Profile of American tegumentary leishmaniasis in transmission areas in the state of Minas Gerais, Brazil, from 2007 to 2017.

BACKGROUND: American tegumentary leishmaniasis (ATL) is a widespread anthropozoonosis caused by protozoa of the genus Leishmania and is considered a serious public health problem. The aim of this study was to provide a descriptive analysis of confirmed ATL cases and evaluate the spatial distribution of ATL in high-risk transmission areas from the state of Minas Gerais, Brazil. METHODS: An ecological, analytical, and retrospective study of the confirmed cases of ATL in Minas Gerais from 2007 to 2017 was conducted. To characterize these cases, multiple correspondence analysis and georeferencing of the ATL prevalence rates in the municipalities were conducted based on variables obtained at Sistema Nacional de Agravos de Notificação and Instituto Brasileiro de Geografia e Estatística databases. RESULTS: There were 13,025 confirmed cases of ATL from 74.4% (635) municipalities of Minas Gerais, corresponding to a prevalence rate of 66.5 cases for every 100,000 inhabitants. Males aged 20 to 59 years and individuals who attended elementary school were most affected with ATL. Multiple correspondence analysis presented an accumulated qui-squared value of 44.74%, proving that there was a relationship between the variables, including ethnicity, age, pregnancy status, zone of infection, and number of cases. CONCLUSION: We confirmed that ATL is endemic to Minas Gerais, and there is high risk of infection within the municipalities due to a high rate of parasite transmission. The occurrence of infection in children, pregnant women, and the indigenous population demonstrates the need for the government to expand social policies aimed at vulnerable groups.

Epidemiological characterization and risk evaluation associated with the presence of Phthirapterain poultry farms from Minas Gerais, Brazil

Phthirapteraare lice highly adapted to living as permanent and obligatory ectoparasites of birds and mammals. High infestations by biting lice contribute to the low productivity, loss quality of the eggs, besides weight decrease of chickens. Therefore, this study aimed to evaluate and to characterize the risks involved with the presence of biting lice in laying chicken from Minas Gerais, Brazil, throught a Multiple Correspondence Analysis (MCA). A secondary database with information regarding 402 chicken houses from 42 properties of laying hens from the same region was used and adapted for this study. The variables that composed the correspondence model were selected through Chi-square tests (p ≤ 0.05). A risk index was designed to relate the presence of biting lice out of variables such as risk factors related to the presence of these ectoparasites. The MCA graphic designed to conduct the epidemiological characterization of the presence of biting lice presented a Chi-square accumulated value of 53.59%. There was an association between the risk index and the synanthropic birds, subsistence hens, presence of lice and other ectoparasites in shelters and ectoparasites control. These results provide knowledge about the Phthirapteraepidemiology. Besides that, this information may contribute to the decision-making process in order to reduce the risk of possible infestations in poultry farms and the negative effects of the infestations.