Congenital toxoplasmosis in the state of Minas Gerais, Brazil: a neglected infectious disease?

Congenital toxoplasmosis in the state of Minas Gerais, Brazil: a neglected infectious disease?

This study aimed to investigate the distribution of congenital toxoplasmosis in the state of Minas Gerais, Southeastern Brazil and describe the demographic and socioeconomic profile of the municipalities associated with the disease. An ecological study was conducted using socioeconomic indicators of...

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Bibliographic Details
Published in:Epidemiology and infection Vol. 142; no. 3; pp. 644 - 655
Main Authors: CARELLOS, E. V. M., CAIAFFA, W. T., ANDRADE, G. M. Q., ABREU, M. N. S., JANUÁRIO, J. N.
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01-03-2014
Subjects:
Biological and medical sciences
Brazil - epidemiology
Congenital diseases
Congenital toxoplasmosis
Disease prevalence rates
Ecological studies
Economic indices
Educational attainment
Employment indices
Enzymes
Epidemiology
Female
Fundamental and applied biological sciences. Psychology
Gross domestic product indices
Humans
Infant, Newborn
Infections
Infectious diseases
Male
Medical screening
Microbiology
Municipalities
Neglected diseases
Newborn babies
Original Papers
Parasites
Prevalence
Protozoa
Risk factors
Socioeconomic Factors
Socioeconomics
Software packages
Toxoplasma
Toxoplasmosis
Toxoplasmosis, Congenital - epidemiology
Vegetation index
South America
Brazil
America
Brazil, Minas Gerais
Toxoplasma gondii
Infectious disease epidemiology
Infection
Congenital toxoplasmosis
Protozoal disease
Neglected disease
Parasitosis
Epidemiology
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Summary:This study aimed to investigate the distribution of congenital toxoplasmosis in the state of Minas Gerais, Southeastern Brazil and describe the demographic and socioeconomic profile of the municipalities associated with the disease. An ecological study was conducted using socioeconomic indicators of a database (MGSSRI) created by Fundação João Pinheiro (a government technical support agency of Minas Gerais), in order to show the development of the municipalities in the state. The prevalence of toxoplasmosis was the outcome and the items of the MGSSRI were the explanatory variables. Of 146 307 newborns screened (November 2006 to May 2007), 190 had congenital toxoplasmosis, yielding a prevalence of 1·3/1000, ranging from 0 to 76·9/1000 in the municipalities. The multivariate model indicated a higher occurrence of toxoplasmosis in municipalities with smaller populations and worse indexes of tax performance. Congenital toxoplasmosis appears to be a neglected disease in the state of Minas Gerais, given the high prevalence found and its concentration in municipalities with worse socioeconomic indexes.
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This work was presented in part at the 10th International Conference on Urban Health, 2–4 November 2011, Belo Horizonte, Brazil; and at the XV Brazilian Congress of Pediatric Infectious Diseases, 9–12 November 2010, Belo Horizonte, Brazil.
Members of the UFMG-CTBG are given in the Appendix.
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268813001507