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1.
J Environ Qual ; 53(2): 253-264, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38384182

RESUMO

Water quality regulations entail a substantial commitment of resources from governments and private entities. It is important to continually evaluate the effectiveness of these regulations to ensure they are having the intended impact. In this paper, we evaluated nutrient data as indicators of primary productivity and dissolved oxygen (DO) concentrations and pH as response variables to assess historical water quality trends from 55 stations of Puerto Rico. The stations were divided into impaired versus non-impaired categories based on their historical total phosphorus (TP) mean concentration. Mean TP and total nitrogen (TN) concentrations were significantly higher in the impaired stations relative to the non-impaired stations. In contrast, DO mean concentrations and mean pH values were significantly lower in the impaired stations. A generalized additive mixed model was used to demonstrate temporal trends. A significant decrease in TP and TN concentrations was observed with time at the impaired stations. This was accompanied by significant increases in DO concentrations and pH. The non-impaired stations showed a marginal (statistically nonsignificant) decreasing trend with time. The large reductions in nutrient concentrations observed at the impaired stations seem to be related to the closure of several primary wastewater treatment plants (WWTPs) across the island. The conversion of abandoned crop agricultural lands into secondary forest in recent decades has resulted in small but significant decreases in TN (not TP) in receiving streams. We conclude that the Clean Water Act has promoted improvements in water quality in Puerto Rico by advancing upgrades in sanitary infrastructure and the regulation of point sources of pollution.


Assuntos
Poluentes Químicos da Água , Qualidade da Água , Poluentes Químicos da Água/análise , Monitoramento Ambiental/métodos , Porto Rico , Fósforo/análise , Nitrogênio/análise , China
2.
J Med Entomol ; 55(4): 902-909, 2018 06 28.
Artigo em Inglês | MEDLINE | ID: mdl-29659901

RESUMO

A new species of phlebotomine sand fly is described and illustrated based on male and female specimens collected in rural and semi-urban areas of the Chaco Province, Argentina. A separation of the Cortelezzii series in two species complexes is proposed, as is a species key for its identification. The morphological characters of the new species permit its inclusion in the Cortelezzii series of genus Evandromyia, subgenus Barrettomyia (Diptera: Psychodidae). The species is named Evandromyia chacuensis sp. nov. Szelag, Rosa, Galati, Andrade Fhilo & Salomón (Diptera: Psychodidae).


Assuntos
Psychodidae/anatomia & histologia , Psychodidae/classificação , Animais , Argentina , Feminino , Masculino
3.
Acta Trop ; 178: 81-85, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29100812

RESUMO

Thirty-seven sandfly species are listed for Argentina distributed in 14 provinces and Leishmaniasis cases extend from the north of the country to Unquillo City (Córdoba Province), but potential vectors are found further to the south. This is the first study on diversity, spatial and temporal distribution of sandflies on the outskirts of the temperate Córdoba City, and the factors that influence their presence. Migonemyia migonei, record here for Córdoba City for the first time, and the Evandromyia cortelezzii-sallesi Complex was found, also Ev. cortelezzii males were captured for the first time, these sandflies being more abundant during the warm months due to meteorological factors and the presence of blood meal sources. At least the eastern outskirts of Córdoba City, the second most important city of the country, are at risk of Leishmaniasis transmission if Leishmania spp. enters into the area due to the presence of competent vectors and adequate vertebrate hosts, in a favorable socio-economic context.


Assuntos
Insetos Vetores/parasitologia , Leishmania/isolamento & purificação , Leishmaniose/transmissão , Phlebotomus/parasitologia , Animais , Argentina/epidemiologia , Masculino , Estações do Ano
4.
Zootaxa ; 4139(3): 427-30, 2016 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-27470814

RESUMO

Sand flies are insects of medical and veterinary importance, because some species are able to transmit several pathogens such as Bartonella spp., Phlebovirus spp., and protozoan parasites of the genus Leishmania (Ross). They are widely distributed in the Americas, with recordings ranging from Canada to Argentina. Approximately 500 Phlebotominae species are known in the Americas, of which it is considered that at least 56 are involved in the transmission of leishmaniasis (Maroli et al. 2012). Previous studies have shown that the phlebotomine fauna in Argentina consists of 32 species distributed in 14 provinces (Quintana et al. 2012; Sábio et al. 2015; Salomón et al. 2010). Of these species, Lutzomyia longipalpis (Lutz & Neiva), Nyssomyia neivai (Pinto), Ny. whitmani (Antunes & Countinho), Cortelezzii complex [Evandromyia cortelezzii (Brèthes) - Ev. sallesi (Galvão & Coutinho)], Micropygomyia quinquefer (Dyar) and Migonemyia migonei (França) have been found with DNA of Leishmania spp. (Moya et al. 2015). Five new records of species in the province of Chaco, obtained from different projects carried out between 2001 and 2015, four of which are also new records for Argentina, are described in this article. Their importance as potential vectors and the correct determination of the sympatric species is also discussed.


Assuntos
Psychodidae/classificação , Distribuição Animal , Estruturas Animais/anatomia & histologia , Estruturas Animais/crescimento & desenvolvimento , Animais , Argentina , Tamanho Corporal , Ecossistema , Feminino , Masculino , Tamanho do Órgão , Psychodidae/anatomia & histologia , Psychodidae/crescimento & desenvolvimento
5.
Medicina (B Aires) ; 71(3): 225-30, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21745770

RESUMO

The appearance of the vector of visceral leishmaniasis (VL) Lutzomyia longipalpis in the province of Formosa in 2004 was associated with urban epidemic risk for the first time in Argentina. During 2006, vectors, canine and human cases of VL were reported in the province of Misiones, and in summer 2008-2009, in the province of Corrientes. In Santiago del Estero province in 2008, cases of human and canine VL were associated with secondary vectors. Therefore, with the aim to know the current distribution of VL risk in the Chaco region, systematic captures of the vector were performed between January and April 2010 in 30 localities of Formosa and Chaco, and in the city of Reconquista, province of Santa Fe (224 traps/night). Lu. longipalpis was reported for the first time in the cities of Resistencia and Puerto Antequera (Chaco). Clorinda and Puerto Pilcomayo (Formosa) are the localities where the traps with more individuals were obtained, 158 and 241 Lu. longipalpis trap / site / night respectively. These results showed that the vector of urban epidemic VL is still spreading in Argentina, and already reached the province of Chaco. Sporadic cases reported in the Chaco region, transmitted by secondary vectors as Lu. migonei would also increase due to intensified surveillance, and the dispersion of the parasite associated with the transit of asymptomatic or symptomatic infected dogs.


Assuntos
Insetos Vetores , Leishmaniose Visceral/transmissão , Psychodidae , Animais , Argentina , Cães , Feminino , Humanos , Masculino
6.
Medicina (B.Aires) ; 71(3): 225-230, jun. 2011. mapas, tab
Artigo em Espanhol | LILACS | ID: lil-633851

RESUMO

El riesgo de leishmaniasis visceral (LV) urbana epidémica se registró por primera vez en la Argentina en el año 2004, por presencia del vector Lutzomyia longipalpis en la provincia de Formosa, la provincia de Misiones registra casos de LV humana, LV canina y vector en el año 2006, y la provincia de Corrientes en el verano 2008-2009. En la provincia de Santiago del Estero los casos de LV humana y LV canina en el año 2008 estuvieron asociados posiblemente a vectores secundarios. Por ello, para conocer la distribución del riesgo en la región del Chaco, entre enero y abril del 2010 se realizó la búsqueda sistemática del vector de LV en 30 localidades de las provincias de Formosa, Chaco y en la ciudad de Reconquista, Santa Fe (224 trampas/noche). Se comprobó la presencia de Lu. longipalpis, por primera vez, en las localidades de Resistencia y Puerto Antequera (Chaco). En Clorinda y Puerto Pilcomayo (Formosa) se obtuvieron las trampas con más ejemplares, 158 y 241 Lu. longipalpis trampa/sitio/noche respectivamente. Los resultados muestran que el vector de la LV urbana epidémica continúa dispersándose en el territorio argentino, habiendo ingresado a la provincia de Chaco. La notificación de casos esporádicos en la región chaqueña, transmitidos por vectores secundarios, como Lu. migonei, podría aumentar también debido a la vigilancia intensificada, y a la dispersión del parásito asociada al tránsito de perros infectados, sintomáticos o asintomáticos.


The appearance of the vector of visceral leishmaniasis (VL) Lutzomyia longipalpis in the province of Formosa in 2004 was associated with urban epidemic risk for the first time in Argentina. During 2006, vectors, canine and human cases of VL were reported in the province of Misiones, and in summer 2008-2009, in the province of Corrientes. In Santiago del Estero province in 2008, cases of human and canine VL were associated with secondary vectors. Therefore, with the aim to know the current distribution of VL risk in the Chaco region, systematic captures of the vector were performed between January and April 2010 in 30 localities of Formosa and Chaco, and in the city of Reconquista, province of Santa Fe (224 traps/night). Lu. longipalpis was reported for the first time in the cities of Resistencia and Puerto Antequera (Chaco). Clorinda and Puerto Pilcomayo (Formosa) are the localities where the traps with more individuals were obtained, 158 and 241 Lu. longipalpis trap / site / night respectively. These results showed that the vector of urban epidemic VL is still spreading in Argentina, and already reached the province of Chaco. Sporadic cases reported in the Chaco region, transmitted by secondary vectors as Lu. migonei would also increase due to intensified surveillance, and the dispersion of the parasite associated with the transit of asymptomatic or symptomatic infected dogs.


Assuntos
Animais , Cães , Feminino , Humanos , Masculino , Insetos Vetores , Leishmaniose Visceral/transmissão , Psychodidae , Argentina
7.
Medicina (B Aires) ; 71(1): 22-6, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21296716

RESUMO

The first case of visceral leishmaniasis (VL) in Argentina was reported in 2006 in Posadas, Misiones. During the summer 2008-2009 Lutzomyia longipalpis, the VL vector, and canine VL cases were already spread along the province of Corrientes. In order to know the distribution of VL risk, systematic captures of the vector were performed between February and March 2010, in 18 areas of the provinces of Entre Ríos and Corrientes, and the city of Puerto Iguazú, Misiones, with a total of 313 traps/night. We confirmed the presence of Lu. longipalpis, for the first time in Chajarí (Entre Ríos), Alvear, La Cruz, Curuzú Cuatiá and Bella Vista (Corrientes), and Puerto Iguazú (Misiones). In Santo Tome and Monte Caseros (Corrientes), where the vector had been previously reported, traps with more samples were obtained with 830 and 126 Lu. Longipalpis trap/site/night respectively. These results show that the vector of urban VL continues spreading in the Argentine territory. Simultaneously, the spread of the parasite and the resulting human VL cases are associated with the dispersion of reservoirs, infected dogs, with or without clinical symptoms or signs, due to human transit.


Assuntos
Reservatórios de Doenças/estatística & dados numéricos , Doenças do Cão/epidemiologia , Insetos Vetores/parasitologia , Leishmaniose Visceral/epidemiologia , Psychodidae/parasitologia , População Urbana/estatística & dados numéricos , Animais , Argentina/epidemiologia , Reservatórios de Doenças/parasitologia , Reservatórios de Doenças/veterinária , Doenças do Cão/transmissão , Cães , Feminino , Humanos , Insetos Vetores/classificação , Leishmaniose Visceral/transmissão , Leishmaniose Visceral/veterinária , Masculino
8.
Medicina (B.Aires) ; 71(1): 22-26, ene.-feb. 2011. mapas, tab
Artigo em Espanhol | LILACS | ID: lil-633815

RESUMO

El primer caso autóctono de leishmaniasis visceral (LV) en la Argentina se notificó en el año 2006 en Posadas, Misiones, y en el verano 2008-2009 se comprobó la dispersión del vector de LV, Lutzomyia longipalpis y casos de LV canina en la provincia de Corrientes. Para conocer la distribución del riesgo, entre febrero y marzo del 2010 se realizó la búsqueda sistemática del vector de LV en 18 localidades de las provincias de Entre Ríos, Corrientes y en la ciudad de Puerto Iguazú, Misiones, totalizando 313 trampas/noche. Se comprobó la presencia de Lu. longipalpis, por primera vez, en las localidades de Chajarí (Entre Ríos), Alvear, La Cruz, Curuzú Cuatiá y Bella Vista (Corrientes), y en Puerto Iguazú (Misiones). En Santo Tomé y Monte Caseros (Corrientes) se volvió a registrar la presencia del vector, y se obtuvieron las trampas con más ejemplares, 830 y 126 Lu. longipalpis trampa/sitio/noche respectivamente. Los resultados muestran que el vector de la LV urbana, continúa dispersándose en el territorio argentino. Simultáneamente, la propagación del parásito, y los consecuentes casos de LV humana se asocian al aumento de reservorios, perros infectados con o sin clínica, debidos al tránsito humano.


The first case of visceral leishmaniasis (VL) in Argentina was reported in 2006 in Posadas, Misiones. During the summer 2008-2009 Lutzomyia longipalpis, the VL vector, and canine VL cases were already spread along the province of Corrientes. In order to know the distribution of VL risk, systematic captures of the vector were performed between February and March 2010, in 18 areas of the provinces of Entre Ríos and Corrientes, and the city of Puerto Iguazú, Misiones, with a total of 313 traps/night. We confirmed the presence of Lu. longipalpis, for the first time in Chajarí (Entre Ríos), Alvear, La Cruz, Curuzú Cuatiá and Bella Vista (Corrientes), and Puerto Iguazú (Misiones). In Santo Tome and Monte Caseros (Corrientes), where the vector had been previously reported, traps with more samples were obtained with 830 and 126 Lu. Longipalpis trap/site/night respectively. These results show that the vector of urban VL continues spreading in the Argentine territory. Simultaneously, the spread of the parasite and the resulting human VL cases are associated with the dispersion of reservoirs, infected dogs, with or without clinical symptoms or signs, due to human transit.


Assuntos
Animais , Cães , Feminino , Humanos , Masculino , Reservatórios de Doenças/estatística & dados numéricos , Doenças do Cão/epidemiologia , Insetos Vetores/parasitologia , Leishmaniose Visceral/epidemiologia , Psychodidae/parasitologia , População Urbana/estatística & dados numéricos , Argentina/epidemiologia , Reservatórios de Doenças/parasitologia , Reservatórios de Doenças/veterinária , Doenças do Cão/transmissão , Insetos Vetores/classificação , Leishmaniose Visceral/transmissão , Leishmaniose Visceral/veterinária
9.
Neotrop Entomol ; 39(2): 303-5, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20498971

RESUMO

The phlebotomine sandflies of the province of Chaco, Argentina, are poorly known, with reports from more than 40 years or captures related with outbreaks of leishmaniasis. In here, Mycropygomyia peresi (Mangabeira) is reported for the first time in Argentina, extending the known dstribution of Migonemyia migonei (França), Evandromyia sallesi (Galvão & Coutinho), Mycropygomyia quinquefer (Dyar), Brumptomyia brumpti (Larousse) y Nemapalpus spp to the province of Chaco. Mg. migonei, together with Nyssomyia neivai (Pinto), Evandromyia cortelezzii (Brèthes), and Psathyromyia shannoni (Dyar) also captured in Chaco, were incriminated as vectors of Leishmania in Argentina.


Assuntos
Psychodidae , Animais , Argentina , Demografia
10.
Neotrop. entomol ; 39(2): 303-305, mar.-abr. 2010. tab
Artigo em Inglês | LILACS | ID: lil-547695

RESUMO

The phlebotomine sandflies of the province of Chaco, Argentina, are poorly known, with reports from more than 40 years or captures related with outbreaks of leishmaniasis. In here, Mycropygomyia peresi (Mangabeira) is reported for the first time in Argentina, extending the known dstribution of Migonemyia migonei (França), Evandromyia sallesi (Galvão & Coutinho), Mycropygomyia quinquefer (Dyar), Brumptomyia brumpti (Larousse) y Nemapalpus spp to the province of Chaco. Mg. migonei, together with Nyssomyia neivai (Pinto), Evandromyia cortelezzii (Brèthes), and Psathyromyia shannoni (Dyar) also captured in Chaco, were incriminated as vectors of Leishmania in Argentina.


Assuntos
Animais , Psychodidae , Argentina , Demografia
11.
Mem Inst Oswaldo Cruz ; 103(6): 578-84, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18949328

RESUMO

In Argentina, the incidence of American Cutaneous Leishmaniasis (ACL) has shown a steady increase over the last few decades. In the Chaco biogeographical region, specifically, several outbreaks of ACL were recently reported in addition to the usual time-space scattering of ACL cases. However, little is known about the sandfly composition in the eastern, humid Chaco (HC) region or the western, dry Chaco (DC) region. Therefore, phlebotomine captures were performed throughout this region and an analysis of the distribution of reported ACL cases was conducted in order to assess the vector diversity in ACL endemic and epidemic scenarios in the Chaco region. The results support the hypothesis of two distinct patterns: (1) the DC, where Lutzomyia migonei was the most prevalent species, had isolated ACL cases and a zoonotic cycle; (2) the HC, where Lutzomyia neivai was the most prevalent species, had an increase in ACL incidence and outbreaks and an anthropozoonotic cycle. The epidemic risk in the Chaco region may be associated with the current climate trends, landscape modification, connection with other ACL foci, and Lu. neivai predominance and abundance. Therefore, changes in sandfly population diversity and density in the Chaco region are an indicator of emergent epidemic risk in sentinel capture sites.


Assuntos
Insetos Vetores , Leishmaniose Cutânea/transmissão , Psychodidae , Animais , Argentina/epidemiologia , Feminino , Humanos , Leishmaniose Cutânea/epidemiologia , Masculino , Densidade Demográfica , Vigilância da População , Estações do Ano
12.
Mem. Inst. Oswaldo Cruz ; 103(6): 578-584, Sept. 2008. graf, tab, ilus
Artigo em Inglês | LILACS | ID: lil-495744

RESUMO

In Argentina, the incidence of American Cutaneous Leishmaniasis (ACL) has shown a steady increase over the last few decades. In the Chaco biogeographical region, specifically, several outbreaks of ACL were recently reported in addition to the usual time-space scattering of ACL cases. However, little is known about the sandfly composition in the eastern, humid Chaco (HC) region or the western, dry Chaco (DC) region. Therefore, phlebotomine captures were performed throughout this region and an analysis of the distribution of reported ACL cases was conducted in order to assess the vector diversity in ACL endemic and epidemic scenarios in the Chaco region. The results support the hypothesis of two distinct patterns: (1) the DC, where Lutzomyia migonei was the most prevalent species, had isolated ACL cases and a zoonotic cycle; (2) the HC, where Lutzomyia neivai was the most prevalent species, had an increase in ACL incidence and outbreaks and an anthropozoonotic cycle. The epidemic risk in the Chaco region may be associated with the current climate trends, landscape modification, connection with other ACL foci, and Lu. neivai predominance and abundance. Therefore, changes in sandfly population diversity and density in the Chaco region are an indicator of emergent epidemic risk in sentinel capture sites.


Assuntos
Animais , Feminino , Humanos , Masculino , Insetos Vetores , Leishmaniose Cutânea/transmissão , Psychodidae , Argentina/epidemiologia , Leishmaniose Cutânea/epidemiologia , Densidade Demográfica , Vigilância da População , Estações do Ano
13.
Enferm. emerg ; 10(3): 134-137, jul.-sept. 2008. ilus
Artigo em Espanhol | IBECS | ID: ibc-90758

RESUMO

El diagnóstico inmunológico y parasitológico de la leishmaniasis tegumentaria (LT) y visceral (LV)continúa siendo un desafío ya que una limitante es la demostración etiológica mediante extendidos coloreados, histopatología, cultivos, inoculación en animales de laboratorio, xenodiagnósticos. El procedimiento de PCR incrementa la sensibilidad del diagnóstico microscópico directo considerándola actualmente una herramienta muy valorable en la identificación y caracterización de las diferentes especies de Leishmania. En el presente trabajo se evalúan dos métodos de extracción de ADN en diferentes tejidos de hámster (Mesocricetus auratus) experimentalmente infectado con Leishmania (Viannia) braziliensis con material de un enfermo con LT con confirmación parasitológica. Los ADN obtenidos fueron sometidos a una técnica de PCR específica para Le. braziliensis. Se consideró positiva a toda muestra que evidenciara un amplicón de 126 pb en electroferograma de agarosa al 2%.Se realizaron otros métodos como el xenodiagnóstico y técnicas microscópicas directas para comparar la sensibilidad con la PCR. Todas las muestras del roedor infectado evidenciaron el amplicón correspondiente a Le. braziliensis. En este trabajo se demuestra que el detergente CTAB es adecuado para obtener una ADN óptimo para una amplificación específica y que PCR es el método más sensible ensayado (AU)


The etiologic diagnostic of Tegumentary Leishmaniasis (TL) and Visceral Leishmaniasis (VL) is performed by microscopic examination of stained smears of skin lesions, by histopathology, by culture, inoculation in animals or by xenodiagnostic. PCR procedure is currently considered as one promisory diagnostic tool due to its sensitivity, being usually used in identification and characteristization of Leishmania genus.In this work two DNA extraction methods using different golden hamster’s (Mesocricetus auratus)tissues experimentaly infected with Leishmania (Viannia) braziliensis from a patient with parasitologic confirmation of TL are evaluated. DNA obtained were put through specific L. braziliensis PCR, considering positive every sample showing an amplicon of 126 pb in the electroferogram of agarose 2%.PCR sensitivity was compared with xenodiagnostic and direct microscopic examination. All infected mice’s samples showed the corresponding amplicon to L. braziliensis, demonstrating that CTAB use is adecuated to obtain a top quality DNA and that, in these conditions, PCR is the highest sensitivity method (AU)


Assuntos
Animais , Reação em Cadeia da Polimerase/métodos , Leishmania braziliensis/isolamento & purificação , Leishmaniose Tegumentar Difusa/microbiologia , Modelos Animais de Doenças , Mesocricetus
14.
Artigo em Espanhol | PAHO | ID: pah-22222

RESUMO

En San Cayetano, aldea de la provincia de Corrientes, Argentina, se llevó a cabo una investigación epidemiológica para determinar la prevalencia de parasitosis intestinales en niños. Se eligieron aleatoriamente 88 viviendas y se sometieron a examen microscópico las muestras fecales, recolectadas durante 6 días consecutivos, de 207 niños (72 porciento de la población en edad escolar y 12 porciento de la población total de la aldea). De las muestras examinadas, 170 (83 porciento) tuvieron uno o más parásitos, de los cuales el más frecuente fue Blastocystis hominis (43 porciento). También se hallaron Giardia lamblia (29 porciento), uncinarias (27 porciento), Entamoeba coli (27 porciento), Enterobius vermicularis (3 porciento), Strongyloides stercoralis (2 porciento), Ascaris lumbrocoides, Trichuris trichiura, Taenia saginata, Isospora belli, Balantidium coli y Iodamoeba butschlii (0,5 porciento). La alta prevalencia de parasitosis intestinales indica que en San Cayetano hay una transmisión activa de parásitos como consecuencia de la mala higiene ambiental, particularmente la falta de agua potable, de una red de alcantarillado y de un sistema de recolección domiciliaria de basuras


Assuntos
Enteropatias Parasitárias/epidemiologia , Monitoramento Epidemiológico , Saneamento Rural , Argentina/epidemiologia
17.
Artigo | PAHO-IRIS | ID: phr-15502

RESUMO

En San Cayetano, aldea de la provincia de Corrientes, Argentina, se llevó a cabo una investigación epidemiológica para determinar la prevalencia de parasitosis intestinales en niños. Se eligieron aleatoriamente 88 viviendas y se sometieron a examen microscópico las muestras fecales, recolectadas durante 6 días consecutivos, de 207 niños (72 porciento de la población en edad escolar y 12 porciento de la población total de la aldea). De las muestras examinadas, 170 (83 porciento) tuvieron uno o más parásitos, de los cuales el más frecuente fue Blastocystis hominis (43 porciento). También se hallaron Giardia lamblia (29 porciento), uncinarias (27 porciento), Entamoeba coli (27 porciento), Enterobius vermicularis (3 porciento), Strongyloides stercoralis (2 porciento), Ascaris lumbrocoides, Trichuris trichiura, Taenia saginata, Isospora belli, Balantidium coli y Iodamoeba butschlii (0,5 porciento). La alta prevalencia de parasitosis intestinales indica que en San Cayetano hay una transmisión activa de parásitos como consecuencia de la mala higiene ambiental, particularmente la falta de agua potable, de una red de alcantarillado y de un sistema de recolección domiciliaria de basuras


Se publica en inglés en el Bulletin PAHO Vol. 30(2), 1996


Assuntos
Enteropatias Parasitárias , Monitoramento Epidemiológico , Saneamento Rural , Argentina
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