title: Contact with armadillos increases the risk of leprosy in Brazil: a case control study.
abstract: BACKGROUND
  Mycobacterium leprae infection has recently been detected in wild armadillos in Brazil. Leprosy is still endemic in Brazil and although its transmission is mostly by person-to-person contact, many cases report no history of previously known leprosy contact. It has been suggested that other sources of M. leprae may contribute to the transmission of leprosy in some areas.
  
  
  OBJECTIVE
  Our objective was to investigate whether contact with armadillos is associated with leprosy.
  
  
  METHODS
  A case-control study was carried out in Brazil. Data was collected from 506 leprosy patients and 594 controls on exposure to armadillos and age, sex, place of birth and living conditions. Univariate analysis and unconditional logistic regression were conducted to investigate whether leprosy was associated with exposure to armadillos.
  
  
  RESULTS
  Direct armadillo exposure was reported by 68% of leprosy cases and by 48% of controls (P < 0.001) roughly doubling the risk of leprosy, with odds ratio (OR) 2.0, 95% confidence interval (CI) [1.36-2.99].
  
  
  CONCLUSIONS
  The results of this study suggest that direct exposure to armadillos is a risk factor for leprosy in Brazil.
authors.affiliation: Department of Social Medicine, Service of Dermatology, Federal University of Espírito Santo, Vitória; Leprosy Control Programme of the Metropolitan Region of Vitória, Brazil. pdeps@uol.com.br
authors.forename: P D
authors.initials: PD
authors.lastname: Deps
authors.forename: B L
authors.initials: BL
authors.lastname: Alves
authors.forename: C G
authors.initials: CG
authors.lastname: Gripp
authors.forename: R L
authors.initials: RL
authors.lastname: Aragao
authors.forename: Bvs
authors.initials: B
authors.lastname: Guedes
authors.forename: J B
authors.initials: JB
authors.lastname: Filho
authors.forename: M K
authors.initials: MK
authors.lastname: Andreatta
authors.forename: R S
authors.initials: RS
authors.lastname: Marcari
authors.forename: Ica
authors.initials: I
authors.lastname: Prates
authors.forename: L C
authors.initials: LC
authors.lastname: Rodrigues
mesh_terms: D000328:Adult; D000818:Animals; D001135:Armadillos / Q000382:microbiology*; D016022:Case-Control Studies; D004197:Disease Reservoirs; D004781:Environmental Exposure / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007918:Leprosy / Q000635:transmission*; D008297:Male; D016017:Odds Ratio; D018570:Risk Assessment