Extreme climate events have major repercussions on the health of the population, especially when they cause disease or even result in victims due to accidents. The population of Rio de Janeiro is vulnerable to climate variations, mainly due to the socio-economic factors, as the city has a topography and climate that enhance this vulnerability. This article discusses the evolution of leptospirosis in the thirty-two administrative regions of the city of Rio de Janeiro from 1996 through 2009, testing the hypothesis that climate variations lead to an increase in the number of cases of the disease. The meteorological data examined were provided by the National Meteorology Institute and the Brazilian Airport Infrastructure Company. Data on the morbidity and mortality of leptospirosis was collected from Rio de Janeiro's Municipal Health and Civil Defense Department. In this work, it was concluded that there is a direct correlation between the incidence of leptospirosis and rainfall. However, in the final analysis, it must be emphasized that the oscillation of the number of cases is not only determined by rainfall, since other factors influence this dynamic, such as sanitation, in addition to environmental and social factors.
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http://dx.doi.org/10.1590/s1413-81232012000600020 | DOI Listing |
Clin Infect Dis
August 2015
University of California, San Francisco Gladstone Institute of Virology and Immunology, San Francisco, California.
Background: Daily preexposure prophylaxis (PrEP) with oral emtricitabine and tenofovir disoproxil fumarate (FTC/TDF) decreases the risk of human immunodeficiency virus (HIV) acquisition. Initiation of TDF decreases bone mineral density (BMD) in HIV-infected people. We report the effect of FTC/TDF on BMD in HIV-seronegative men who have sex with men and in transgender women.
View Article and Find Full Text PDFEur J Clin Microbiol Infect Dis
February 2008
Division of Infectious Diseases, Duke University Medical Center, Box 3824, Durham, NC 27710, USA.
Leptotrichia species typically colonize the oral cavity and genitourinary tract. We report the first two cases of endocarditis secondary to L. goodfellowii sp.
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