A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil

Author:

Miranda Claudia do Socorro Carvalho123ORCID,de Souza Bruna Costa12ORCID,Figueiredo Eric Renato Lima2ORCID,de Melo Neto João Simão2,da Silva Hilton Pereira24,da Silva Marcos Valerio Santos2,Althoff Sérgio Luiz5,Filgueiras Tainara Carvalho Garcia Miranda6,Miranda Debora do Socorro Carvalho1,Gonçalves Nelson Veiga1278

Affiliation:

1. Laboratory of Epidemiology and Geoprocessing of Amazon, University of the State of Pará (UEPA), Belém 66050-540, Brazil

2. Programa de Pós-Graduação em Saúde Coletiva na Amazônia, Federal University of Pará (UFPA), Belém 66075-110, Brazil

3. Programa de Pós-Graduação em Inteligência Territorial e Sustentabilidade, Centro Universitário do Pará (Cesupa), Belém 66060-230, Brazil

4. Center for Advanced Multidisciplinary Studies, University of Brasília, Brasília 70910-900, Brazil

5. Animal Biology Laboratory, Natural Sciences Department, Blumenau Regional University (FURB), Blumenau 89012-078, Brazil

6. Programa de Pós-Graduação em Direito, Federal University of Pará (UFPA), Belém 66075-110, Brazil

7. Cyberspace Institute, Federal Rural University of Amazon (UFRA), Belém 66077-830, Brazil

8. Programa de Pós-Graduação em Biologia Parasitária na Amazônia, University of the State of Pará (UEPA), Belém 66050-540, Brazil

Abstract

Human Visceral Leishmaniasis is an endemic public health problem in the Amazon. This article analyzed the spatial distribution of this disease and its relationship with socioeconomic, environmental and public health policy variables in four mesoregions of the state of Pará, from 2011 to 2022. This ecological study used secondary data obtained from official Brazilian agencies. Spatial analysis was performed using the Flow, Kernel and Global Moran bivariate techniques expressed in thematic maps. In the mesoregions studied, 2685 cases of the disease were confirmed, with the highest number of cases in Southeast Pará state. The epidemiological profile followed the national pattern of occurrence of the disease, with a higher number of cases in children below school age. Spatial dependence was observed between the prevalence of the disease and socio-economic indicators. The most intense movement of patients was towards the Belém Metropolitan mesoregion. The disease showed an inhomogeneous pattern of distribution of cases, with a direct relationship between areas with cases and deforestation associated with different anthropic activities. There is a socio-environmental production of the disease that goes beyond the border limits of the mesoregions, and its establishment is related to the unsustainable development model implemented in the region.

Publisher

MDPI AG

Reference72 articles.

1. Rey, L. (2008). Parasitologia, Guanabara Koogan. [4th ed.].

2. Brazilian Ministry of Health (BMH) (2022, June 08). Boletim Epidemiológico—Doenças Tropicais Negligenciadas, Available online: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/t/tracoma/publicacoes/boletim-epidemiologico-doencas-tropicais-negligenciadas/view.

3. (2022, February 17). World Health Organization—Leishmaniasis. Available online: https://www.who.int/news-room/fact-sheets/detail/leishmaniasis.

4. Pan American Health Organization (PAHO) (2020). Leishmanioses: Informe Epidemiológico das Américas, PAHO.

5. (2022, June 15). Brazilian Ministry of Health—Leishmaniose Visceral, Available online: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/l/leishmaniose-visceral.

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