Estudo epidemiológico da Leishmaniose Tegumentar Americana (LTA) no Estado do Amapá estratificado em regiões de risco no período de 2002 a 2006

Abstract

The LTA is an endemic disease in high expansion for the world, with differentiated epidemiologist profiles. In the Amapá the cases are restricted in agricultural areas. To considerate Amapá as areas of risk for LTA, and to know the epidemiologistic profile, had been collected cases in the SINAN and classified the cities how much to the risk, in accordance with the averages of the coefficients of prevalence of 2002 to 2006 of each city. It had been registered 2,664 authoctous cases of LTA: 2002 (353); 2003 (481); 2004 (968), 2005 (422) e 2006 (440). Of these, 653 (24,5%) with infection source the city of Porto Grande. The average of the coefficient of prevalence of the state in the 5 studied years was of 95,51/100.000inhab.:cities of low risk to LTA (Macapá, Cutias, Santana and Amapá); average risk (Itaubal, Pracuúba, V. do Jari and Ferreira Gomes); high risk (L. do Jari, Mazagão, Tartarugalzinho e Oiapoque) and much high risk (Calçoene, P. Grande, P. B. do Amapari and S. do Navio). The state of the Amapá presented 72% of the cases in the 1º semester and 16,6% in the april; 38,8% of the cases in patients among 20 the 34 years of age; 79.7% cases in masculine sex in the area of average risk 83% and low risk 72%;29% of the patients with 4 to 7 years of study. With 96,2% of cases with laboratorial confirmation in the area of very high risk; 98,9% leishmaniasis of cutaneous form and only 42.9% of the cases with confirmed cure, in the area of high risk had occurred 65.3% of cure. The LTA presents 100% of autoctonia in the Amapá, with an important outbreak in 2004 and the city of P. Grande is that more contributes for the maintenance of this endemic disease.