Revista da Sociedade Brasileira de Medicina Tropical 41(6):635-641, nov-dez, 2008
ARTIGO/ARTICLEA leishmaniose tegumentar americana (LTA) apresentase como importante problema de saúde pública pela ampla distribuição geográfica, elevada incidência, manifestações clínicas graves que podem causar lesões e mutilações severas e permanentes. Além disso, os diferentes padrões epidemiológicos que apresenta, em função das espécies vetoras, reservatórios, agentes etiológicos e interação do homem nesta biocenose, dificultam a elaboração de um programa de controle eficaz 6 .A transmissão das leishmanioses é influenciada freqüentemente por fatores ambientais, demográficos, comportamento humano e
ABSTRAcTAmerican cutaneous leishmaniasis acquired epidemic characteristics on the northern coastline of the State of São Paulo beginning in the 1990s. From secondary data, a descriptive study of the disease in the four municipalities making up this region over the period from 1993 to 2005 was conducted. The frequency of phlebotomine capture in the probable transmission locations was analyzed. 689 autochthonous cases of cutaneous leishmaniasis were notified, with single and grouped cases, thus determining that the spatial distribution was heterogenous. There was synchronism and cyclicity of disease manifestation, at intervals of six to eight years. All ages were affected, with slight predominance among males, without association with any specific occupation. Among the 2,758 phlebotomines captured, Nyssomyia intermedia predominated (80.4%) inside homes and in areas surrounding them. The disease presented a transmission profile inside homes and in areas surrounding them, between the urban fringe and forests, and inside forests. In such cases, transmission would be more related to enzootic foci.