Cutaneous leishmaniasis: Spatial distribution and environmental risk factors in the state of Pará, Brazilian Eastern Amazon

  • Nelson Veiga Gonçalves Cyberspace Institute, Amazon Rural Federal University, Belém, Pará, Brazil
  • Claudia do Socorro Carvalho Miranda Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0002-1913-7176
  • Rodrigo Junior Farias da Costa Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0001-5648-0646
  • Juan Andrade Guedes Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0003-0563-2034
  • Erica Silva de Souza Matsumura Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0003-4844-8050
  • Simone Beverly Nascimento da Costa Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0002-9817-0790
  • Selma Kazumi da Trindade Noguchi Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil
  • Luis Henrique Rocha Guimarães Cartography Department, Brazilian Institute of Geography and Statistics, Belém, Pará, Brazil https://orcid.org/0000-0002-1642-8680
  • Rafael Aleixo Coelho de Oliveira Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil
  • Lívia Simone Alves Tavares Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil
  • Vera Regina da Cunha Menezes Palácios Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil
  • Marília Brasil Xavier Amazon Epidemiology and Geoprocessing Laboratory, Pará State University, Belém, Pará, Brazil https://orcid.org/0000-0002-4727-3001
Keywords: Leishmaniasis, Deforestation, Spatial Analysis, Environmental Health

Abstract

Introduction: Cutaneous leishmaniasis is an infectious disease transmitted by phlebotomine sandflies and is considered a great environmental and public health problem. Thus, this work presents initial results of the analyses about the relationship between the spatial distribution of this disease and its environmental risk factors in three municipalities, in the state of Pará, Brazil, from 2012 to 2016.

Methodology: It was used data from the Ministry of Health, the National Institute for Space Research and the Brazilian Institute of Geography and Statistics. The statistical and spacial analysis of the variables were done using G-test goodness-of-fit, kernel interpolation technique and the Bivariate Global Moran Index (I).

Results: The analyses showed that the most affected individuals were males, adults, low schooling, residents in rural areas and small farmers. The disease spatial distribution was not homogeneous in the municipalities and it was associated to different relationships between the land use and occupation and the notificated cases density, with direct spatial autocorrelation.

Conclusions: The deforestation was the most significant risk factor linked to the cases occurrence in all the studied area. We emphasize the need of intensification of epidemiological and environmental surveillance actions in the studied areas.

Published
2019-10-31
How to Cite
1.
Veiga Gonçalves N, Miranda C do SC, Costa RJF da, Guedes JA, Matsumura ES de S, Costa SBN da, Noguchi SK da T, Guimarães LHR, Coelho de Oliveira RA, Simone Alves Tavares L, da Cunha Menezes Palácios VR, Xavier MB (2019) Cutaneous leishmaniasis: Spatial distribution and environmental risk factors in the state of Pará, Brazilian Eastern Amazon. J Infect Dev Ctries 13:939-944. doi: 10.3855/jidc.11573
Section
Brief Original Articles