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dc.contributor.authorGuerra, Jorge Augusto de Oliveirapt_BR
dc.contributor.authorMaciel, Marcel Gonçalvespt_BR
dc.contributor.authorGuerra, Marcus Vinítius de Fariaspt_BR
dc.contributor.authorTalhari, Anette Chursciackpt_BR
dc.contributor.authorPrestes, Suzane Ribeiropt_BR
dc.contributor.authorFernandes, Marcos Antoniopt_BR
dc.contributor.authorCruz, Alda Maria dapt_BR
dc.contributor.authorMartins, Alessandrapt_BR
dc.contributor.authorCoelho, Leíla Ines de Aguiar Raposo Camarapt_BR
dc.contributor.authorRomero, Gustavo Adolfo Sierrapt_BR
dc.contributor.authorBarbosa, Maria das Graças Valept_BR
dc.identifier.citationGUERRA, Jorge Augusto de Oliveira et al. Tegumentary leishmaniasis in the state of Amazonas: what have we learned and what do we need? Revista da Sociedade Brasileira de Medicina Tropical, Uberaba, v. 48, supl. 1, p. 12-19, jun. 2015. Disponível em: <>. Acesso em: 10 maio 2018. doi:
dc.publisherSociedade Brasileira de Medicina Tropical - SBMTpt_BR
dc.rightsAcesso Abertopt_BR
dc.titleTegumentary leishmaniasis in the state of Amazonas : what have we learned and what do we need?pt_BR
dc.subject.keywordLeishmaniose cutâneapt_BR
dc.rights.licenseRevista da Sociedade Brasileira de Medicina Tropical - This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY NC 3.0). Fonte: Acesso em: 10 maio 2018.-
dc.description.abstract1This study evaluated the occurrence of American tegumentary leishmaniasis (ATL) in the State of Amazonas, Brazil, in the last 30 years with emphasis on the last 10 years (2001 to 2010). The disease was predominantly observed in males (76.2%), in the 21- to 30-year-old age group (26.6%) and in extractive workers (43.7%); 3.3% of the cases were the mucosal form. The endemic channel shows the disease seasonality, with a predominance of cases at the beginning and end of each year. The number of cases by municipality in the period of 2001-2010 shows the maintenance of the endemic in the localities where the highest numbers of cases have always been registered, namely, Manaus, Rio Preto da Eva, Itacoatiara and Presidente Figueiredo. The comparison of data from 2001 to 2005 and from 2006 to 2010 showed the emergence of this disease in municipalities that had been previously unaffected. In the last years, there has been a significant increase in the activities of control, diagnosis and treatment of leishmaniasis in the State of Amazonas. In conclusion, the historical series of ATL analyzed in this study suggests that the transmission foci remain and are even expanding, though without continuous transmission in the intra- or peridomicile settings. Moreover, the disease will persist in the Amazon while the factors associated with infection acquisition relative to forest exploitation continue to have economic appeal. There is a real expectation of wide variations in disease incidence that can be influenced by climate and economic aspects.-
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