title: [Urban sporotrichosis: a neglected epidemic in Rio de Janeiro, Brazil].
abstract: In the scientific literature, sporotrichosis has traditionally been associated with agricultural work, since the causative agent is found naturally in the soil. However, cases have been reported recently in an urban area, related to zoonotic transmission. The current study aimed to contribute to knowledge on sporotrichosis in an urban area through an exploratory analysis of its socio-spatial distribution in Rio de Janeiro, Brazil, from 1997 to 2007, identifying the areas with the heaviest transmission. The database from the Health Surveillance Service at the Evandro Chagas Institute for Clinical Research, Oswaldo Cruz Foundation, was used to estimate incidence rates and spatial distribution. During the study period, 1,848 cases of sporotrichosis were reported, predominantly in adult women not currently in the labor market. The leading source of infection was wounds caused by domestic cats, which contributed to the spread of sporotrichosis in this urban area. Georeferencing of 1,681 cases showed a transmission belt along the border between the city of Rio de Janeiro and the adjacent municipalities in the Greater Metropolitan Area.
authors.affiliation: Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil 4365, Rio de Janeiro, RJ, Brazil. margarete.tavares@ipec.fiocruz.br
authors.forename: Margarete Bernardo Tavares da
authors.initials: MB
authors.lastname: Silva
authors.forename: Mônica Motta de Mattos
authors.initials: MM
authors.lastname: Costa
authors.forename: Carla Carrilho da Silva
authors.initials: CC
authors.lastname: Torres
authors.forename: Maria Clara Gutierrez
authors.initials: MC
authors.lastname: Galhardo
authors.forename: Antonio Carlos Francesconi do
authors.initials: AC
authors.lastname: Valle
authors.forename: Mônica de Avelar F M
authors.initials: Mde A
authors.lastname: Magalhães
authors.forename: Paulo Chagastelles
authors.initials: PC
authors.lastname: Sabroza
authors.forename: Rosely Magalhães de
authors.initials: RM
authors.lastname: Oliveira
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000935:Antifungal Agents / Q000627:therapeutic use; D001938:Brazil / Q000453:epidemiology; D002415:Cats; D002648:Child; D002947:Cities / Q000453:epidemiology; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D012737:Sex Factors; D013175:Sporothrix; D013174:Sporotrichosis / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult; D015047:Zoonoses / Q000453:epidemiology* / Q000635:transmission
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole