Assessment of crab fishermen's exposure to rabies virus in a typical Amazonian community

Outbreaks of human rabies transmitted by hematophagous bats occurred in 2018 in Pará state, Brazil, eastern Amazon, after 12 years of no record of the disease. Thus, it is necessary to understand the epidemiological characteristics of these attacks to protect the local population. This study aimed to characterize the bat bite populations in the municipality of São João da Ponta, Pará State, Brazil, in 2013-2015. The Notifiable Diseases Information System (SINAN) database was used to identify the five individuals who sought medical care during the study period (seeds). Other individuals who were attacked during the same period but did not seek medical care (n = 61) were reached by snowball sampling, and a descriptive analysis was performed based on information obtained from questionnaires. Majority of the interviewees were men (92.4%; 61/66) and adults aged 20-50 years (69.9%; 46/66) and had <4 years of formal school education (86.3%; 57/66). Additionally, most of them were rural residents (92.4%; 61/66) and crab fishermen (79.3%; 53/66). The interviewees (92.4%; 61/66) identified mangroves of the Mãe Grande de Curuçá extractive reserve, where groups of fishermen sometimes gather for several days for crab fishing, often living in improvised dwellings without walls and covered by tarps or straw (88.8%; 56/66), conducive to attacks by vampire bats. Overall, 42.4% (28/66) of the participants had been bitten more than four times throughout their life. The median number of attacks over the participant's lifetime was 3.11 (range, 1-23). Participants were unaware of the risk of contracting rabies from the bite (95.4%; 65/66). These results suggest that vampire bat attacks are essentially an occupational hazard in the study region. Moreover, for each reported attack, there were at least 12.2 unreported cases. Thus, the study highlights the need to develop strategies for prophylactic treatment of this population.

Determination of background geochemistry of an Amazon estuary: The Cuñaní Estuary - Amapá

This study aims to determinate the background geochemistry values for 23 chemical elements on the Amapá coastline. To do so, 8 cores were sampled (≤70 cm) along the Cuñaní Estuary. The metal concentrations were measured by means of inductively coupled plasma mass spectrometry. In mg.kg-1, the background values for Ba, Sr, Y, Sc, V, Cr₂O₃, Co, Ni, Cu, Zn, Ga, As, Rb, Nb, Sn, Cs, Ta, W, Hg, Pb, Bi, Th, and U were, respectively, 392.41, 133.29, 29.22, 12.80, 109.13, 0.008, 13.82, 22.69, 19.73, 75.09, 19.50, 14.77, 94.81, 15.62, 3.38, 6.59, 1.05, 1.82, 0.04, 19.02, 0.27, 13.25, and 3.57. The background geochemistry values for the region are an important tool for monitoring the metal concentrations and serve as a baseline for comparison with possible incidents of contamination with these elements on the Amapá coast.

Epidemiological scenarios for human rabies exposure notified in Colombia during ten years: A challenge to implement surveillance actions with a differential approach on vulnerable populations

Based on notified cases of human rabies exposure and human deaths by rabies to Colombia public health surveillance system between 2007 and 2016, we conducted a spatiotemporal analysis to identify epidemiological scenarios of high human rabies exposure due to dogs, cats, bats, or farm animals (n = 666,411 cases). The incidence rate of human rabies exposures was analyzed by using geographical information system (spatiotemporal distribution and Cluster and Outlier Analysis (Anselin Local Moran's I)) data for all Colombian cities. The incidence rate of human rabies exposures due to dogs and cats showed an increasing trend, while aggression due bats and farm animals fluctuated throughout the analyzed period. Human deaths by rabies transmitted by cat and bat occurred in the Andean and Orinoquia regions, which had urban and rural scenarios. The urban scenario showed the highest exposure to human rabies due to cats and dogs in cities characterized with high human population density and greater economic development. In contrary, the highest human rabies exposure in the rural scenario was observed due to contact of mucosa or injured skin with the infected saliva of farm animals with the rabies virus, principally among workers in the agroforestry area. The inequality scenario showed some outlier cities with high human rabies exposure due to farm animals principally in the Pacific region (characterized by the highest poverty rates in Colombia), being Afro-descendant and indigenous population the most exposed. The highest exposure due to bats bite was observed among indigenous people residing in cities of the Amazon region as a dispersed population (Amazonian scenario). None of the high exposure scenarios were related to human deaths by rabies due to dogs aggression. The identified scenarios can help develop better surveillance systems with a differential approach to the vulnerable population and strengthening them in areas with rabies viral circulation.

Determination of geochemical background values on a tropical estuarine system in a densely urban area. Case study: Capibaribe estuary, Northeastern Brazil

This study aims to infer the background values of several metals in the Capibaribe estuary and to identify the likely impact of anthropic activities during 200-years of sedimentation. Two cores were sampled, with subsamples at intervals of 2cm. Sedimentation rates and metal concentrations were analyzed. The Al-normalized method was used to infer the background values, and to identify anthropic influences, the enrichment factor, the contamination factor and the geoaccumulation index were employed. The background values showed concentrations for Mn of 292.2, for Co of 10.4, for Ni of 22.3, for Cu of 60.8, for Zn of 105.5, for As of 106.0, for Pb of 52.9 (all in mgkg^-1) and for Fe of 2.7%, The higher values, mainly for As, Zn and Pb, are associated with the influence of the Barreiras Formation. The geogenic inputs are significantly greater than the anthropic activities, masking the contamination.