Increase in cases of leishmaniasis after earthquake in an endemic area of Ecuador
Abstract
Leishmaniasis is an infectious parasitic disease transmitted by the bite of Phlebotomus; in America, the genus responsible is Lutzomyia. Vector-borne infections can increase significantly in the event of natural disasters. The province of Manabí, in Ecuador, is an endemic area for cutaneous leishmaniasis, but in 2016, following the earthquake, there was an increase in cases that year, which continued into 2017. The parish of Portoviejo with the highest number of cases that year was Andrés de Vera. To identify the factors that contributed to this increase, an observational, descriptive, bispective, and cross-sectional study was designed, and a survey was conducted of 383 individuals in the parish of Andrés de Vera, Portoviejo canton, Manabí. There was a high level of ignorance about the vector and few protective measures in homes, such as the use of window screens, mosquito nets, or repellents. It was concluded that the increase in cases could be due to the harsh weather conditions experienced by many residents after the earthquake and a lack of knowledge about protective measures, considering that the area evaluated is defined as endemic for leishmaniasis
References
WHO. Report of a meeting of the WHO Expert Committee on the Leishmaniasis control [Internet]. 2010. Disponible en: https://www.who.int/publications/i/item/WHO-TRS-949
Ala-Vedra JT. El botón de Oriente en el Ecuador. Paper presented at the IV Congreso de Medicina y I de Cirugía Ecuatorianos, I. Jornada Pediátrica Ecuatoriana. Guayaquil: Universidad de Guayaquil;1952:1-23.
Vista de Leishmaniasis en el Ecuador: revisión bibliográfica [Internet]. Edu.ec.. Disponible en: https://revistas.uta.edu.ec/erevista/index.php/medi/article/view/1190/1070
Toalombo Espin C, Coque Procel M. Leishmaniasis en el Ecuador: Revisión bibliográfica. MEDICIENCIAS UTA. 2021;5(3):2-11. DOI: https://dx.doi.org/10.31243/mdc.uta.v5i3.1190.2021
Ministerio de Salud Pública. GACETAS VECTORIALES – Ministerio de Salud Pública [Internet]. Msp. 2020. Disponible en: https://www.salud.gob.ec/gacetas-vectoriales/
Walika M, Moitinho De Almeida M, Castro Delgado R, Arcos González P. Outbreaks Following Natural Disasters: A Review of the Literature. Disaster Med Public Health Prep [Internet]. 2023;17:e444. Disponible en: https://www.cambridge.org/core/product/B363DA3A00EF8D8E24A0A1D92D67FCAE DOI: 10.1017/dmp.2023.96 PMID 37534398
Rostamian M, Rezaeian S, Hamidouche M, Bahrami F, Ghadiri K, Chegeneh Lorestani R, et al. The effects of natural disasters on leishmaniases frequency: A global systematic review and meta-analysis. Acta Trop [Internet]. 2021;217:105855. Disponible en: https://www.sciencedirect.com/science/article/pii/S0001706X21000346 DOI: 10.1016/j.actatropica.2021.105855 PMID: 33567321
Mieles Giler JW. Crecimiento demográfico e impacto ambiental de la parroquia Andrés de Vera del cantón Portoviejo [Internet]. Universidad Estatal del Sur De Manabí; 2018. Disponible en: https://repositorio.unesum.edu.ec/bitstream/53000/1067/1/UNESUM-ECUADOR-ING.M-2018-10.pdf
Peñarrieta Bravo S. Análisis de la política ambiental implementada por la ilustre municipalidad del canton Portoviejo en el periodo 2000-2004 [Internet]. Quito:FLACSO Sede Ecuador; 2004. Disponible en: http://repositorio.flacsoandes.edu.ec/handle/10469/365
Declaración de Helsinki de la AMM – Principios éticos para las investigaciones médicas en seres humanos [Internet]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Bahrami F, Harandi AM, Rafati S. Biomarkers of Cutaneous Leishmaniasis. Front Cell Infect Microbiol [Internet]. 2018;8:222. Disponible en: https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2018.00222 DOI: 10.3389/fcimb.2018.00222 PMID 29998089 PMCID PMC6029629
Mendizábal-Cabrera R, Pérez I, Becerril Montekio V, Pérez F, Durán E, Trueba ML. Cutaneous leishmaniasis control in Alta Verapaz (northern Guatemala): evaluating current efforts through stakeholders’ experiences. Infect Dis Poverty [Internet]. 2021;10(1):61. Disponible en: https://doi.org/10.1186/s40249-021-00842-3 DOI: 10.1186/s40249-021-00842-3 PMID 33962699 PMCID PMC8106169
Canché-Pool EB, Panti-May JA, Ruiz-Piña HA, Torres-Castro M, Escobedo-Ortegón FJ, Tamay-Segovia P, et al. Cutaneous Leishmaniasis Emergence in Southeastern Mexico: The Case of the State of Yucatan. Trop Med Infect Dis [Internet]. 2022;7(12). Disponible en: https://www.mdpi.com/2414-6366/7/12/444 DOI: 10.3390/tropicalmed7120444 PMID 36548699 PMCID PMC9787846
Nieves E, Oraá L, Rondón Y, Sánchez M, Sánchez Y, Rujano M. Riesgo de transmisión de Leishmania (Kinetoplastida: Trypanosomatidae) en Mérida Venezuela. Av en Biomed [Internet]. 2014;3(2):57-64. Disponible en: http://www.redalyc.org/articulo.oa?id=331331850008
Conterón Tene E. Prevalencia de leishmaniasis en el área II de Pastaza, asociados a factores de riesgo que influyen en el desarrollo de la enfermedad [Internet]. [Ambato]: Universidad Técnica de Ambato; 2015. Disponible en: https://repositorio.uta.edu.ec/server/api/core/bitstreams/2ddfa39f-e821-4ac4-a489-20b6d25a43a8/content
Isaza DM, Restrepo BN, Arboleda M, Casas E, Hinestroza H, Yurgaqui T. La leishmaniasis: Conocimientos y prácticas en poblaciones de la costa del Pacifico de Colombia. Rev Panam Salud Publica/Pan Am J Public Heal [Internet]. 1999;6(3):177-84. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/8902/0475.pdf?sequence=1&isAllowed=y DOI: 10.1590/s1020-49891999000800005 PMID 10517095
Patiño-Londoño SY, Salazar LM, Acero CT, Bernal IDV. Aspectos socioepidemiológicos y culturales de la leishmaniasis cutánea: concepciones, actitudes y prácticas en las poblaciones de Tierralta y Valencia (Cordoba, Colombia). Salud Colect [Internet]. 2017;13(1):123-38. Disponible en: https://revistas.unla.edu.ar/saludcolectiva/article/view/1079 DOI: 10.18294/sc.2017.1079 PMID 28562730
Khoobdel M, Dehghan omid, Bakhshi H, Moradi M. Control and Management of Vector-Borne Diseases in Disaster Conditions. J Mil Med [Internet]. 2022;22(8):778-98. Disponible en: https://militarymedj.bmsu.ac.ir/article_1000976.html DOI: 10.30491/JMM.22.8.778
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