Visceral leishmaniasis in Brazil: revisiting paradigms of epidemiology and control

Revista do Instituto de Medicina Tropical de São Paulo

Filipe Dantas-torres¹  Sinval Pinto Brandão-filho¹ 

[1] ,Fundação Oswaldo Cruz Centro de Pesquisas Aggeu Magalhães Recife,Brazil

关键词: Visceral leishmaniasis;    Epidemiology;    Control;    Paradigms;    Brazil;   

DOI  :  10.1590/S0036-46652006000300007

来源: SciELO

【 摘 要 】

In the last 20 years, despite the known underestimation of cases, Brazil registered a marked increase in the incidence of visceral leishmaniasis. The main goal of this review is to reflect on some aspects of this zoonosis in Brazil and also to encourage the discussion in order to find more viable, effective and affordable strategies to be implemented by the Brazilian Leishmaniasis Control Program. The current situation of visceral leishmaniasis in Brazil might be seen as a paradox: the most important aspects of the disease are known, but so far the control of this disease has not yet been achieved. The current control strategies have not been able to prevent the geographical expansion, and even a rise in the incidence and lethality of visceral leishmaniasis. There is a need not only for a better definition of priority areas, but also for the implementation of a fieldwork monitoring system to the disease surveillance that could permit a further evaluation of the control program in areas where visceral leishmaniasis is endemic.

【 授权许可】

CC BY-NC   
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