scholarly journals Urbanization and increased cases of scorpionism in Brazilian cities

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Zanetta ◽  
C Germino ◽  
I Rodrigues ◽  
A Waragaia

Abstract Introduction Scorpionism is a growing problem in Brazil; the hot climate in most of the country makes it suitable for the proliferation in urban and domestic regions alike. The temperatures, low levels of basic sanitation and disorganized urbanization result in an perfect environment for scorpionic accidents. Objectives Analyze the urbanization of scorpion accidents in the State of São Paulo - SSP as a public health problem. Methods Observational and descriptive study with data from the National System of Notifiable Diseases - SINAN of the Department of Health of Brazil, with direct risk calculation, from the analysis of the incidence of accidents with scorpions in urban areas of SSP, in the period from 1975 to 2019. Results In SSP, accidents with scorpions increased 642% between the years 1975 and 2019 in the most densely urbanized nuclei: the cities of São Paulo, Guarulhos, Campinas, São Bernardo do Campo and Santo André. These cases are associated with increased mortality in children and the elderly and corresponded to 56.63% of the total accidents with venomous animals in the SSP. This increase in the occurrence of scorpionic accidents is associated with the behavior of the animal, which finds conditions for its proliferation in the urban environment facilitated by the absence of predators and becomes a relevant public health problem. Conclusions Urban areas have become a propitious environment to scorpions' proliferation. Urban dynamics, garbage and other urban waste displacement, human habitation, combined with deficiencies in infrastructure and basic sanitation, created the conditions for the emergence of accidents with scorpions in urban areas as a relevant public health problem with significant mortality numbers, especially vulnerable groups of elderly people and children, in the large urban centers of SSP, Brazil. Key messages Discuss the synanthropy and proliferation of venomous animals in urban centers. New public health challenges with the change of accidents with venomous animals from rural to urban areas.

2003 ◽  
Vol 36 (3) ◽  
pp. 425-426 ◽  
Author(s):  
Rute Maria Gonçalves-de-Andrade ◽  
Denise Vilarinho Tambourgi

Loxosceles laeta spiders were captured in the West zone of São Paulo City, this being the first record of the specie in this area. Since loxoscelism is an important public health problem in the South region of Brazil, it is necessary to investigate the presence of this spider in São Paulo City.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R J Almeida ◽  
C T M Luizaga ◽  
J Eluf-Neto ◽  
E C Pessoa ◽  
A M M Chiarotti ◽  
...  

Abstract Introduction Breast cancer is a public health problem worldwide, being the most common malignant neoplasm in the female population. Objectives To estimate 5- and 10-year breast cancer-specific survival probabilities of patients included in the hospital-based cancer registry (HBCR) of the Fundação Oncocentro de São Paulo (FOSP, in Portuguese) and to assess the prognostic factors for this neoplasm. Methods Historical cohort study that included women with breast cancer included in HBCR-FOSP and diagnosed between 2002 and 2012. The event of interest was breast cancer-specific mortality. Living cases at the end of follow-up (December 31, 2017), loss to follow-up and death other than that due to breast cancer were considered censored on the date of the last contact or date of death. Descriptive analysis and survival analysis were performed using the Kaplan-Meyer method. Survival curves were compared using the log-rank test. Hazard ratios (HR) and their 95%CI were estimated using Cox's proportional hazards model. The study was approved by the Human Research Ethics Committee of the Botucatu Medical School, São Paulo State University, Brazil. Results 53,146 cases of invasive breast cancer were registered at HBCR-FOSP between 2002-2012. The median age at diagnosis was 55.9 years. By the end of the follow-up, 20,683 patients died, and 71.4% were due to breast cancer. The 5- and 10-year breast cancer-specific survival for the entire cohort was 76.1% (95%CI 75.7-76.5%) and 64.8% (95% CI 64.2-65.3%), respectively. In the multivariate analysis, the factors associated with prognosis were age at diagnosis, year of diagnosis, educational level, clinical stage, and histological type. Conclusions These findings may contribute to the development of policies for the identification of breast tumors at earlier stages. Key messages Breast cancer is an important public health problem in Brazil and worldwide. The findings of this study may contribute to the development of public policies for the control of breast cancer in the state of São Paulo.


2013 ◽  
Vol 71 (9B) ◽  
pp. 672-676 ◽  
Author(s):  
Maristela Marques Salgado ◽  
Maria Gisele Goncalves ◽  
Lucila Okuyama Fukasawa ◽  
Fabio Takenori Higa ◽  
Juliana Thalita Paulino ◽  
...  

Bacterial meningitis (BM) is a severe disease and still represents a serious public health problem with high rates of morbidity and mortality. The most common cases of BM around the world, mainly in Brazil, have been caused by Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type b. Bacterial culture is the gold-standard technique for BM confirmation, but approximately 50% of suspected cases are not culture-confirmed, due to problems related to improper transportation and seeding or previous antibiotic treatment. Immunological methods present low sensitivity and have possibility of cross-reactions. Real time PCR (qPCR) is a molecular technique and has been successful used for BM diagnosis at Instituto Adolfo Lutz in São Paulo State, Brazil, since 2007. The incorporation of qPCR in the Public Health surveillance routine in our state resulted in diminishing 50% of undetermined BM cases. Our efforts are focused on qPCR implementation in the BM diagnostic routine throughout Brazil.


2013 ◽  
Vol 55 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Elaine Cristina Navarro ◽  
Renata Leme Goto ◽  
Isabella Silva Ricoboni ◽  
Jose Eduardo Corrente ◽  
Rita Maria Saccomano Henriques ◽  
...  

SUMMARY This study aimed at estimating the number of cases of non-negative serological reactions to Chagas disease in blood donors at the Blood Center of Botucatu, São Paulo, Brazil, from 2003 to 2010 and at relating them to their cities of origin. Five hundred and seventy-four non-negative results for Chagas disease were evaluated. Of these, 371 (64.8%) were reagent, and 203 (35.4%) were inconclusive. The prevalence of Chagas disease in blood donors was 0.05%. There were, on average, 72 cases/year, and a prevalence of males was observed (64.8%). Forty-three (7.49%) individuals were 18 to 30 years old; 92 (16.02%) were 31 to 40; 147 (25.61%) 41 to 50, and 292 (50.87%) were older than 50 years. It was observed that 29.3% of females with reagent serology were at their fertile age (18 and 45 years). The majority of donors were originally from cities in the southwestern and central regions of São Paulo, but individuals from other states contributed with 20%. The provenance of most donors was the city of Botucatu/SP, followed by the city of Taquarituba/SP. Therefore, the profile of donors at this blood center favors the occurrence of a larger number of non-negative serological reactions. Although there has been a significant reduction in the number of new cases/year for this disease, it is still a public-health problem, and results suggest the need for new epidemiological assessments in the studied region.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahida Azhar Ali ◽  
Sadaf Niaz ◽  
Liliana Aguilar-Marcelino ◽  
Wajid Ali ◽  
Majid Ali ◽  
...  

AbstractAscariasis is a common public health problem of preschool and primary school children in developing countries like Pakistan. The aim of the present study was to determine the prevalence and pattern of Ascaris lumbericoides (A. lumbricoides) infection among children residing in urban areas of Lahore, to provide information on ascariasis to promote awareness and prevention programs between the participants specially on the months or season of higher prevalence. To investigate the prevalence of Ascaris Lumbricoides in the contaminated faecal samples of children residing in urban areas of Lahore, a study was conducted from November 2010 to October 2012 and we collected 3600 stratified faecal samples from six urban study areas. Overall 32/3600 (0.88%) prevalence of fecal samples was found positive for eggs of Ascaris lumbricoides. Area wise highest presence positivity 1.67% was observed in Allama Iqbal Town followed by 1.17% in Samanabad, 1.00% in Wapda Town, 1.00% in Gulberg, 0.50% in Cantt, and the lowest 0.00% in Valencia Town respectively (p < 0.001) The highest month wise positivity prevalence 3/300 (3.33%) (p < 0.001) was observed in the month of September that gradually declined up to 0/300 (0.00%) in the month of March. The results reveal that urban areas of Lahore are susceptible to Ascaris Lubricoides infection and the highest prevalence were observed autumn on the month of September.


2017 ◽  
Vol 2 (3) ◽  
pp. 12 ◽  
Author(s):  
Maria de Fátima Castro Mendes ◽  
Diogo Marcelo Lima Ribeiro ◽  
Bruna Oliveira Melo ◽  
Maria Rosa Quaresma Bomfim

Schistosomiasis is a serious parasitic infectious disease, one of the most important waterborne diseases, which is closely related to poverty, lack of health education and basic sanitation. It is a public health problem in Brazil, presenting endemic in some municipalities in the Maranhão State. In this way, this study aimed to evaluate the research profile of schistosomiasis mansoni in some endemic municipalities in the Maranhão State. A descriptive, retrospective and quantitative study was carried out with data obtained in “Programa de Controle da Esquistossomose (PCE) – MA” (Program for Schistosomiasis Control) between 2005 and 2015. We evaluated 42, 40 and 25 municipalities in the years 2005, 2010 and 2015, respectively. In 2005 the population evaluated was 184787, in 2010 162220 and in 2015 they were only 48484. The highest number of people evaluated in the year 2015 was in São Luís (8068) and the lowest was in Tutoia (83). The municipalities of Bacurituba, Guimarães, Guimaraes, Mirinzal, Paulino Neves and São João Batista presented a survey coverage of schistosomiasis major in the year 2015, compared to 2005 and 2010. Schistosomiasis remains a public health problem in the Maranhão State, however, its scope of research is still low, taking into account the number of endemic municipalities, sites susceptible to infection and the number of people examined.Key words: Schistosomiasis; Schistosoma mansoni; Maranhão.


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