Zoonotic emergent and reemergent diseases transmitted by wildlife in South Piauí, Brazil
Whitney L. CollinsEl Gaff
Joana Mayra de Oliveira Pires, Whitney L. Collins, Lilian Silva Catenacci
In view of the increase of emergent and re-emergent zoonoses involving wild animals in the cycle and/or transmission of diseases, it is important to investigate the human cases found in health centers to better guide research at the interface of human, animal, and ecosystem health. The objective of this study was to investigate the epidemiology reports provided by the National Injury Information Notification System of the Brazilian Ministry of Health (SINAN), focusing on zoonotic diseases that may be involved with wild animals in Bom Jesus City, Piauí State, Brazil. Data compiled from SINAN's mandatory notification forms were compiled from January 2017 to August 2018, concerning rabies, dengue, chikungunya and leishmaniosis diseases. Medical supportive care after a human has been bitten by an animal suspected of rabies was performed in 175 patients; only one person reported being bitten by a primate, despite Piauí State having reported positive cases of rabies in horses, bats and primates. A total of 71 suspected cases of arboviruses were described by SINAN: Dengue (n= 32, 45%), Chikungunya (n =12, 17%), and unknown viral identification (n= 27, 38%). Regarding Leishmaniosis, only one case of visceral leishmaniosis was identified. During data collection it was observed that (1) records were incorrectly filled out with contradictory, incomplete, or missing data which may be related to the lack of training given to the healthy agents, (2) missing laboratory tests resulting in inconclusive diagnoses, which could be related to the few resources found on the public network, and (3) non-compliant treatment by patients. In view of these results, health education activities were initiated in the region in addition to research focusing on the collection of insects, birds, primates, and other wild mammals and assessing their role in the transmission of arboviruses of concern.