Leishmaniose Visceral Americana: Análise das estratégias de controle da doença na micro-região de Dracena na Alta Paulista/SP Brasil

Abstract

The American Visceral Leishmaniasis (LVA) has been spreading in a short period of time with deep concern for all West of São Paulo State, instead of the measures that have been taken to control it. This search was made in order to study the variability involved in the disease cycle, as well as the efficacy of the measures to control it. The study involved the microregion of Dracena, composed by twelve municipal districts, that belong to Alta Paulista region, extreme West of São Paulo State. The data analyzed were given by the Superintendency of Endemies Control and Adolfo Lutz Institute, Regional Laboratory of Presidente Prudente. From August 2005 to January 2008, were analyzed: the date of phlebotomines detection at the municipal district and the period of the dog and human diagnostic; the death rate of human; the prevalence of suspected dogs tested by serology; the percentage of euthanasia in suspected dogs; correlation between positive dogs and human cases of the disease; comparation of the prevalences among the twelve municipal districts of the studied region. It was constated that, despite the strategies for controlling the LVA in the Alta Paulista region, SP, the disease carries on expansion with deep concern. Some procedures of the Vigilancy Program and LVA Control should be reviewed as for it efficacy and others, fiscalized, in order to increase the credibility and efficacy of the program.