title: [The epidemiological determinant aspects in the maintenance of visceral leishmaniasis in the state of Maranhão, Brazil].
abstract: The authors analysed the visceral leishmaniasis (VL) aspects in the state of Maranhão, Brazil, from 1982 to 1993. The disease happens to occur predominantly in São Luís Island (MA) and during the epidemic period, town of São Luís was pointed out as the main endemic area. The greatest frequency of cases occurred in 1993, despite the use of insecticide and dogs control. There was predominance of age between 0- to 4-year-old population with 58.04% of cases. Neither the human disease nor the rainfall index had significant seasonal variation. However they were correlated moderately, with high number of cases after the period of great precipitation of rain. After this study, the data obtained will allow a better control of the disease, despite some factors such as: the urbanization, localization and dynamic of transmission in endemic areas in the Maranhão state.
authors.affiliation: Departamento de Patologia, Centro de Ciências da Saúde, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors.forename: M do D
authors.initials: Mdo D
authors.lastname: Nascimento
authors.forename: J M
authors.initials: JM
authors.lastname: Costa
authors.forename: B I
authors.initials: BI
authors.lastname: Fiori
authors.forename: G M
authors.initials: GM
authors.lastname: Viana
authors.forename: M S
authors.initials: MS
authors.lastname: Filho
authors.forename: A de C
authors.initials: Ade C
authors.lastname: Alvim
authors.forename: O C
authors.initials: OC
authors.lastname: Bastos
authors.forename: M
authors.initials: M
authors.lastname: Nakatani
authors.forename: S
authors.initials: S
authors.lastname: Reed
authors.forename: R
authors.initials: R
authors.lastname: Badaró
authors.forename: A R
authors.initials: AR
authors.lastname: da Silva
authors.forename: M N
authors.initials: MN
authors.lastname: Burattini
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000818:Animals; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D018314:Leishmania infantum; D007898:Leishmaniasis, Visceral / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012621:Seasons; D017678:Sex Distribution
vernacular_title: Aspectos epidemiológicos determinantes na manutenção da leishmaniose visceral no Estado do Maranhão--Brasil.