The Reemergence of Visceral Leishmaniasis in Brazil
1996

The Reemergence of Visceral Leishmaniasis in Brazil

publication Evidence: moderate

Author Information

Author(s): Jorge R. Arias, Ph.D., Pedro S. Monteiro, Fabio Zicker, M.D., Ph.D.

Primary Institution: Pan American Health Organization

Hypothesis

What factors contribute to the reemergence of visceral leishmaniasis in urban areas of Brazil?

Conclusion

Visceral leishmaniasis has reemerged in urban areas of Brazil due to poor living conditions and increased human-animal interactions.

Supporting Evidence

  • Visceral leishmaniasis is caused by the protozoon Leishmania chagasi and is characterized by symptoms like weight loss and fever.
  • The domestic dog is the main reservoir for the disease, facilitating its spread to humans.
  • Recent outbreaks have occurred in urban areas due to migration and poor living conditions.
  • Control measures include rapid diagnosis, treatment, and insecticide spraying, which have shown effectiveness.

Takeaway

Visceral leishmaniasis is a disease that can spread when people live in crowded places with not enough sanitation, especially if they have pets that can carry the disease.

Methodology

The study discusses the epidemiology, transmission, and control measures of visceral leishmaniasis in Brazil.

Limitations

The study does not provide specific data on the effectiveness of control measures or detailed demographic data of affected populations.

Participant Demographics

The disease primarily affects poor, malnourished children under 15 years of age living in semiarid regions and urban slums.

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