title: [Poles of American tegumentary leishmaniasis production in northern Paraná State, Brazil].
abstract: 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.
authors.affiliation: Programa de Pós-graduação em Medicina Tropical, Universidade do Estado do Amazonas, Fundação de Medicina Tropical do Amazonas, Manaus, Brasil. wueltonmm@ibest.com.br
authors.forename: Wuelton Marcelo
authors.initials: WM
authors.lastname: Monteiro
authors.forename: Herintha Coeto
authors.initials: HC
authors.lastname: Neitzke
authors.forename: Thaís Gomes Verzignassi
authors.initials: TG
authors.lastname: Silveira
authors.forename: Maria Valdrinez Campana
authors.initials: MV
authors.lastname: Lonardoni
authors.forename: Ueslei
authors.initials: U
authors.lastname: Teodoro
authors.forename: Maria Eugênia Moreira Costa
authors.initials: ME
authors.lastname: Ferreira
mesh_terms: 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