2024-11-082024-11-082018-02-27COSTA, Rita Thaise Moraes. Urbanização da Leishmaniose Visceral na região do Baixo Tocantins, Pará, Brasil. Orientadora: Cléa Nazaré Carneiro Bichara. 2018. 65 f. Dissertação (Mestrado em Ciências Ambientais) - Centro de Ciências Naturais e Tecnologia, Universidade do Estado do Pará, Belém, 2018.https://portaldaposgraduacao.uepa.br/handle/riuepa/249Fundação Amazônia Paraense de Amparo à Pesquisa - FAPESPAAbertoDoenças protozoárias - ParáLeishmaniose visceral - ParáLeishmania - ParáUrbanizaçãoDoenças negligenciadasUrbanizationVisceral leishmaniasisNeglected diseasesDissertaçãoCiências Biológicas::ParasitologiaVisceral Leishmaniasis (LV) is an anthropozoonosis caused by a protozoan of the genus Leishmania, transmitted by the bite of the sandfly female Lutzomya longipalpis, which involves canids as the main reservoirs. It was the objective of this study to analyze cases of VL that occurred in 11 municipalities of the region of Baixo Tocantins, Pará, Brazil, from a clinical, epidemiological and urbanization perspective. Material and Methods: Based on data from the Health Department of the State of Pará, a database was developed for the retrospective, crosssectional, epidemiological study of childhood LV cases reported in the period 2007-2015. After selection of the cases of children under 12 years old, were divided for triennial (2007-2009, 2010-2012, 2013-2015) for the preparation of the maps with the distribution by municipalities of origin, applying to geostatistics (ArcGIS 10.5 program). RESULTS: In the sociodemographic data, male (54.6%), those with 0 to 3 years old (57.2%, p <0.0001) and browns (74.5%) predominated; (72.5%), compared to urban (19.3%) and peri-urban (0.8%). However, there are already areas where the urban-rural relationship has approached, as in the municipalities of Barcarena (urban 47.7% and rural 44.7%) and Oeiras do Pará (urban 50% and rural 50%); (88.5%), weakness (89.3%), weight loss (85.9%), pallor (78.7%) and spleen enlargement (73.8%), . Conclusion: It was possible to observe that important environmental changes and population migration began to allow the geographical expansion of the LV transmission area to periurban and urban centers, as observed in some cities of the Baixo Tocantins-PA region, but the clinical profile and aspects epidemiological studies follow a classic course of the endemic, linking childhood to poverty and illness, under favorable environmental conditions to the transmission cycle of Leishmania chagasi.PPGCA - Estudos de ecossistemas amazônicos