02381nas a2200313 4500000000100000008004100001260001000042653001500052653002700067653003100094653001600125653001300141100002400154700001900178700001800197700001700215700001500232700001600247700001400263700001800277700001500295700001100310700001300321700002700334700001800361245014700379520151600526022002502042 2024 d bWiley10atratamento10aMolecular Epidemiology10aPublic Health Surveillance10aDidelphidae10aRodentia1 ade Souza Valois EM1 ade Oliveira NG1 ade Lázari PR1 ada Silva DJF1 aRotelli RC1 aBatista LCF1 aSobral MH1 aBortolomai BE1 aFinardi AJ1 aLevi T1 aPeres CA1 ade Morais Bronzoni RV1 aBaptista IMFD00aMolecular and spatial evaluation of small rodents and Didelphimorphis infected with Mycobacterium leprae in the southern Amazon, Brazil3 a

Background: The high levels of recent transmission of leprosy worldwide demonstrate the necessity of epidemiologic surveillance to understand and control its dissemination. Brazil remains the second in number of cases around the world, indicating active transmission of Mycobacterium leprae (M. leprae) in the population. At this moment, there is a consensus that the bacillus is transmitted by inter‐human contact, however, different serologic, molecular, and histopathological approaches indicate the existence of non‐human transmission sources.

Methods and Results: The qPCR assay was used to amplify the molecular targets 16S RNAr and RLEP, in samples of liver, spleen, and ear of wild animals belonging to Didelphimorphia and Rodentia orders, in highly endemic areas of Mato Grosso, Brazil. The RLEP repetitive sequence was positive in 202 (89.0%) samples, with 96 (42.3%) of these also being positive for the 16S gene. Regarding the collection sites, it was observed that the animals were found in areas profoundly deforested, close to urban areas.

Conclusions: Our results suggest that wild animals can play an important role in the maintenance of M. leprae in endemic regions with major anthropic action in Brazil. Therefore, integrating human, animal, and environmental health care with the One Health initiative is highly efficient for the development of effective strategies to contain and control leprosy in Brazil.

 a1863-1959, 1863-2378