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Tiyo R, de Souza CZ, Arruda Piovesani AF, Tiyo BT, Colli CM, Marchioro AA, Gomes ML, Falavigna-Guilherme AL. Predominance of Giardia duodenalis Assemblage AII in Fresh Leafy Vegetables from a Market in Southern Brazil. J Food Prot 2016; 79:1036-9. [PMID: 27296610 DOI: 10.4315/0362-028x.jfp-15-306] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
We investigated the presence of Giardia duodenalis cysts and its genotypes in raw leafy vegetables sold in a Brazilian market. These products are different from those sold in most street markets because the producers themselves display and sell their products and rely on specialized technical and sanitary assistance. Vegetable and water samples were collected from 14 (80%) producers who cultivated vegetables that are typically consumed raw for sale at the market, obtained at the market and farms, respectively. A total of 128 samples of leafy greens (chives, parsley, cabbage, arugula, watercress, and chicory) and 14 water samples were analyzed by direct immunofluorescence and PCR techniques. The positive samples were genotyped (GHD gene) using PCR and restriction fragment length polymorphism. The analyses indicated that 16 (12.5%) of 128 samples were positive by PCR, while 1 (0.8%) of 128 samples were positive by immunofluorescence. Giardia cysts were not detected in the water samples obtained at the farms. The molecular technique revealed a genotype with zoonotic potential, which underscores the challenge in the control of giardiasis dissemination via the consumption of raw vegetables.
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Affiliation(s)
- Rogerio Tiyo
- Faculdade Ingá, Maringá, Rodovia PR-317, 6114 CEP 87035-510 Maringá, Paraná, Brazil
| | - Carla Zangari de Souza
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil.
| | - Ana Flávia Arruda Piovesani
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
| | - Bruna Tiaki Tiyo
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
| | - Cristiane Maria Colli
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
| | - Ariella Andrade Marchioro
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
| | - Monica Lucia Gomes
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
| | - Ana Lucia Falavigna-Guilherme
- State University of Maringá, Environmental Parasitology Laboratory, Avenue Colombo, 5790 CEP 87020-9000 Maringá, Paraná, Brazil
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Contiero-Toninato AP, Cavalli HO, Marchioro AA, Ferreira EC, Caniatti MCDCL, Breganó RM, Navarro I, Falavigna-Guilherme AL. Toxoplasmosis: an examination of knowledge among health professionals and pregnant women in a municipality of the State of Paraná. Rev Soc Bras Med Trop 2014; 47:198-203. [PMID: 24861294 DOI: 10.1590/0037-8682-0016-2014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2014] [Accepted: 04/12/2014] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The aim of this study was to investigate the knowledge of toxoplasmosis among professionals and pregnant women in the public health services in Paraná, Brazil. METHODS A cross-sectional observational and transversal study of 80 health professionals (44 nurses and 36 physicians) and 330 pregnant women [111 immunoglobulin M (IgM)- and IgG-non-reactive and 219 IgG-reactive] was conducted in 2010. An epidemiological data questionnaire was administered to the professionals and to the pregnant women, and a questionnaire about the clinical aspects and laboratory diagnosis of toxoplasmosis was administered to the professionals. RESULTS The participants frequently provided correct responses about prophylactic measures. Regarding the clinical and laboratory aspects, the physicians provided more correct responses and discussed toxoplasmosis with the pregnant women. The professionals had difficulty interpreting the avidity test results, and the physicians stated that they referred pregnant women with high-risk pregnancies to a county reference center. Of the professionals, 53 (91.4%) reported that they instructed women during prenatal care, but only 54 (48.6%) at-risk pregnant women and 99 (45.2%) women who were not at risk reported receiving information about preventive measures. The physicians provided verbal instructions to 120 (78.4%) women, although instructional materials were available in the county. The pregnant women generally lacked knowledge about preventive measures for congenital toxoplasmosis, but the at-risk pregnant women tended to respond correctly. CONCLUSIONS This study provides data to direct public health policies regarding the importance of updating the knowledge of primary care professionals. Mechanisms should be developed to increase public knowledge because prophylactic strategies are important for preventing congenital toxoplasmosis.
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Affiliation(s)
| | - Helenara Osorio Cavalli
- Hospital Universitário de Cascavel, Universidade Estadual Oeste do Paraná, Cascavel, PR, Brasil
| | | | | | | | | | - Italmar Navarro
- Departamento de Medicina Veterinária Preventiva, Centro de Ciências Agrárias, Universidade Estadual de Maringá, Maringá, PR
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Guilherme EV, Marchioro AA, Araujo SM, Falavigna DLM, Adami C, Falavigna-Guilherme G, Rubinsky-Elefant G, Falavigna-Guilherme AL. Toxocariasis in children attending a Public Health Service Pneumology Unit in Paraná State, Brazil. Rev Inst Med Trop Sao Paulo 2013; 55:S0036-46652013000300189. [DOI: 10.1590/s0036-46652013000300009] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Accepted: 11/26/2012] [Indexed: 11/22/2022] Open
Abstract
The enzyme-linked immunosorbent assay (ELISA) is the most widely used tool to detect anti-Toxocara IgG antibodies for both serodiagnostic and seroepidemiological surveys on human toxocariasis. In the last eight years a high prevalence of toxocariasis (32.2-56.0%) has been reported in children attending public health units from municipalities in the state of Paraná, Brazil. Therefore, the aim of this work was to compare the frequency found among the general child population with that of children attending a public pneumology service in Maringá, Paraná, Brazil and describe the laboratorial, clinical and epidemiological findings. The research was conducted at the Consórcio Público Intermunicipal de Saúde do Setentrião Paranaense (CISAMUSEP) from July 2009 to July 2010 among children aged between one and 15 years. From a total of 167 children studied, only 4.2% (7/167) tested positive for anti-Toxocara spp. IgG antibodies and presented mild eosinophilia (2/7), increased serum IgE levels (6/7) and a positive allergy test for mites (5/7). The presence of pets (dogs or cats) at home did not correlate with the seroprevalence. In conclusion, cases of toxocariasis involving the respiratory tract are rare in children attending a public health pneumology unit in the northwestern region of Paraná State, despite the high prevalence of this type of toxocariasis among the infantile population attending Basic Health Units in the same geographical area.
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Falavigna-Guilherme AL, Silva AMD, Guilherme EV, Morais DL. Retrospective study of malaria prevalence and Anopheles genus in the area of influence of the Binational Itaipu Reservoir. Rev Inst Med Trop Sao Paulo 2005; 47:81-6. [PMID: 15880218 DOI: 10.1590/s0036-46652005000200004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The importance of hydroelectric dams beside the human interchange in the maintenance of malarious foci and the occurrence of the Anopheles genus on the Binational Itaipu Reservoir were the main points of this retrospective study. Data were collected from existing registrations at National, State and Municipal Health Departments and literature systematic overview, from January 1984 to December 2003. The occurrence of some outbreak of malaria, mainly by Plasmodium vivax, and the prevalence of species of the Anopheles genus different from Anopheles darlingi in the region are discussed. The malaria in the left bank of Paraná River is a focal problem, which must be approached locally through health, educational and social actions to prevent the continuity of outbreaks in the area. Concomitantly, it is necessary to plan and apply effective surveillance measures in the influence area of the Itaipu Reservoir.
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Affiliation(s)
- Ana Lucia Falavigna-Guilherme
- Laboratório de Parasitologia Básica, Departamento de Análises Clínicas, Universidade Estadual de Maringá, 87020-900 Maringá, PR, Brazil.
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Falavigna-Guilherme AL, Santana R, Pavanelli GC, Lorosa ES, Araújo SMD. Triatomine infestation and vector-borne transmission of Chagas disease in northwest and central Paraná, Brazil. CAD SAUDE PUBLICA 2004; 20:1191-200. [PMID: 15486661 DOI: 10.1590/s0102-311x2004000500012] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Triatomine infestation, prevalence of T. cruzi antibodies in humans and domestic animals, and variables potentially associated with the presence of triatomines in a rural domiciliary unit (DU) were investigated in nine municipalities and one district of Paraná, Brazil, from June 1996 to February 2000. DUs were defined as all houses and annexes on a given piece of property. Blood samples from human volunteers, dogs, and cats were submitted to indirect immunofluorescence. An epidemiological form was completed for each DU. A logistic model was adopted in order to identify associations. Seven out of nine municipalities were positive for triatomines. T. infestans was not captured, but T. sordida, P. megistus, and R. neglectus were. Different variables were considered decisive for the presence of triatomines across the municipalities: proximity to residual wooded areas, i.e. either scrub forest (capoeira) or islands of residual forest (slightly dense vegetation), longer time of residence, existence of inhabited houses, and past DU infestation. In order to ensure proper continuation of the recommended Chagas disease control program, entomo-epidemiological surveillance measures need to be maintained.
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Falavigna-Guilherme AL, Costa AL, Batista O, Pavanelli GC, de Araujo SM. [Health education for triatomine control in an area under epidemiological surveillance in Paraná State, Brazil]. CAD SAUDE PUBLICA 2002; 18:1543-50. [PMID: 12488880 DOI: 10.1590/s0102-311x2002000600007] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This paper describes a health education project targeting a rural community and health professionals from counties undergoing epidemiological surveillance for Chagas disease vectors in the State of Paraná, Brazil. A group of technicians from the Brazilian National Health Foundation (FUNASA) was trained, together with teachers, workers, and students from the State University of Maringá, who prepared an instructions manual and drew up guidelines for reporting presence of triatomines or suspected cases of Trypanosoma cruziinfection. From June 1996 through February 2000, the activities reached 742 families, 2,300 schoolchildren, and 27 teachers from 18 elementary schools, and included a meeting between FUNASA members and 40 participants, 21 meetings in health centers, and provision of a set of preserved triatomine specimens for use in vector surveillance and identification. After three years of health education activities and insecticide treatment (cipermetrina 125 mg i.a./m2), there was a reduction of 80.6% in households infested with triatomines and increased awareness among rural residents and health workers. The authors discuss the need to train professionals committed to changing Brazil's prevailing health model.
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