[Transmission of cutaneous leishmaniasis associated with cacao (Theobroma cacao) plantations in Tabasco].
BACKGROUND
Tabasco is the Mexican state that reported the highest number (37.4%) of patients with leishmaniasis during 1990-2011. Close to 90% of these patients lived in Chontalpa, where the municipality of Cunduacán accounted for the majority of the cases. One of the characteristics of this region is that houses are located within cacao plantations.


OBJECTIVE
To determine if cacao plantations are a risk factor for leishmaniasis transmission in locations of Cunduacán, Tabasco.


METHODS
We performed an analytical and retrospective study of 115 locations in Cunduacán, analyzing the number of localities with or without patients with leishmaniasis registered between 2000-2011 and, additionally, if they had cacao plantations, using a map where different crops were georeferenced. We measured the magnitude of the association (odds ratio, 95% CI).


RESULTS
During the period 2000-2011, cases of leishmaniasis were reported in 77 (67.0%) Cunduacán locations, of these, 55 (71.4%) had cocoa plantations, five (6.5%) of banana, five (6.5%) of cane, and 12 (15.6%) had no crops georeferenced. We found that cocoa crops are a risk factor for the transmission of leishmaniasis (OR: 3.438; 95% CI: 1,526-7,742).


CONCLUSIONS
The probability of transmission of leishmaniasis in areas with cocoa crops is greater than in communities without this crop.
Universidad Juárez Autónoma de Tabasco, Villahermosa, Tab.
Georgina Del Carmen
Gdel C
Carrada Figueroa
Hospital Regional de Alta Especialidad Dr. Juan Graham Casasús, Secretaría de Salud del Estado de Tabasco, Villahermosa, Tab.
Víctor Javier
VJ
Leal Ascencio
División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tab.
Alejandro
A
Jiménez Sastré
Jurisdicción Sanitaria de Cunduacán, Secretaría de Salud del Estado de Tabasco, Villahermosa, Tab.
Jorge
J
López Álvarez
D002099:Cacao; D018556:Crops, Agricultural; D006798:Housing; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology* / Q000635:transmission*; D008800:Mexico / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors