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2030-01-01
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LEPTOSPIROSIS IN LATIN AMERICA: EXPLORING THE FIRST SET OF REGIONAL DATA
Zoonoses
Programas Governamentais
Sistema de Vigilância Sanitária
América Latina
Zoonosis
government programs
health surveillance system
Latin America
Autor
Afiliación
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Ministério da Saúde. Secretaria de Vigilância em Saúde. Brasília, DF, Brasil.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Secretaría de Salud. Tegucigalpa, Honduras.
Secretaría de Salud. Tegucigalpa, Honduras.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Centro Colaborador da Organização Mundial da Saúde para Leptospirose. Rio de Janeiro, RJ. Brasil .
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Ministério da Saúde. Secretaria de Vigilância em Saúde. Brasília, DF, Brasil.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Secretaría de Salud. Tegucigalpa, Honduras.
Secretaría de Salud. Tegucigalpa, Honduras.
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Centro Colaborador da Organização Mundial da Saúde para Leptospirose. Rio de Janeiro, RJ. Brasil .
Pan American Health Organization. Department of Communicable Diseases and Health Analysis. Washington, DC, USA.
Resumen en ingles
Objectives. To demonstrate the importance of country surveillance systems for leptospirosis
and their use for preliminary epidemiological analysis, as well as to generate research questions
for future, more comprehensive studies on the disease.
Methods. In 2015, for the first time, the Pan American Health Organization (PAHO) included
human cases of leptospirosis in its Regional Core Health Data Initiative, an open-access database that
collects annual health indicators from the countries and territories of the Americas. This new information
was used to analyze leptospirosis cases by country and sex and to calculate cumulative incidence
rates. Maps were used to help present the results. To supplement that general review of leptospirosis
in the Americas, more detailed descriptions of the epidemiological situation and the surveillance programs
of four selected countries (Brazil, Colombia, Cuba, and Honduras) were provided.
Results. In this first year of PAHO requesting leptospirosis data, of the 49 countries and
territories in the Americas, 38 of them (77.6%) reported information. Among those 38, 28 of
them (73.7%) reported the presence of human cases; the majority of instances of zero cases were
in Caribbean territories. From those 28, a total of 10 702 human cases were recorded. The largest
numbers of cases in Latin America were in Brazil (40.2%), Peru (23.6%), Colombia (8.8%),
and Ecuador (7.2%). The cumulative incidence rate for Latin America was estimated to be 2.0
per 100 000 population. On average, 65.1% of cases were males.
Conclusions. This study demonstrates that many countries in Latin America are making
efforts to establish strong surveillance systems and programs for leptospirosis. The study also
shows the importance of having leptospirosis surveillance systems as well as how the information
generated can be used for evidence-based decision-making on leptospirosis.
Palabras clave en portugues
LeptospiroseZoonoses
Programas Governamentais
Sistema de Vigilância Sanitária
América Latina
Palabras clave en ingles
LeptospirosisZoonosis
government programs
health surveillance system
Latin America
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