Spatial analysis of new cases of leprosy in the State of Espírito Santo, Brazil, between 2004 and 2009

INTRODUCTION: Leprosy in Brazil is a public health issue, and there are many regions in the State of Espírito Santo with high endemic incidence levels of leprosy, characterizing this state as a priority for leprosy programs. The aim of this study was to determine the spatial distribution of coefficients of new cases of leprosy in the State of Espírito Santo, Brazil. METHODS: We conducted a descriptive and ecologic study based on the spatial distribution of leprosy in the State of Espírito Santo between 2004 and 2009. Data were gathered from the available records of the Espírito Santo State Health Secretary. The global and local Bayesian empirical methods were used to produce an estimate of leprosy risk, smoothing the fluctuation effects of the detection coefficients. RESULTS: The study resulted in a coefficient adjustment of new cases in 10 towns that changed their classification, among which, 2 went from low to medium, 4 from medium to high, 3 from high to very high, and 1 from very high to hyper-endemic. An average variation of 1.02, fluctuating between 0 and 12.39 cases/100,000 inhabitants, was found in a comparative calculation between the Local Ebest value and the average coefficient of new leprosy cases in the State of Espírito Santo. CONCLUSIONS: The spatial analysis of leprosy favors the establishment of control strategies with a better cost-benefit relationship since it reveals specific and priority regions, thereby enabling the development of actions that can interfere in the transmission chain

Development of a benthic multimetric index for biomonitoring of a neotropical watershed

Biotic indices are important tools for evaluating water quality in Biomonitoring Programmes of river basins. The objective of this study was to develop a Benthic Multimetric Index (BMI) to evaluate the water quality in a neotropical catchment in southeastern Brazil. Thirty metrics were evaluated and six were selected to calculate the BMI: family richness, % Oligochaeta, % Chironomidae + Oligochaeta (% CHOL), % EPT (Ephemeroptera, Plecoptera and Trichoptera), % Collector-gatherers, and BMWP-CETEC biotic index. Sampling was carried in triplicate at 21 sampling sites (8 in the river channel and 13 in the tributaries) during 4 annual collecting trips from June 2004 to November 2007, making a total of 945 samples. Scores (5, 3 or 1) were attributed to each chosen metric and were added up to establish the water quality criteria (a score of 6-12 - poor; 13-18 - intermediate; 19-24 - good; and 25-30 - very good water quality). Our results indicated that 48% of the sampling sites analysed in the catchment basin presented very good water quality, 14% good quality, 19% regular, and 19% poor water quality. This methodology proved to be an efficient tool for evaluating water quality in the Biomonitoring Programme of the Velhas River basin, and that it may serve to evaluate water quality in other river basins in South America