Leishmaniasis is currently a complex and neglected disease, making it a public health problem. Visceral leishmaniasis is the most serious systemic form and can be fatal if left untreated. Thus, knowing the epidemiological profile of visceral leishmaniasis can support the actions of health professionals and managers. To investigation was to describe the spatial distribution of visceral leishmaniasis in the State of Paraíba, Brazil, between 2007 and 2017. An ecological, observational and descriptive study, with a quantitative approach using data from the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação, Sinan), recorded between 2007 and 2017. Statistical analysis was performed with the calculation of the Relative Risk, the Spatial Scan Method and the Local Empirical Bayesian Method, with use of R-Project, version 3.5.1. In Paraíba 431 cases of visceral leishmaniasis were recorded, 227 (52.7%) of which were in male individuals and with a higher incidence in the years 2012 and 2014, in the age group of 20 to 40, with a predominance of new cases (first time that the case was recorded in the information system, which differs from recurrence), as regards entry method in the Sinan. Most of the cases occurred in the white race and with laboratory criterion for diagnostic confirmation. Spatial clusters of visceral leishmaniasis are evidenced in the State, described in the micro region of the South Coast, of Cajazeiras, Sousa and Catolé do Rocha, in addition to the municipality of Campina Grande. It is urgent to carry out actions that can implement comprehensive assistance to people exposed to the risk of infection of this disease, in order to prevent the disease or to minimize its impacts when installed.