AGRARIAN REFORM SETTLEMENTS AND HEALTH SURVEILLANCE FOR VISCERAL LEISHMANIOSIS IN THE REGION OF PRESIDENTE PRUDENTE, SÃO PAULO, BRAZIL

Abstract

The Visceral Leishmaniasis (VL) has interdependence with modified remnant forest regions, and the rural spaces tend to store vectors and reservoirs. This study aimed to establish relationships among risk categories according to epidemiological classification and favoring the occurrence of LV in counties that shelter agrarian reform settlements belonging to the to the Region of Health of Presidente Prudente, São Paulo. The study regions were classified according to the category for zoonoses service and epidemiological situation, applying spatial analysis and cartographic treatment of the information. Of 45 counties, 19 (42.2%) have a total of 121 settlements, facing different scenery. There was a close relationship between the availability and performance of the zoonoses team and VL situation, especially in the silent study counties (receptive or not) and in research. The results contribute to health surveillance, decision support in priority areas and strengthening of the Unified Health System (SUS).