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This study compares local ecological knowledge (LEK) of fishers from the Southwest Atlantic Ocean (SWAO), Brazil, related to the franciscana dolphin (Pontoporia blainvillei). We conducted 330 ethnographic interviews in ten fishing communities in southern and southeastern Brazil between 2012 and 2018. Boolean or Classic Logic was used to identify 95 fishers who were able to recognize the franciscana dolphin accordingly to the taxonomic entity P. blainvillei: 23 in northern Espírito Santo state, one in southern Espírito Santo, 20 in northern Rio de Janeiro state, and 51 in northern Paraná state. Among these 95 fishers, 87.4% (n = 83) reported incidental captures in fishing nets. Among these, 52 (54.7%) did not know any solution to this problem. Interviews revealed that the fishers usually discard carcasses in the sea after fat and muscle tissue are removed so that they can be used as bait for shark fishing or as food. In Southeastern Brazil, fishers LEK related to their ability to identify franciscana dolphin varied from 'no identification' and 'extremely low identification' to 'partial' and 'good identification,' while in southern Brazil, fishers mainly presented a 'good identification' of the dolphins. We propose comanagement actions to conserve the franciscana dolphin in the SWAO.

This study updates the geographic distributions of phlebotomine species in Central-West Brazil and analyses the climatic factors associated with their occurrence. The data were obtained from the entomology services of the state departments of health in Central-West Brazil, scientific collections and a literature review of articles from 1962-2014. Ecological niche models were produced for sandfly species with more than 20 occurrences using the Maxent algorithm and eight climate variables. In all, 2,803 phlebotomine records for 127 species were analysed. Nyssomyia whitmani, Evandromyia lenti and Lutzomyia longipalpis were the species with the greatest number of records and were present in all the biomes in Central-West Brazil. The models, which were produced for 34 species, indicated that the Cerrado areas in the central and western regions of Central-West Brazil were climatically more suitable to sandflies. The variables with the greatest influence on the models were the temperature in the coldest months and the temperature seasonality. The results show that phlebotomine species in Central-West Brazil have different geographical distribution patterns and that climate conditions in essentially the entire region favour the occurrence of at least one Leishmania vector species, highlighting the need to maintain or intensify vector control and surveillance strategies.

Mycobacterium leprae was first described as the bacillus that causes leprosy, a chronic granulomatous infectious disease, in 1873 by Amauer Hansen. Leprosy is part of a group of 10 neglected diseases and Bahia has endemic levels of this illness, varying between high and very high. The detection of 52 new cases of leprosy in children under 15 years old in Salvador in 2006 is alarming, and suggests an early contact with the disease. The aim of this review is to analyze the epidemiological situation, the detection rate and evaluate the clinical and epidemiological profile of leprosy in Salvador, in the period 2001-2009. A retrospective cross-sectional study was performed using secondary data collected at Notifiable Diseases Information System Database (SINAN) through the notification of patients with leprosy. Over these nine years 3,226 patients were reported, with a predominance of: females (51.5%), and clinical multibacillary forms in the general population (51.7%), but when we analyze those under 15 years old, paucibacillary forms (tuberculoid + indeterminate) prevailed. The tuberculoid form was the most diagnosed type of presentation. The annual detection rate in Salvador remained at a very high level of endemicity during the studied period and for those under 15 years old it ranged between high and very high. Grade 2 disabilities both at the time of diagnosis and at discharge after cure, varied between low and medium. Based on these data we conclude that the high levels of leprosy detection rates in the general population, plus the variation between high and very high levels in those under 15 years old, associated with the medium level of grade 2 disabilities at the time of diagnosis and discharge, demonstrate the need for improvement on the existing services, investment in active case finding and training of the healthcare professionals in Salvador.

Background: Instruments for field diagnosis of eczema are increasingly used, and it is essential to understand specific limitations to make best use of their strengths. Our objective was to assess the validity of ISAAC and UK Working Party criteria for field diagnosis of eczema in children., Methods: We performed a cohort study in urban Brazil. Parents/guardians of 1,419 children answered ISAAC phase II questionnaire. Children were examined for skin lesions (UKWP protocol). Two dermatologists examined most cases of eczema (according to ISAAC or UKWP), and a sample without eczema., Results: Agreement between repeat questionnaires on the filter question was poor (kappa = 0.4). Agreement between the 2 dermatologists was fair (kappa = 0.6). False positive reports included scabies in 39% of ISAAC cases and 33% of UKWP cases. Sensitivity and PPV were low (ISAAC: 37.1% and 16.1%; UKWP: 28.6% and 23.8%). Specificity and NPV were high (ISAAC: 90.0% and 96.6%; UKWP: 95.3% and 96.2%). One-year prevalence of eczema was 11.3% (ISAAC), 5.9% (UKWP) and 4.9% (adjusted dermatologist diagnosis). Point prevalence of scabies (alone or not) was 43%, 33% and 18%, in eczemas according to ISAAC, to UKWP and to dermatologists. The reasons why children with eczema were not identified by ISAAC or UKWP were wrongly denying dry skin, itchy rash or personal history of atopic diseases. A limitation is that questionnaire was already validated in Brazil, but not field tested in this specific setting., Conclusions: Studies using UKWP or ISAAC criteria should include a validation arm, to contribute to the understanding of potential limitations of their use in different contexts and to explore solutions. We list specific recommendations.

An occurrence of pruritic papular dermatitis among the whole crew of a Filipino commercial ship in Salvador, State of Bahia, was associated with contact with Hylesia moths. This unusual type of dermatitis is caused by the bristles (flechettes) on the moths' bodies. Reporting on such cases serves to warn about possible similar situations.

This study was made to determine contact with drugs among first-grade students from public and private schools in the Riberao Preto community. The various social classes were considered. We decided to use the concept of social status for out empiric research, which defines it as a group of persons who have a certain number of characteristics in common which can be measured, that is, common status, and which may be defined by different criteria. Schools were classified according to their pupils, and after this initial classification, they were divided into 4 groups. A school was selected by lots from each group. A questionnaire with open and closed questions was used as instrument for data collection. According to the collected data, it was concluded that all pupils, independently from their social and economic level, had a superficial knowledge on drugs: 48.2% of those surveyed said they knew people in their neighbourhood who used drugs; 8.8% referred that they had been offered drugs. Drugs offered to them included; cocaine, marijuana, hashish, cigarettes and toxic pencils. The other 63% referred that nobody had given them any advice regarding drugs.