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Paracoccidioidomycosis in Colombia: an ecological study

Published online by Cambridge University Press:  30 May 2001

D. CALLE
Affiliation:
Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín
D. S. ROSERO
Affiliation:
Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín
L. C. OROZCO
Affiliation:
Universidad Industrial de Santander, Bucaramanga, Colombia
D. CAMARGO
Affiliation:
Universidad Industrial de Santander, Bucaramanga, Colombia
E. CASTAÑEDA
Affiliation:
Instituto Nacional de Salud, Bogotá, Colombia
A. RESTREPO
Affiliation:
Corporación para Investigaciones Biológicas, Medellín, Colombia
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Abstract

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The natural habitat of Paracoccidioides brasiliensis, agent of paracoccidioidomycosis (PCM), remains unknown. This study is aimed at establishing associations between the ecological variables present in all Colombian municipalities and the incidence of PCM. Records of 940 patients were studied and several ecological variables analysed, as well as their association to amount of patients per total rural population in each municipality, determined through a multivariate analysis. All 940 patients came from 216 municipalities (20·3 %), out of which, 93 were birthplace and place of long-term residence for 121 patients. The Incidence Rate Ratio (IRR) was determined for these 93 municipalities. The following variables fitted the model: altitude from 1000 to 1499 metres above sea level (IRR = 6·37), rainfall from 2000 to 2999 mm (IRR = 2·15), presence of humid forests (Holdridge) (IRR = 1·79) and coffee (IRR = 1·95), tobacco (IRR = 3·59) crops. These results indicate that these municipalities constitute reservareas for P. brasiliensis (Borelli).

Type
Research Article
Copyright
© 2001 Cambridge University Press