RESPONSIBLE GUARD AND OTHER FACTORS ASSOCIATED WITH CANINE VISCERAL LEISHMANIOSIS IN THE MUNICIPALITY OF DIVINÓPOLIS-MG
Canine Visceral Leishmaniasis. Risk factors. Zoonosis.
Visceral leishmaniasis (VL) is a neglected tropical disease that has major impacts on public health. Brazil has the majority of cases of human visceral leishmaniasis (LVH) in the American continent, whose form of transmission is of the zoonotic type, having the role of a prominent dog in the urban cycle of the disease. To improve the control and prevention of VL, it is essential to understand the factors associated with the occurrence of canine visceral leishmaniasis (CVL), but many of these are still controversial or poorly understood. In addition, few studies contemplate the theme of responsible animal custody and its relationship with an LVC. The present study analyzes factors associated with CVL in dogs domiciled in the municipality of Divinópolis (MG). This is an analytical sectional epidemiological study, conducted in partnership with the Municipal Health Secretariat of the municipality. In visits initiated by the city, DPP ® and ELISA tests for the diagnosis of CVL were earlier. Subsequently, in new visits to the same households, a questionnaire was needed to the dog's guardians about several variables possibly associated with CVL already studied in the literature and which also included new variables, related to responsible animal custody. The data were identified by means of bivariate analyzes and by simple and geographically weighted logistic regression models (GWLR). Of the 704 forced dogs, 47 (6.7%) tested positive for LVC. All variables related to the adoption of responsible guarding principles were associated with lower chances of infection. In multivariate models, it was identified that dogs bred exclusively in the peridomicium; with free access to the street; who was under tutelage of lack of education or higher education; and those acquired as adults were more likely to be positive. These associations have a consistent pattern throughout the studied territory. The results showed a high and stable prevalence of CVL in the municipality of Divinópolis (MG) and the existence of relevant variables for directing disease control actions, especially with regard to aspects related to responsible animal custody.