title: Cases distribution of leptospirosis in City of Manaus, State of Amazonas, Brazil, 2000-2010.
abstract: BACKGROUND
  Leptospirosis is an infectious disease caused by microorganisms of the genus Leptospira that affects several species of animals, including the human beings. The study described the confirmed cases of leptospirosis in Manaus, from 2000 to 2010.
  
  
  METHODS
  A descriptive study based on secondary data analysis of Secretaria Municipal de Saúde (SEMSA), Sistema de Informação de Agravos de Notificação SINAN and Sistema de Informação sobre Mortalidade (SIM) analyzing the variables: age group, gender, clinical aspects and geographic area and lethality.
  
  
  RESULTS
  Were reported 665 cases of leptospirosis, 339 were confirmed and 35 (10.3%) died. The largest number of cases occurred in May (16.8%), March (13.3%) and April (11.4%), a period of intense rainfall. The city areas with the greatest occurrence of the disease were South (26.6%), West (23.5%) and East (19.7%), areas of the greatest precariousness socio-environment. The largest number of cases, including deaths, occurred in the age group from 14 to 44.9 years (74%), being that 291 (85.8%) were male and 48 (14.1%) females. The most frequent symptoms were fever, myalgia, headache and jaundice. In relation to the social conditions were identified low education, poor housing, absence of sanitation and low income.
  
  
  CONCLUSIONS
  In Manaus, despite the implementation of the Social and Environmental Program of Igarapés of Manaus (PROSAMIM), there are still areas that need a proper urbanization and improvements in socio-environmental conditions, reducing the level of exposure of the human beings that living in these locations.
authors.affiliation: Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz, Manaus, AM. michele@amazonia.fiocruz.br
authors.forename: Michele Silva de
authors.initials: MS
authors.lastname: Jesus
authors.forename: Luciete Almeida
authors.initials: LA
authors.lastname: Silva
authors.forename: Kátia Maria da Silva
authors.initials: KM
authors.lastname: Lima
authors.forename: Ormezinda Celeste Cristo
authors.initials: OC
authors.lastname: Fernandes
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D002947:Cities / Q000453:epidemiology; D018563:Disease Notification; D005260:Female; D006801:Humans; D007922:Leptospirosis / Q000453:epidemiology*; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D012621:Seasons; D012959:Socioeconomic Factors; D055815:Young Adult