English
DOI:
https://doi.org/10.7322/jhgd.152187Palabras clave:
neglected diseases, American Trypanosomiasis, AmazonResumen
Introduction: Chagas disease (CD), also known as American Trypanosomiasis, is an infectious parasitic disease caused by the etiologic agent Trypanosoma cruzi. It is considered endemic in the low-income population and is classified by the WHO as a neglected tropical disease. In the state of Acre, there is almost no scientific data regarding the epidemiology of CD, even though the first autochthonous case was registered in the 1980s.
Objective: To analyze the epidemiological panorama of the transmission of Chagas disease in the State of Acre, Brazil, from 2009 to 2016.
Methods: A survey of the occurrence of Chagas disease in the State of Acre was performed using public domain secondary data from the Brazil’s Notifiable Diseases Information System of SUS (publicly funded health care system), and from the SUS Database of the Health Surveillance Foundation of the State of Acre. Data were collected from the following variables: gender, age group, form of contagion, distribution by region and municipality, perimeter and seasonality.
Result: Forty-two cases of CD were confirmed, with an increase of more than 300% from 2015 to 2016 and a frequency coefficient of 3.06 cases per 100,000 people, and in the Tarauacá/Envira region, the probability of a person contracting CD was 600% higher than the state mean.
Conclusion: We found that in the state of Acre, in the period from 2009 to 2016, most cases of CD occurred in 2016, in the Tarauacá/Envira region, mainly in the municipality of Feijó, in the rural zone, from July to October, in the age group of 0 to 30 years, being the oral form the main route of transmission and presenting no statistical difference between men and women.
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20. Lima VS, Xavier SC, Maldonado IF, Roque AL, Vicente AC, Jansen AM. Expanding the knowledge of the geographic distribution of Trypanosoma cruzi TcII and TcV/TcVI genotypes in the Brazilian Amazon. PLoS Negl Trop Dis. 2014;9(12):e116137. DOI: https://dx.doi.org/10.1371/journal.pone.0116137
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22. Santos FCB, Lisboa CV, Xavier SCC, Dario MA, Verde RS, Calouro AM, et al. Trypanosoma sp. diversity in Amazonian bats (Chiroptera; Mammalia) from Acre State, Brazil. Parasitology. 2017:1-10. DOI: https://dx.doi.org/10.1017/S0031182017001834
23. Dias JCP, Vinhaes MC, Silveira AC, Schofield CJ, Cardoso B, Coura JR. Pesquisas prioritárias dobre doença de Chagas na Amazônia: agenda de curto-médio prazo. Rev Soc Bras Med Trop. 2001;34(5):497-8. DOI: http://dx.doi.org/10.1590/S0037-86822001000500017
24. Dias JCP, Prata A, Schofield JC. Doença de Chagas na Amazônia: esboço da situação atual e perspectiva de prevenção. Rev Soc Bras Med Trop. 2002;35(6):669-78. DOI: http://dx.doi.org/10.1590/S0037-86822002000600021
25. Coura JR, Pereira JB. Chagas disease. What is known and what should be improved: a systemic review. Rev Soc Bras Med Trop. 2012;45(3):286-96. DOI: http://dx.doi.org/10.1590/S0037-86822012000300002
26. Souza-Lima RC, Barbosa MGV, Coura JR, Arcanjo ARL, Nascimento AS, Ferreira JMBB, et al. Outbreak of acute Chagas disease associated with oral transmission in the Rio Negro region, Brazilian Amazon. Rev Soc Bras Med Trop. 2013;46(4):510-4. DOI: http://dx.doi.org/10.1590/0037-8682-1367-2013
27. Coura JR. The main sceneries of Chagas disease transmission. The vectors, blood and oral transmissions - A comprehensive review. Mem Inst Oswaldo Cruz. 2015;110(3):277-82. DOI: http://dx.doi.org/10.1590/0074-0276140362
28. Costa EG, Santos SO, Sojo-Milano M, Amador EC, Tatto E, Souza DS, et al. Acute Chagas Disease in the Brazilian Amazon: Epidemiological and clinical features. Int J Cardiol. 2017;15(235):176-8. DOI: https://doi.org/10.1016/j.ijcard.2017.02.101
29. Barata JMS, Rocha RM, Rodrigues FFNA. Primeiro caso autóctone de tripanossomíase americana do estado do Acre (Brasil) e sua correlação com as cepas isoladas do caso humano e de triatomíneos silvestres da área. Rev Saúde Pública. 1988;22(5):401-10. DOI: http://dx.doi.org/10.1590/S0034-89101988000500005
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