Banca de DEFESA: LUCIANA BAHIENSE DA COSTA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : LUCIANA BAHIENSE DA COSTA
DATA : 20/02/2019
HORA: 14:00
LOCAL: Sala 205 / Escola de Medicina Veterinária e Zootecnia da UFBA
TÍTULO:

The Epidemiology of Visceral Leishmaniasis in the State of Bahia

PALAVRAS-CHAVES:

Visceral leishmaniasis, deaths in children, Leishmania infantum, epidemiology, public health, geoprocessing, single health

PÁGINAS: 127
GRANDE ÁREA: Ciências Agrárias
ÁREA: Medicina Veterinária
RESUMO:

COSTA, L. B. Epidemiology of  visceral leishmaniasis in Bahia. 2018. Tese (Doutorado Ciência Animal nos Trópicos) - Escola de Medicina Veterinária e Zootecnia – Universidade Federal da Bahia, 2018.

 

The study of visceral leishmaniasis (VL) over 11 years (2007 to 2017), with an emphasis on children under 10 years of age, besides favoring the behavior and expansion of VL in the State of Bahia allows the evaluation of strategies developed and the possible impact in the control of the grievance. For the present study, data from SINAN were collected throughout the State and in seven municipalities with two or more deaths in children under 10 years of age between the years of 2017 and analyzed: univariate descriptive cases and deaths by LV in the historical series, as well as spatialization of incidence and mortality by LV in the total population and between zero and nine years of age, and multivariate and logistic regression among socioeconomic indicators (HDI, IPESE, TU, dryness and Gini coefficient) and occurrence of cases and deaths, and between sex, age, ethnicity, schooling and time between onset of symptoms and treatment, in individuals with evolution to cure and death. In pre-selected municipalities with two or more VL deaths, after an epidemiological questionnaire, sampling in individuals and dogs, entomological research and geo-referencing of health units, a descriptive analysis of the current situation of the outbreak and analysis of risk and perception factors of the population regarding the aggravation. In the State, during the study period, it can be observed after adjusting the logistic regression model that the higher the age (pvalor 0.000 * CI 5% / 95% C) and the higher the income inequality (pvalor 0.000 * CI 5% / 95 % C) the higher the chance of death due to LV. In the pre-selected municipalities we can observe unfavorable environmental and housing conditions in the death and cure groups, as well as risk factors for VL, including the presence of phlebotomines and positive dogs, but the perception about the disease was higher in the group of cure. The prevalence among dogs in the residences and neighborhoods, and individuals in both groups was 0.19, 0.15 and 0.019, respectively, and the sandfly species L. longipalpis and L. lenti in the majority of catches in the peridomicile, with presence of females of the vector in both groups, highlighting the transmission still active in most of the researched locations. The characterization of the aggravation in the State, as well as the identification of possible associations with socioeconomic and environmental indicators, and the identification of risk factors associated with deaths in children under 10 years makes research relevant, providing subsidies for the evaluation of conduct and possible redirection of control strategies in the State of Bahia.

MEMBROS DA BANCA:
Externo à Instituição - AROLDO JOSE BORGES CARNEIRO - UFBA
Externo à Instituição - ARTUR GOMES DIAS LIMA - UNEB
Presidente - 1213625 - CARLOS ROBERTO FRANKE
Externo ao Programa - 2993940 - MANUELA DA SILVA SOLCA
Interno - 1283878 - STELLA MARIA BARROUIN MELO