Spatial distribution of envenomation by scorpions in Pará state, Brazil

Scorpionism is recognized by the World Health Organization as a neglected disease and, in Pará State, Brazil, it is considered a public health hazard. The objective of this study was to describe the spatial distribution of envenomation caused by scorpions in Pará. The data related to envenomation were collected from 2007 to 2014 and used for both descriptive and transversal studies. For those studies records obtained from ongoing investigations from the database of the National Notifiable Diseases Information System at the Public Health Department of Pará State were used. Envenomation occurs year round, most often in the first half of the year, in males from the countryside, aged 20 to 59 years and taking up to 3 hours to reach medical care. The deaths occurred from ages 15 to 59. Regarding the severity of the cases, class I cases were the most frequent and class III cases were the least frequent, accounting for only 5.1% of all cases. Of the 144 municipalities of Pará State, in 126 the frequency of envenomation ranged from 1 to 1,208 cases per municipality. Thirteen municipalities located in the lower Amazon region and in the southwest of Pará State presented higher occurences, including the highest number of deaths. Scorpionism is present throughout Pará State. However, there were differences in severity and incidence in the various regions, with higher frequency in the southwest of the State and in the lower Amazon region, corresponding to the Tapajós and Guyana endemic areas in the Brazilian Amazon.

Molecular epidemiology of rabies virus isolated from different sources during a bat-transmitted human outbreak occurring in Augusto Correa municipality, Brazilian Amazon.

We genetically characterize rabies virus (RABV) strains isolated from human cases, domestic and wild animals during a human outbreak of bat-transmitted rabies in Augusto Correa municipality, Pará state, Brazilian Amazon in 2005. Partial nucleotide sequences of the N gene (491 bp) were obtained for all strains, and phylogenetic analysis grouped these into two major clades (Pará and Central-Southeast) and identified them as bat-related viruses genotype I, Desmodus rotundus antigenic variant 3 (AgV3). A molecular clock was used to estimate the time of emergence for each RABV isolate. The molecular data from this study suggest the association of vampire bats with human and domestic animal cases reported in the outbreak, the circulation of at least two predominant lineages in the Pará state, and also a geographic association to lineages dispersion.