SARS-CoV-2, the etiological agent of COVID-19, spread worldwide, reaching pandemic status in March 2020. In this scenario, dengue epidemics continue to impact endemic countries. Taking into account an increase in dengue cases worldwide, the COVID-19 pandemic may signal a serious danger to global public health. In some countries the pandemic coincided with already installed dengue epidemics. Thus, understanding the collective constituents of arboviruses in pandemic times is fundamental for a significant analysis. The present work brings a narrative review elucidating important impacts resulting from the co-epidemic and its consequences in a broader perspective. Problems with the differential diagnosis of these infections are aggravating factors for the decision of clinical management and prognosis of infected individuals. In addition, socioeconomic characteristics and ethnicity are fundamental factors for both dengue transmission dynamics and COVID-19. It also stands out, a scenario that represents a high risk of collapse for health services in facing challenges for combating and managing resources. Therefore, we conclude that in order to overcome the crisis of simultaneous epidemics and their serious consequences, historical aspects and their relationship with the conditions of social vulnerability need to be taken into account, in addition to promoting specific actions for their combat.

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OBJECTIVE: Visceral leishmaniasis (VL) is a severe vector-borne and zoonotic disease transmitted by phlebotomine sand flies. In the New World, is caused by the protozoan Leishmania infantum, having a great burden on human and animal health. Besides, environmental, and socioeconomic factors are significantly associated with the epidemiological pattern of the disease. VL continues to expand worldwide and in Brazil this situation is no different, reaching territories where it did not occur before, especially among marginalized populations in peri-urban areas. From a one health perspective, this paper details the first environmental health survey in one of the Brazilian marginalized communities, considered a new focus of VL.METHODS: In a qualitative approach, we combine entomological collections, records, and field observations to provide a comprehensive assessment of environmental conditions. RESULTS: The results highlight the need for monitoring the sand fly species found, as well as further studies for the real delimitation of their roles in the transmission of Le. infantum. The findings also suggest that bad housing conditions, lack of sanitation and the presence of arthropod vectors were associated with the occurrence of VL. Yet, we argue that many of the results found are quite similar across regions, and that the findings are not just a regional report but can reflect the reality of different parts of Brazil and the world.CONCLUSION: A one health approach is essential to truly face VL, addressing the health risks at the animal–human–ecosystems interface, without ignoring the social context involved. DESCRIPTORS: One health, Environmental health, Neglected tropical diseases, Health inequalities, Leishmaniasis, Vectors, Sand flies.

The family Psychodidae has a cosmopolitan distribution with members that occur in many habitats, mainly in humid environments, and is most diverse in the tropics. Subfamilies Sycoracinae and Phlebotominae have females with hematophagous habits and the latter studied more due to medical and veterinary interest, since it includes species that can transmit diseases to animals and humans. The knowledge about the sand fly fauna in a region is extremely important for adequate monitoring and control measures for leishmaniasis. Thus, the objective of this study was to characterize Psychodidae fauna in relation to richness, abundance and molecular identification of Leishmania spp. in sand flies in southern Santa Catarina, Brazil. The ollections were carried out between 2015 and 2016 in three cities in Santa Catarina, Brazil. Samples were taken near feeding places for domestic animals, urban forest and peridomicile areas. The insects were identified and female sand flies were submitted to molecular analysis to detect the presence of Leishmania spp.. A total of 4,200 insects were collected, 4,193 from the Sycoracinae subfamily and 7 Phlebotominae from the Nyssomyia neivai and Pintomyia fisheri species. Of the studied municipalities, sandflies were registered in Tubarão and Imaruí and the most frequent habitat was the peridomicile areas. No samples were positive for Leishmania spp. In conclusion, the work highlights the presence of two species of sandflies, which were recorded for the first time in southern Santa Catarina.

Visceral leishmaniasis is among the most neglected diseases in the world and especially affects poor populations of some developing or underdeveloped countries, with human disease being a factor in the occurrence of thousands of deaths every year. Visceral leishmaniasis affect domestic dogs, main reservoirs of the Leishmania parasite in urban environments. Thus, the aim of this study was to analyze the prevalence of canine visceral leishmaniasis in two non-endemic municipalities located in southern Santa Catarina, as well as to identify the main risk factors for infection in dogs. A cross-sectional study was carried out with dogs living in two Zoonoses Control Centers located in the cities of Tubarão and Criciúma. Blood samples were collected and analyzed by real-time PCR for detection of Leishmania infection. Clinical examination and evaluation of the characteristics of the canine population were also carried out. A total of 107 dogs were evaluated, of which 19% were positive for Leishmania, and 85% of the positive cases were asymptomatic. In conclusion, we highlight the detection of cases of canine visceral leishmaniasis in two cities that had not yet reported cases. The high rate of positive asymptomatic animals suggests the maintenance of the parasite in the environment.