[Population mobility and production of American tegumentary leishmaniasis in the State of Paraná, southern Brazil].
Information on the role of population mobility in maintaining American tegumentary leishmaniasis in the State of Paraná is scarce. Population mobility was evaluated as a risk factor for this endemic disease in three mesoregions of Paraná, using data built up at the State University of Maringá, covering 1987 to 2004. A total of 1,933 cases were notified, mostly among migrants (54.4%). The municipalities with the greatest numbers of cases notified were Maringá (358), Doutor Camargo (108) and Terra Boa (105). The rural cases were predominantly autochthonous (89.8%), while the urban cases were mostly among migrants (84.8%) (p < 0.0001). Among the rural autochthonous cases, there was no difference between the sexes (p = 0.127), whereas among the urban migrant cases, men predominated (p < 0.0001). The migrant cases were mostly related to mobility within and between municipalities. Population mobility seems to be an important variable in the epidemiology of this disease in the State of Paraná.
Monteiro
Wuelton Marcelo
WM
Curso de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, AM. wueltonmm@ibest.com.br
Neitzke-Abreu
Herintha Coeto
HC
Ferreira
Maria Eugenia Moreira da Costa
ME
Melo
Gisely Cardoso de
GC
Barbosa
Maria das Graças Vale
Md
Lonardoni
Maria Valdrinez Campana
MV
Silveira
Thais Gomes Verzignassi
TG
Teodoro
Ueslei
U
D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000453:epidemiology* / Q000635:transmission; D008297:Male; D008875:Middle Aged; D011157:Population Dynamics / Q000706:statistics & numerical data*; D011159:Population Surveillance; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors; D014505:Urban Population