Epidemiology of visceral leishmaniasis in a reemerging focus of intense transmission in Minas Gerais State, Brazil

Biomed Res Int. 2013:2013:405083. doi: 10.1155/2013/405083. Epub 2013 Aug 13.

Abstract

This study was developed in the urban area of Governador Valadares, a reemerging focus of intense transmission of visceral leishmaniasis (VL) in Brazil, presenting 86 human cases of VL from 2008 to 2011. The disease prevailed in males (73.2%) with most patients between 0 and 9 years (44.1%) and a lethality rate of 16.2%. A canine survey was carried out on 16,529 domestic dogs in 35 districts in the area and it showed that 30.2% of them (4,992 dogs) were positive for VL by serum assays. Prevalence ratios for canine VL varied between 13.6% and 53.4%. The clinical exam of 343 seropositive dogs showed that 49.9% of them were considered symptomatic, with larger prevalence of canine VL being in short-furred animals (90%). The entomological survey was performed in eight districts, where 2,539 phlebotomines were captured, preferentially in the peridomicile (84.5%). Lutzomyia longipalpis was the predominant species (90%) suggesting its participation in the VL transmission in the area. The correlation between canine prevalence and L. longipalpis density was evaluated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Communicable Diseases, Emerging / epidemiology*
  • Communicable Diseases, Emerging / transmission
  • Communicable Diseases, Emerging / veterinary*
  • Disease Outbreaks / statistics & numerical data*
  • Dog Diseases / epidemiology*
  • Dog Diseases / transmission
  • Dogs
  • Female
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Leishmaniasis, Visceral / epidemiology*
  • Leishmaniasis, Visceral / transmission
  • Leishmaniasis, Visceral / veterinary*
  • Male
  • Middle Aged
  • Risk Factors
  • Young Adult