[Poles of American tegumentary leishmaniasis production in northern Paraná State, Brazil].
American tegumentary leishmaniasis is endemic in the State of Paraná, with 99.3% of the cases reported in the South of Brazil. Spatial distribution of the disease in northern Paraná was verified, identifying the most relevant geographic areas in epidemiological terms. The study used data recorded on epidemiological forms from the Teaching and Research Clinical Test Laboratory of the State University in Maringá, from 1987 to 2004. The study only included individuals that were infected in the municipalities (counties) in northern Paraná. Identification of the epidemiological units (poles and circuits) was based on spatial density of cases, according to the model proposed by the National Health Foundation, considering the most likely infection sites. Considering 1,933 reported cases, 1,611 were infected in northern Paraná. American tegumentary leishmaniasis distribution in Paraná State suggests two circuits for production of the disease: Paraná-Paranapanema, highlighting the Cinzas-Laranjinha, Tibagi, Ivaí-Pirapó, Piquiri, and Baixo Iguaçu poles, and Ribeira, highlighting the Alto Ribeira pole.
Monteiro
Wuelton Marcelo
WM
Programa de Pós-graduação em Medicina Tropical, Universidade do Estado do Amazonas, Fundação de Medicina Tropical do Amazonas, Manaus, Brasil. wueltonmm@ibest.com.br
Neitzke
Herintha Coeto
HC
Silveira
Thaís Gomes Verzignassi
TG
Lonardoni
Maria Valdrinez Campana
MV
Teodoro
Ueslei
U
Ferreira
Maria Eugênia Moreira Costa
ME
D001938:Brazil / Q000453:epidemiology; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology* / Q000635:transmission; D008297:Male; D012424:Rural Population; D014505:Urban Population