Research Article
LevelofKnowledgeandRiskFactorsforVisceralLeishmaniasisin
a Mining Area of Minas Gerais State, Brazil
Carina Margonari ,
1
J´ ulia Alves Menezes ,
2
Gustavo Mayr de Lima Carvalho ,
1
J´ ulia Bahia Miranda ,
1
Fabrizio Furtado de Sousa ,
3
Felipe Dutra Rˆ ego ,
1
Aldenise Martins Campos ,
1
Carolina Cunha Monteiro ,
1
Ana Paula Madureira ,
4
and Jos´ e Dilermando Andrade Filho
1
1
Leishmaniasis Study Group, Ren´ e Rachou Institute-Oswaldo Cruz Foundation, Belo Horizonte 30190–002, Brazil
2
Transdisciplinary Study Group on Health and Environment, Ren´ e Rachou Institute-Oswaldo Cruz Foundation,
Belo Horizonte 30190–002, Brazil
3
Divin´ opolis State University, Divin´ opolis 35501-170, Brazil
4
Department of Biosystems Engineering, Federal University of São João del-Rei, São João del-Rei 36307-352, Brazil
Correspondence should be addressed to Carina Margonari; carina.souza@fiocruz.br
Received 22 April 2020; Revised 21 September 2020; Accepted 9 November 2020; Published 20 November 2020
Academic Editor: Lcia Galvo
Copyright © 2020 Carina Margonari et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Aiming to optimize and adjust leishmaniasis prevention and control measures for the resident population of Pains, state of Minas
Gerais, Brazil, a structured questionnaire containing conceptual questions and questions about household characteristics was used
to evaluate knowledge level and exposure risk. A total of 396 individuals were interviewed revealing unscientific and fragmented
knowledge about the subject for most of the studied population. e female population was found to have 1.68 times more chance
of knowing about the disease than the male population, while highly educated individuals were found to have 2.92 times more
chances of knowing about leishmaniasis compared to basic educated individuals. All of the respondents reported the presence of,
at least, one risk factor, while ages ≥40 years were considered a protective factor compared to younger ages, indicating that older
individuals are more likely to recognize risks and protect themselves against leishmaniasis. ese results will contribute to the
production of didactic materials for the population with respect to their previous knowledge and will provide a basis for control
and prophylactic measures.
1. Introduction
Leishmaniasis is considered a globally neglected disease with
high morbidity and mortality, with the Americas being one
of the main centers of both visceral (VL) and tegumentary
forms (ATL). A total of 55,530 human VL cases were re-
ported in the Americas during 2001–2016, representing an
annual average of 3,457 cases, with 96% occurring in Brazil
[1]. e number of deaths caused by VL by in Brazil has
increased since 2012, reaching a lethality rate of 7.9% in
2016—the highest rate compared to other countries of the
Americas
1
. e disease manifestations mainly affect both
marginalized and impoverished populations and, thus,
present a challenge for control programs since great tech-
nical-operational and political efforts are required to sys-
tematically maintain surveillance actions. e first human
case of VL in Brazil was identified in Bahia in 1934 during
studies to diagnose yellow fever. In the subsequent years, the
role of the domestic dog as a reservoir of the disease was
established, as was Lutzomyialongipalpis asthevector[2].At
that time, the disease was considered endemic only to the
Northeast Region of the country, where it was restricted to
rural and wild environments. Since the 1980s, VL has spread
throughout Brazil, affecting medium and large municipal-
ities in the northeast, center-west, and southeast regions of
the country. e Visceral Leishmaniasis Control Program
Hindawi
Interdisciplinary Perspectives on Infectious Diseases
Volume 2020, Article ID 6301310, 10 pages
https://doi.org/10.1155/2020/6301310