scholarly journals Visceral leishmaniasis control actions: epidemiological indicators for its effectiveness evaluation in a Brazilian urban area

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Maria Helena Franco Morais ◽  
Paulo Chagastelles Sabroza ◽  
José Eduardo Pessanha ◽  
Andrea Sobral

Abstract: This research applies indicators concerning control of the visceral leishmaniasis canine reservoir in the city of Belo Horizonte, Minas Gerais State, Brazil. Data were obtained from the Zoonoses Control Information System (SCZOO) and the Brazilian Information System on Diseases of Notification (SINAN) database. First we analyzed (i) existing associations between canine epidemiological indicators, where the dependent variable was the canine seroprevalence A (2007 to 2013), and the independent variables were, as follows: canine seroprevalence B (2006 to 2012); percentage of positive dogs by ELISA test reagents that were not euthanized; the relationship between the human and canine population; canine population testing coverage by census surveys; and the years of study (2006 to 2013); (ii) then, we examined the association between human visceral leishmaniasis (HVL) cases between 2007 to 2013 and the mentioned variables related to dogs and years. Statistical analysis was done by a generalized linear model (GLM). One unit increases in canine seroprevalence B and canine seroprevalence A were associated to 13% and 12% increases in HVL rates, respectively. The increase in one human/dog ratio unit was associated with a 13% decrease in HVL rates. Canine seroprevalence, human/dog ratio and non-euthanasia of ELISA-reactive dogs in the environment were adequate indicators for analyzing the canine enzootic transmission and the occurrence of HVL cases.

2017 ◽  
Vol 33 (2) ◽  
Author(s):  
Kelly Oliva Jorge ◽  
Raquel Conceição Ferreira ◽  
Efigênia Ferreira e Ferreira ◽  
Miriam Pimenta Vale ◽  
Ichiro Kawachi ◽  
...  

Abstract: The aim of this study was to investigate changes in the frequency of binge drinking and associated factors in the city of Belo Horizonte, Minas Gerais State, Brazil. The sample consisted of 436 adolescents. Data collection involved the Alcohol Use Disorders Identification Test and the Alcohol, Smoking and Substance Involvement Screening Test. Ordinal logistic regression was used in the multivariate analysis. An increase in the frequency of binge drinking was found among adolescents who lived in areas of greater social vulnerability (OR = 1.64; 95%CI: 1.01-2.68), those whose mothers consumed alcoholic beverages (OR = 1.75; 95%CI: 1.05-2.92), those whose fathers consumed alcoholic beverages (OR = 2.02; 95%CI: 1.11-3.68), those with an increased risk of tobacco use (OR = 2.82; 95%CI: 1.07-7.42) and those who attended religious services (OR = 2.10; 95%CI: 1.30-3.38). Knowledge regarding factors associated with a change in the frequency of binge drinking among adolescents can assist in the establishment of public policies directed at health promotion and the prevention of adverse health conditions.


2016 ◽  
Vol 26 (1) ◽  
pp. 136
Author(s):  
Felipe Silva Guimarães ◽  
Lucas Da Silva Guimarães

<p>O estudo foi realizado no município de Rio Acima, localizado ao sul da região metropolitana de Belo Horizonte - MG. Na primeira etapa, foi feita a determinação das áreas de preservação permanente (APPs) do município, segundo a Lei 12.651 e a resolução CONAMA 303/2002 (esta última para delimitar as APPs de topo de morro), utilizando cinco bases topográficas distintas: vetorização de cartas do IBGE na escala de 1:50.000, imagem SRTM, Topodata, ASTER V2 e uma base vetorial disponibilizada pelo Codemig com curvas de nível equidistantes em 10 metros. Na segunda etapa, foram calculadas as áreas de cada uma das classes de APP resultantes dos mapeamentos feitos a partir de todas as bases e, em seguida, estes valores foram comparados. Ao final, foi observado que os resultados obtidos a partir da base do IBGE e da imagem ASTER V2 são os que apresentam característica mais restritiva, ou seja, com maiores áreas de preservação. Por outro lado, o mapa de áreas de preservação permanente confeccionado a partir da imagem SRTM foi o que apresentou caráter menos restritivo. Neste estudo também são discutidas outras diferenças entre os mapas elaborados a partir das cinco bases. </p><p> </p><p><strong>Palavras–chave:</strong> Município de Rio Acima, áreas de preservação permanente, modelos digitais de elevação, resolução espacial.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong>Abstract </strong></p><p>This study was conducted in the municipality of Rio Acima (Minas Gerais State) located in the southern Belo Horizonte metropolitan region. In the first stage five different topographic bases were used to lay down the city permanent preservation areas (PPA) according to the Law 12,651 and CONAMA resolution 303/2002 (the latter to delimit the hilltop’s PPAs PPAs). These bases are the following: the vector at a 1:50.000 scale provided by the Brazilian Institute of Geography and Statistics (IBGE), SRTM image, image provided by INPE Topodata project, ASTER V2 Image and a vector base released by Codemig with 10 meters contour distance. In the second stage the areas of each one PPA classes were calculated resulting from all mapping bases. Then these values were compared. Finally it was observed that the results obtained from the ASTER V2 image and IBGE base are those with more restrictive features or in other words the result with lager PPAs. Moreover, the map of permanent preservation areas made from SRTM image showed the least restrictive character. This study also discusses other differences between the maps drawn from the five bases.</p><p><strong> </strong></p><p><strong>Keywords</strong>: Rio Acima municipality, permanent preservation areas, digital elevation models,   spacial resolution.</p>


2001 ◽  
Vol 17 (5) ◽  
pp. 1231-1239 ◽  
Author(s):  
Cláudia Di Lorenzo Oliveira ◽  
Renato Martins Assunção ◽  
Ilka Afonso Reis ◽  
Fernando Augusto Proietti

In this paper, we present spatial analysis of the association between all incidents cases of human Visceral Leishmaniasis and seropositive dogs, from 1994 to 1997 in Belo Horizonte, a large Brazilian city. We geocoded 158 human cases and 11,048 seropositive dogs and compared canine prevalence rates with Human Bayesian Incidence rates in the same areas. We also used Knox's test to evaluate the hypothesis of space-time clustering of human cases in the period. Additionally, we used Kernel's maps for seropositive dogs distribution and located the human cases in the resulting smooth maps. We concluded that human and dog rates are correlated. Also, the Visceral Leishmaniasis in Belo Horizonte spread quickly, but apart from the rates' magnitude, it has kept the same spatial pattern through time. We believe it is possible to use this technique to choose areas to implement control measures against Visceral Leishmaniasis in a more efficient way.


2018 ◽  
Vol 146 (5) ◽  
pp. 565-570 ◽  
Author(s):  
F. R. P. Bruhn ◽  
M. H. F. Morais ◽  
N. C. P. Bruhn ◽  
D. L. Cardoso ◽  
F. Ferreira ◽  
...  

AbstractThe aim of this study was to evaluate the distribution of cases and the social determinants associated with death from human visceral leishmaniasis (HVL) and VL–HIV co-infection in Belo Horizonte, Minas Gerais state, Brazil, between 2006 and 2013. Descriptive statistics and analysis of associations were performed using chi-square of the raised variables, such as sex, age, skin colour and schooling of cases of HVL. During the study period, there were 866 cases of HVL with 111 deaths in Belo Horizonte. Morbidity and lethality rates (LR) of HVL in Belo Horizonte remained high over almost all the years evaluated, with an average incidence rate of 4.18 cases/100 000 inhabitants and a LR of 11.16%. With respect to skin colour, it was found that people characterised as black or mulatto had higher morbidity, followed by white. Regarding schooling, LR was more prevalent among individuals with lower education. One of the social risk factors was co-infection with HIV, which was present in many cases of HVL. Furthermore, it was found that older age and the male sex were also risk factors for death from HVL in Belo Horizonte.


2020 ◽  
Vol 2 (2) ◽  
pp. 59-64
Author(s):  
Yolla Rahmadi Helmi

In a business / company engaged in health both hospitals, clinics, practice requires something that can entice patients. In order to be comfortable and get facilities that can make patients loyal to treatment. One of the most supportive systems is the construction of an information system portal that can facilitate patients and companies in carrying out their activities and can establish good communication and get reciprocal relationships between patients and doctors. Smile Dental Care is a dental clinic specializing in braces installation in the city of Padang, West Sumatra. The purpose of this research is to apply Customer Relationship Management (CRM) to improve the relationship between patients and doctors, so that they get comfortable with each other. The results of this study are the creation of an information system portal, which is useful to support the improvement of Smile Dental Care, and provide excellent service to patients.


2004 ◽  
Vol 14 (1) ◽  
pp. 48-51 ◽  
Author(s):  
A.G. Snelgrove ◽  
J.H. Michael ◽  
T.M. Waliczek ◽  
J.M. Zajicek

A geographic information system (GIS) was used to create an interface to evaluate the relationship between the amount of greenness and the crime level within the city of Austin, Texas. Results indicated a statistically significant negative correlation between the incidence of crime committed in the Austin greater metropolitan area for the year 1995 and the amount of vegetation within the area in which those crimes occurred. Areas with less than the average mean greenness level in Austin had an increased amount of crime. Results indicated no statistically significant relationship between the level of greenness of the crime sites and the severity of the crimes committed, and income level appeared to have no statistically significant effect on the severity of crimes committed.


2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Luiz Henrique Duczmal ◽  
Alexandre Celestino Leite Almeida ◽  
Denise Bulgarelli Duczmal ◽  
Claudia Regina Lindgren Alves ◽  
Flávia Costa Oliveira Magalhães ◽  
...  

Abstract: Considering numerical simulations, this study shows that the so-called vertical social distancing health policy is ineffective to contain the COVID-19 pandemic. We present the SEIR-Net model, for a network of social group interactions, as a development of the classic mathematical model of SEIR epidemics (Susceptible-Exposed-Infected (symptomatic and asymptomatic)-Removed). In the SEIR-Net model, we can simulate social contacts between groups divided by age groups and analyze different strategies of social distancing. In the vertical distancing policy, only older people are distanced, whereas in the horizontal distancing policy all age groups adhere to social distancing. These two scenarios are compared to a control scenario in which no intervention is made to distance people. The vertical distancing scenario is almost as bad as the control, both in terms of people infected and in the acceleration of cases. On the other hand, horizontal distancing, if applied with the same intensity in all age groups, significantly reduces the total infected people “flattening the disease growth curve”. Our analysis considers the city of Belo Horizonte, Minas Gerais State, Brazil, but similar conclusions apply to other cities as well. Code implementation of the model in R-language is provided in the supplementary material.


2016 ◽  
Vol 68 (6) ◽  
pp. 1403-1412 ◽  
Author(s):  
E.G.P. Lopes ◽  
M.E. Oviedo-Pastrana ◽  
L.F.N.M. Borges ◽  
A.C.P. Freitas ◽  
E.S. Dias ◽  
...  

ABSTRACT Visceral leishmaniasis (VL) has spread rapidly across cities in the metropolitan region of Belo Horizonte. The aim of this study was to investigate VL dynamics in a prospective cohort study of dogs in Juatuba, between 2010 and 2011, to confirm the incidence of Leishmania infantum, and to assess possible risk factors associated with infection. An observational and prospective closed cohort study was performed using serology testing in dogs, randomly selected from the whole municipality. All seronegative dogs, or dogs with inconclusive results were monitored using indirect immunofluorescence (IIF) at 6-month intervals. The dog's owners completed a semi-structured questionnaire to assess possible causal factors of seroconversion, and the responses were assessed using logistic regression. The canine incidence coefficient was 206/1,000 dogs per year (CI: 178-238), and a cluster was identified in an area with a high concentration of seropositive dogs, but a low overall canine population. Large dogs were identified as a risk factor and the following variables were identified as protection factors: dogs aged over 4 years, daily peridomicile cleaning, and better socioeconomic conditions. VL is spreading over a large area in Juatuba in a short period of time.


2021 ◽  
Vol 37 ◽  
pp. e37084
Author(s):  
Marcelle Aparecida De Oliveira ◽  
Tiago Mendonça De Oliveira ◽  
Misael Enrique Oviedo Pastrana ◽  
Renato Martins Duarte ◽  
Soraia Araújo Diniz ◽  
...  

Cases of canine attacks on people are reported because of the proximity of the dog to the households in several Brazilian cities. In the present study, we aim to evaluate post-exposure anti-rabies treatments with canine accidents between the years 2007 to 2011 in Belo Horizonte - MG. Duly notified data were obtained from the National System of Notifiable Diseases (SINAN). The spatial characteristics of the cases during the period of the study referred to the neighborhoods and the nine sanitary districts of the municipality of Belo Horizonte - MG. For georeferencing and spatial analysis, we used the software Maporama to identify the coordinates and the Geographic Information System ArcGIS for mapping. Considering the 6.153 prophylactic services that were georeferenced, the Norte, Venda Nova, Leste, and Centro Sul regions were highlighted due to the higher frequency of registered cases. It is suggested that an integrative action focused on canine population control, health education and epidemiological surveillance studies could contribute to the reduction of canine aggression cases.


Author(s):  
Yolla Rahmadi Helmi

In a business / company engaged in health both hospitals, clinics, practice requires something that can entice patients. In order to be comfortable and get facilities that can make patients loyal to treatment. One of the most supportive systems is the construction of an information system website that can facilitate patients and companies in carrying out their activities and can establish good communication and get reciprocal relationships between patients and doctors. Smile Dental Care is a dental clinic specializing in braces installation in the city of Padang, West Sumatra. The purpose of this research is to apply Customer Relationship Management (CRM) to improve the relationship between patients and doctors, so that they get comfortable with each other. The results of this study are the creation of an information system website, which is useful to support the improvement of Smile Dental Care, and provide excellent service to patients.


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