[leish-l] Visceral leishmaniasis in Brazil

[Fred R. Opperdoes]

At 5:21 -0400 21/05/02, ProMED Digest wrote:
>
>Date: Mon, 20 May 2002 17:39:23 -0400 (EDT)
>From: ProMED-mail <promed at promed.isid.harvard.edu>
>Subject: PRO/AH/EDR> Leishmaniasis - Brazil (Mato Grosso do Sul): RFI
>
>LEISHMANIASIS ‚ BRAZIL (MATO GROSSO DO SUL): RFI
>***********************
>A ProMED-mail post
><http://www.promedmail.org>
>ProMED-mail, a program of the
>International Society for Infectious Diseases
><http://www.isid.org>
>
>Date: Sun, 19 May 2002
>From: ProMED-mail <promed at promedmail.org>
>Source: ProMED-mail PORT / Campo Grande News [11.05.2002] [edited]
><http://www.campograndenews.com/view.htm?id=117565>
>and Brazil Online [15 May 2002] [edited]
><http://noticias.bol.com.br>
>
>
>Leishmaniasis in Mato Grosso do Sul
>- -----------------------------------
>At least 25 cases of visceral leishmaniasis have been confirmed in Mato
>Grosso do Sul this year, with at least six deaths. Nine cases were
>diagnosed in the first 10 days of May.
>
>The last case was fatal -- a 17 year old boy from the Santa Rita
>neighborhood. His was the first death due to leishmaniasis reported in the
>capital of the state, and this report increased to 12 the number of
>municipalities with confirmed cases of the disease. The city most affected
>is Tres Lagoas (340 km from Campo Grande, in the bordering area with Sao
>Paulo), where 3 people have died of leishmaniasis this year. The other
>deaths occurred in Ribas do Rio Pardo and in Corumba.
>
>In 2001, there were 114 cases of visceral leishmaniasis with 9 deaths.
>About 2 per cent of the diagnoses were confirmed by the Centre for Control
>of Zoonoses of Campo Grande. The centre has confirmed leishmaniasis in 16.5
>per cent of cases investigated in the first 3 months of 2002, which
>indicates epidemic activity.
>
>- --
>ProMED-mail
><promed at promedmail.org>
>
>[The Leishmania species in Mato Grosso do Sul is _L.chagasi_ and the vector
>is _Lutzomyia_ spp sand flies. The animal reservoirs include dogs, foxes,
>and opossums. The number of cases is probably underestimated, but the case
>fatality rate appears to be higher than in 2001. Informed comments on the
>situation would be welcome. - Mod.EP]