[American cutaneous leishmaniasis on the northern coastline of the State of São Paulo, 1993 to 2005].
American cutaneous leishmaniasis acquired epidemic characteristics on the northern coastline of the State of São Paulo beginning in the 1990s. From secondary data, a descriptive study of the disease in the four municipalities making up this region over the period from 1993 to 2005 was conducted. The frequency of phlebotomine capture in the probable transmission locations was analyzed. 689 autochthonous cases of cutaneous leishmaniasis were notified, with single and grouped cases, thus determining that the spatial distribution was heterogenous. There was synchronism and cyclicity of disease manifestation, at intervals of six to eight years. All ages were affected, with slight predominance among males, without association with any specific occupation. Among the 2,758 phlebotomines captured, Nyssomyia intermedia predominated (80.4%) inside homes and in areas surrounding them. The disease presented a transmission profile inside homes and in areas surrounding them, between the urban fringe and forests, and inside forests. In such cases, transmission would be more related to enzootic foci.
Condino
Maria Lúcia Fadel
ML
Superintendência de Controle de Endemias, Taubaté, SP, Brazil. luciafadel@sucen.sp.gov.br
Galati
Eunice Aparecida Bianchi
EA
Holcman
Márcia Moreira
MM
Salum
Maria Rafaela Braga
MR
Silva
Diogo Correa da
DC
Novaes Júnior
René Antonio
RA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007223:Infant; D007303:Insect Vectors / Q000145:classification*; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology* / Q000635:transmission; D008297:Male; D008875:Middle Aged; D011576:Psychodidae / Q000145:classification*; D055815:Young Adult