospective study with ecological features that describes the epidemiological pattern and geographical distribution of American tegumentary leishmaniasis cases in Campinas, São Paulo, between 1992 and 2003. The probable infection locations were georeferenced by means of Global Position System and spatially described using Spring 4.01 Beta software from the Brazilian National Space Research Institute. A kernel estimator was applied to identify areas of case concentration, three epidemic areas with higher case intensity were found in the municipal area in 1993/1995 and 2002/2003. Socio-demographic (gender, age, occupation, residence time), closeness of domicile to forest, and clinical form of the disease were studied. Although socio-environment characteristics of the areas were different, epidemics profiles were similar. Age, sex and occupational distribution suggest peri-domestic transmission. Proximity to forest has been a risk factor.

Highlights

  • This is a retrospective study with ecological features that describes the epidemiological pattern and geographical distribution of American tegumentary leishmaniasis cases in Campinas, São Paulo, between 1992 and 2003

  • No período de 1980 a 2004, a leishmaniose tegumentar americana (LTA) apresentou coeficientes de detecção com tendência ao crescimento, que oscilaram entre 3,8 e 22,9 por 100.000 habitantes

  • Quanto ao número de lesões, 38 (63,3%) indivíduos apresentaram lesão única, 5 (8,3%) apresentaram duas lesões e 11 (18%) apresentaram três ou mais lesões

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Summary

Introduction

This is a retrospective study with ecological features that describes the epidemiological pattern and geographical distribution of American tegumentary leishmaniasis cases in Campinas, São Paulo, between 1992 and 2003. Comparou-se esta ocorrência com os registros dos últimos 10 anos, quando não foi identificado nenhum caso de leishmaniose tegumentar americana no município[11 13].

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