Awareness of visceral leishmaniasis and its relationship to canine infection in riverside endemic areas in Northeastern Brazil

Introduction: An awareness of visceral leishmaniasis (VL) is necessary to encourage the population to participate in preve ntion and control in collaboration with more effi cient, centrally organized health programs. The aim of this study was to evaluate the awareness of the riverside population regarding VL and the association between awareness and the prevalence of canine visceral leishmaniasis (CVL). Methods: In total, 71 people living in riverside areas in the City of Mossoró in State of Rio Grande do Norte participated of the study, and 71 dogs were tested for CVL by polymerase chain reaction (PCR). Association analysis of several variables related to knowledge of the riverside population regarding CVL positivity was performed, yielding odds ratios (OR) and 95% confi dence intervals (CI), and signifi cance was determined using chi-square (χ2) and Fisher's exact tests. Results: Among individuals whose dogs tested positive for CVL, 60% did not know the cure for CVL, and these subjects were three times more likely to have a dog test positive for CVL than those who were aware the cure for CVL. Knowledge of CVL cure was the only variable that remained in the logistic model after the successive removal of variables, with an adjusted OR of 3.11 (95%CI: 1.1-8,799; p=0.032). Conclusions: Insuffi cient awareness regarding VL in riverside areas with CVL-positive dogs was associated with increased rates of canine infection, which suggests that changes in habits and the adoption of attitudes and preventive practices may contribute to the control and prevention of this disease. This study reinforces the need to invest in better health education programs regarding VL

Phenetic studies on randomly amplified polymorphic DNA-polymerase chain reaction-variability of four geographical populations of Lutzomyia whitmani (Diptera: Psychodidae) in Brazil Estudos fenéticos de variabilidade de polimorfismos de DNA amplificados ao acaso pela reação em cadeia da polimerase em quatro populações geográficas de Lutzomyia whitmani (Diptera: Psychodidade) no Brasil

Previous evaluation of the genetic variability of four biogeographical populations of Lutzomyia whitmani from known foci of cutaneous leishmaniasis in Brazil demonstrated two main spatial clusters: Corte de Pedra-BA, Ilhéus-BA and Serra de Baturité-CE in the first cluster, and Martinho Campos-MG in the second. Further analysis showed a high degree of homogeneity in Corte de Pedra population but not in the others, which presented a significant percentage of specimens displaced from their phenon of origin (discrepant individuals). In the present work we analyzed the frequencies of association coefficients in the matrixes of similarity per population of Lutzomyia whitmani from both sexes and the general phenograms obtained, in a more detailed study of those discrepant specimens. Populational stability was observed for Corte de Pedra population, whereas the three remaining populations showed varying degrees of heterogeneity and different displacements according to sex. Our results strongly suggested the existence of a genetic flow between the lineages North-South/North-East and Ilhéus/Serra do Baturité of Lutzomyia whitmani.<br>Uma avaliação prévia da variabilidade genética de quatro populações biogeográficas de Lutzomyia whitmani oriundas de focus conhecidos de leishmaniose cutânea no Brasil, evidenciou 2 agrupamentos espaciais principais: Corte de Pedra (BA), Ilhéus (BA) e Serra de Baturité (CE) no primeiro grupo, e Martinho Campos (MG) em um segundo. O aprofundamento da análise acusou um alto grau de homogeneidade na população de Corte de Pedra mas não nas outras, nas quais uma porcentagem significativa de espécimens deslocou-se do seu feno de origem (indivíduos discrepantes). Neste trabalho analisamos as freqüências dos coeficientes de associação nas matrizes de similaridade por população de Lutzomyia whitmani, de ambos os sexos, e o fenograma geral obtido, em um estudo mais detalhado daqueles espécimens discrepantes. Para Corte de Pedra foi observada estabilidade populacional, enquanto as outras três populações restantes mostraram graus de heterogeneidade variáveis e deslocamentos distintos, de acordo com o sexo dos indivíduos. Nossos resultados sugerem fortemente a existência de um fluxo genético entre as linhagens Norte-Sul/Norte-Leste e Ilhéus/Serra do Baturité de Lutzomyia whitmani