Article
Biodiversity of Potential Vectors of Rickettsiae and Epidemiological Mosaic of Spotted Fever in the State of Paraná, Brazil
Registro en:
DURÃES, Liliane Silva et al. Biodiversity of Potential Vectors of Rickettsiae and Epidemiological Mosaic of Spotted Fever in the State of Paraná, Brazil. Frontiers in Public Health, v. 9, 577789, p. 1-20, Mar. 2021.
2296-2565
10.3389/fpubh.2021.577789
Autor
Durães, Liliane Silva
Bitencourth, Carla
Ramalho, Frederico Rodrigues
Nogueira, Mário Círio
Nunes, Emília de Carvalho
Gazêta, Gilberto Salles
Resumen
Spotted Fever Rickettsioses (SFR) are diseases caused by bacteria of the genus
Rickettsia, and are transmitted mainly by ticks. Its eco-epidemiological scenarios
vary spatially, and may also vary over time due to environmental changes. It is the
main disease transmitted by ticks to humans in Brazil, with the state of Paraná
(PR) having the sixth highest number of notified incidences in the country. However,
information is lacking regarding the SFR disease cycles at likely infection sites within
PR. During case investigations or environmental surveillance in PR for SFR, 28,517
arthropods were collected, including species known or potentially involved in the
SFR cycles, such as Amblyomma sculptum, Amblyomma aureolatum, Amblyomma
ovale, Amblyomma dubitatum, Amblyomma parkeri, Ctenocephalides felis felis, and
Rhipicephalus sanguineus sensu lato. From these Rickettsia asembonensis, Rickettsia
bellii, Rickettsia felis, Rickettsia parkeri strain Atlantic Rainforest and Candidatus
Rickettsia paranaensis were detected. Ectoparasite abundance was found to be related
with specific hosts and collection environments. Rickettsiae circulation was observed
for 48 municipalities, encompassing 16 Health Regions (HR). As for socio-demographic
and assistance indicators, circulation occurred largely in the most urbanized HR, with
a higher per capita Gross Domestic Product, lower Family Health Strategy coverage,
and with a higher ratio of beds in the Unified Health System per thousand inhabitants.
For environmental variables, circulation occurred predominantly in HR with a climatic
classified as “subtropical with hot summers” (Cfa), and with forest type phytogeographic
formations. In terms of land use, circulation was commonest in areas with agriculture,
pasture and fields and forest cover. Rickettsiae were circulating in almost all hydrographic
basins of PR state. The results of this study provide the first descriptive recognition of SFR
in PR, as well as outlining its eco-epidemiological dynamics. These proved to be quite
heterogeneous, and analyzed scenarios showed characteristics strongly-associated
with the outbreaks, with cases presenting clinical variation in space, so illustrating the complexity of scenarios in PR state. Due to the diversity of the circumstances
surrounding SFR infections in PR, public health initiatives are necessary to foster a
better understanding of the dynamics and factors effecting vulnerability to SFR in this
Brazilian state.