<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232016000500143</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232016000500016</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Surto de toxoplasmose aguda no Município de Ponta de Pedras, Arquipélago do Marajó, Estado do Pará, Brasil: características clínicas, laboratoriais e epidemiológicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute toxoplasmosis outbreak in the Municipality of Ponta de Pedras, Marajó archipelago, Pará State, Brazil: clinical, laboratory, and epidemiological features]]></article-title>
<article-title xml:lang="es"><![CDATA[Brote de toxoplasmosis aguda en el Municipio de Ponta de Pedras, Archipiélago de Marajó, Estado de Pará, Brasil: características clínicas, de laboratorio y epidemiológicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morais]]></surname>
<given-names><![CDATA[Rafaela dos Anjos Pinheiro Bogoevich]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freire]]></surname>
<given-names><![CDATA[Amaury Bentes Cunha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[Danielle Regina Lima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Larissa de Cássia Tork da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[Alcione Ferreira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Simone Silveira da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Francisco Lúzio de Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bichara]]></surname>
<given-names><![CDATA[Cléa Nazaré Carneiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Lauro José Barata]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Aristeu Vieira da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Sheila Rejane Pereira de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piqueira Neto]]></surname>
<given-names><![CDATA[Leotte Pimentel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Nelson Veiga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Póvoa]]></surname>
<given-names><![CDATA[Marinete Marins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[Ediclei Lima do]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS  ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaria de Estado de Saúde Pública do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Estadual de Feira de Santana  ]]></institution>
<addr-line><![CDATA[Feira de Santana Bahia]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Secretaria Municipal de Saúde  ]]></institution>
<addr-line><![CDATA[Ponta de Pedras Pará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>7</volume>
<numero>esp</numero>
<fpage>143</fpage>
<lpage>152</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232016000500143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232016000500143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232016000500143&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: Em maio de 2013, o Instituto Evandro Chagas confirmou o diagnóstico de toxoplasmose aguda em cinco indivíduos que apresentaram quadro febril linfadenopático, todos procedentes do Município de Ponta de Pedras, Estado do Pará, onde havia também outros casos similares, de acordo com a Secretaria Municipal de Saúde. Diante disso, suspeitou-se da ocorrência de um surto de toxoplasmose e, assim, uma investigação foi conduzida para identificar e caracterizar o referido evento.  Objetivo: Descrever as características clínicas, laboratoriais e epidemiológicas de um surto de toxoplasmose aguda ocorrido no Município de Ponta de Pedras.  Materiais e Métodos: Um total de 270 indivíduos, sintomáticos ou não, foram submetidos às análises clínica e sorológica pelo ensaio imunoenzimático para detectar IgG e IgM anti-Toxoplasma gondii. Para confirmação dos casos com perfil sugestivo de infecção aguda (IgG+/IgM+), foi determinado o índice de avidez de IgG pelo ensaio imunofluorimétrico. Por meio de questionário padronizado individual, foram obtidas informações sociodemográficas, comportamentais e sobre hábitos alimentares. Foi realizado mapeamento geográfico dos casos identificados, os quais foram analisados conjuntamente com alguns parâmetros epidemiológicos por métodos de geoestatística.  Resultados: Durante a investigação, foram confirmados 73 casos com perfil clínico e laboratorial compatível com toxoplasmose aguda. Foi observada correlação espacial dos casos apenas com o consumo de suco de açaí, comercializado em três principais pontos de venda do produto, durante o surto.  Conclusão: Os dados clínicos, laboratoriais e epidemiológicos demonstraram que o surto de doença aguda verificada em Ponta de Pedras foi causado pelo T. gondii. As evidências sugerem que a origem do mesmo foi alimentar, sendo o consumo de suco de açaí, provavelmente contaminado com oocistos do parasito, a fonte de contaminação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: In May 2013, Instituto Evandro Chagas confirmed the diagnosis of acute toxoplasmosis in five individuals with a clinical presentation of lymphadenopathy and fever. They were all from the Municipality of Ponta de Pedras, Pará State, Brazil, where other similar cases were noted by Municipal Health Secretariat. An outbreak of toxoplasmosis was suspected and an investigation was conducted.  Objective: To describe the clinical, laboratory, and epidemiological characteristics of an acute toxoplasmosis outbreak in Ponta de Pedras.  Materials and Methods: A total of 270 individuals, symptomatic or not, were clinically examined and had their samples analyzed using enzyme-linked immunosorbent assay to detect IgG and IgM anti-Toxoplasma gondii. To confirm cases suggestive of acute infection (IgG+/IgM+), the IgG avidity index was determined by immunofluorometric assay. Information on socio-demographic aspects, behavior, and eating habits was obtained using a questionnaire. Identified cases were geographically mapped, and the resultant data were analyzed together with epidemiological parameters using geo-statistic methods.  Results: During the investigation, 73 cases of acute toxoplasmosis were identified. Spatial correlation of cases was observed only with the consumption of açaí juice, sold in three places during the outbreak.  Conclusion: The outbreak of acute disease in Ponta de Pedras was caused by T. gondii. The evidence suggests that the origin was açaí juice, probably contaminated with oocysts of the parasite.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En mayo de 2013, el Instituto Evandro Chagas confirmó el diagnóstico de toxoplasmosis aguda en cinco individuos que presentaron cuadro febril linfadenopático, todos procedentes del Municipio de Ponta de Pedras, Estado de Pará, en donde había también otros casos similares, de acuerdo con la Secretaría Municipal de Salud. Delante de eso, se sospechó de un brote de toxoplasmosis y así, se llevó a cabo una investigación para identificar y caracterizar el referido evento.  Objetivo: Describir las características clínicas, de laboratorio y epidemiológicas de un brote de toxoplasmosis aguda sucedido en el Municipio de Ponta de Pedras.  Material y Métodos: Un total de 270 individuos, sintomáticos o no, fueron sometidos a análisis clínico y serológico por el ensayo inmunoenzimático para detectar IgG e IgM anti-Toxoplasma gondii. Para la confirmación de los casos con perfil sugestivo de infección aguda (IgG+/IgM+) se determinó el índice de avidez de IgG por el ensayo inmunofluorométrico. A través de cuestionario estandarizado individual, se obtuvieron informaciones sociodemográficas, comportamentales y sobre hábitos alimentares. Se realizó un mapeo geográfico de los casos identificados, los que se analizaron conjuntamente con algunos parámetros epidemiológicos por métodos de geoestadística.  Resultados: Durante la investigación se confirmaron 73 casos con perfil clínico y de laboratorio compatible con toxoplasmosis aguda. Se observó la correlación espacial de los casos apenas con el consumo de jugo de azaí, comercializado en tres principales locales de venta del producto durante el brote.  Conclusión: Los datos clínicos, de laboratorio y epidemiológicos demostraron que el brote de la enfermedad aguda verificada en el Municipio de Ponta de Pedras fue causado por T. gondii. Las evidencias sugieren que el origen del mismo fue alimentar, siendo el consumo de jugo de azaí, probablemente, contaminado con oocistos del parásito, la fuente de contaminación.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Surtos de Doença]]></kwd>
<kwd lng="pt"><![CDATA[Toxoplasma]]></kwd>
<kwd lng="pt"><![CDATA[Toxoplasmose]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância Epidemiológica]]></kwd>
<kwd lng="en"><![CDATA[Disease Outbreaks]]></kwd>
<kwd lng="en"><![CDATA[Toxoplasma]]></kwd>
<kwd lng="en"><![CDATA[Toxoplasmosis]]></kwd>
<kwd lng="en"><![CDATA[Epidemiological Surveillance]]></kwd>
<kwd lng="es"><![CDATA[Brotes de Enfermedad]]></kwd>
<kwd lng="es"><![CDATA[Toxoplasma]]></kwd>
<kwd lng="es"><![CDATA[Toxoplasmosis]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia Epidemiológica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Toxoplasma gondii infection in humans and animals in the United States]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dubey]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Parasitol]]></source>
<year>2008</year>
<volume>38</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1257-78</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Toxoplasma gondii in animals used for human consumption]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tenter]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<source><![CDATA[Mem Inst Oswaldo Cruz]]></source>
<year>2009</year>
<volume>104</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>364-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Foodborne Toxoplasmosis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Dubey]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2012</year>
<volume>55</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>845-51</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The first detection of Toxoplasma gondii DNA in environmental fruits and vegetables samples]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lass]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pietkiewicz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Szostakowska]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Myjak]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Clin Microbiol Infect Dis]]></source>
<year>2012</year>
<volume>31</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1101-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiology of and diagnostic strategies for toxoplasmosis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robert-Gangneux]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Dardé]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Microbiol Rev]]></source>
<year>2012</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>264-96</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Toxoplasmosis in humans and animals in Brazil: high prevalence, high burden of disease, and epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dubey]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Lago]]></surname>
<given-names><![CDATA[EG]]></given-names>
</name>
<name>
<surname><![CDATA[Gennari]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Su]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<source><![CDATA[Parasitology]]></source>
<year>2012</year>
<volume>139</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1375-424</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Genetic divergence of Toxoplasma gondii strains associated with ocular toxoplasmosis, Brazil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Jordan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Muccioli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vallochi]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Rizzo]]></surname>
<given-names><![CDATA[LV]]></given-names>
</name>
<name>
<surname><![CDATA[Belfort Jr]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2006</year>
<volume>12</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>942-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Genetic characterization of Toxoplasma gondii revealed highly diverse genotypes for isolates from newborns with congenital toxoplasmosis in southeastern Brazil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[JGL]]></given-names>
</name>
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[BV]]></given-names>
</name>
<name>
<surname><![CDATA[Vasconcelos-Santos]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Microbiol]]></source>
<year>2013</year>
<volume>51</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>901-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Waterborne toxoplasmosis, Brazil, from field to gene]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Moura]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bahia-Oliveira]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Wada]]></surname>
<given-names><![CDATA[MY]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Tuboi]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
</person-group>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2006</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>326-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Case-control study of an outbreak of acute toxoplasmosis in an industrial plant in the state of São Paulo, Brazil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ekman]]></surname>
<given-names><![CDATA[CCJE]]></given-names>
</name>
<name>
<surname><![CDATA[Chiossi]]></surname>
<given-names><![CDATA[MFV]]></given-names>
</name>
<name>
<surname><![CDATA[Meireles]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade Júnior]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Figueiredo]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Marciano]]></surname>
<given-names><![CDATA[MAM]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Inst Med Trop S Paulo]]></source>
<year>2012</year>
<volume>54</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>239-44</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Human toxoplasmosis outbreaks and the agent infecting form. Findings from a systematic review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meireles]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Ekman]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade Jr]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Inst Med Trop S Paulo]]></source>
<year>2015</year>
<volume>57</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>369-76</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Fatal outbreak of human toxoplasmosis along Maroni River: epidemiological, clinical, and parasitological aspects]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Demar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ajzenberg]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Maubon]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Djossou]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Panchoe]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Punwasi]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2007</year>
<volume>45</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>e88-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Seroprevalence of Toxoplasma gondii antibodies in humans from rural Western Amazon, Brazil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cavalcante]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Camamrgo]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Labruna]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Meireles]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<source><![CDATA[J Parasitol]]></source>
<year>2006</year>
<volume>92</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>647-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
</person-group>
<source><![CDATA[Aspectos epidemiológicos da toxoplasmose na região metropolitana de Belém, Pará, Brasil]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Belém, PA ]]></publisher-loc>
<publisher-name><![CDATA[Instituto de Ciências Biológicas, Universidade Federal do Pará]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiological aspects of Toxoplasma gondii infection in riverside communities in the Southern Brazilian Amazon]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vitaliano]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Mendonça]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Sandres]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Camargo]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Tarso]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Basano]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Soc Bras Med Trop]]></source>
<year>2015</year>
<volume>48</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>301-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surto de toxoplasmose humana no Distrito de Monte Dourado, município de Almeirim, Pará, Brasil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
<name>
<surname><![CDATA[Póvoa]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
<name>
<surname><![CDATA[Marinho]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Nascimento]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Pan-Amaz Saude]]></source>
<year>2010</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-6</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dutra]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
<name>
<surname><![CDATA[Saad]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[RMS]]></given-names>
</name>
<name>
<surname><![CDATA[Cabral]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[FS]]></given-names>
</name>
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Investigação de surto de toxoplasmose transmitido pelo consumo de açaí em Rondônia, Brasil, 2011]]></source>
<year>2012</year>
<conf-name><![CDATA[ Anais da 12ª EXPOEPI: mostra nacional de experiências bem-sucedidas em epidemiologia, prevenção e controle de doenças]]></conf-name>
<conf-date>2012 nov 16-19</conf-date>
<conf-loc>Brasília, Brasil </conf-loc>
<page-range>108-9</page-range><publisher-loc><![CDATA[Brasília (DF) ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="book">
<collab>Instituto Brasileiro de Geografia e Estatística</collab>
<source><![CDATA[Censo demográfico, 2010]]></source>
<year>2010</year>
<publisher-loc><![CDATA[IBGE ]]></publisher-loc>
<publisher-name><![CDATA[Rio de Janeiro]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Significant performance variation among PCR systems in diagnosing congenital toxoplasmosis in São Paulo, Brazil: analysis of 467 amniotic fluid samples]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Okay]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
<name>
<surname><![CDATA[Yamamoto]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Manuli]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade Júnior]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Del Negro]]></surname>
<given-names><![CDATA[GMB]]></given-names>
</name>
</person-group>
<source><![CDATA[Clinics]]></source>
<year>2009</year>
<volume>64</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>171-6</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ayres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ayres]]></surname>
<given-names><![CDATA[JRM]]></given-names>
</name>
<name>
<surname><![CDATA[Ayres]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<source><![CDATA[BioEstat 5.0: aplicações estatísticas nas áreas das ciências bio-médicas]]></source>
<year>2007</year>
<page-range>364 p</page-range><publisher-loc><![CDATA[Belém ]]></publisher-loc>
<publisher-name><![CDATA[Instituto de Desenvolvimento Sustentável Mamirauá]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Câmara]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análise espacial de eventos]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Druck]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[AMV]]></given-names>
</name>
</person-group>
<source><![CDATA[Análise espacial de dados geográficos]]></source>
<year>2004</year>
<page-range>55-75</page-range><publisher-loc><![CDATA[Planaltina ]]></publisher-loc>
<publisher-name><![CDATA[EMBRAPA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Câmara]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[OG]]></given-names>
</name>
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análise espacial de áreas]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Druck]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[AMV]]></given-names>
</name>
</person-group>
<source><![CDATA[Análise espacial de dados geográficos]]></source>
<year>2004</year>
<page-range>157-206</page-range><publisher-loc><![CDATA[Planaltina ]]></publisher-loc>
<publisher-name><![CDATA[EMBRAPA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surtos de toxoplasmose em seres humanos e animais]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[RAF]]></given-names>
</name>
<name>
<surname><![CDATA[Freire]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
</person-group>
<source><![CDATA[Semina]]></source>
<year>2005</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>239-48</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Genetic characterization of Toxoplasma gondii from Brazilian wildlife revealed abundant new genotypes]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vitaliano]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Minervino]]></surname>
<given-names><![CDATA[AHH]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[ALQ]]></given-names>
</name>
<name>
<surname><![CDATA[Werther]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Marvulo]]></surname>
<given-names><![CDATA[MFV]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Parasitol]]></source>
<year>2014</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>276-83</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surto de toxoplasmose adquirida, Anápolis-GO, fevereiro de 2006]]></article-title>
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde</collab>
<source><![CDATA[Bol Eletr Epidemiol]]></source>
<year>2007</year>
<volume>7</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Investigação de casos de toxoplasmose aguda em Paraty e Angra dos Reis - Rio de Janeiro, Agosto de 2010]]></article-title>
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde</collab>
<source><![CDATA[Bol Epidemiol]]></source>
<year>2012</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>12-6</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Investigação do surto de toxoplasmose associado ao consumo de prato à base de carne crua ("steak tartar"), nos municípios de São Paulo e Guarujá - Novembro de 2006]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eduardo]]></surname>
<given-names><![CDATA[MBP]]></given-names>
</name>
<name>
<surname><![CDATA[Katsuya]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[SRTS]]></given-names>
</name>
<name>
<surname><![CDATA[Pavanello]]></surname>
<given-names><![CDATA[EI]]></given-names>
</name>
<name>
<surname><![CDATA[Paiva]]></surname>
<given-names><![CDATA[OR]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
</person-group>
<source><![CDATA[Bol Epidemiol Paulista]]></source>
<year>2007</year>
<volume>4</volume>
<numero>41</numero>
<issue>41</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="book">
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde</collab>
<source><![CDATA[Investigação de surto de toxoplasmose no município de Ponta de Pedras/Pará, 2013 - relatório final]]></source>
<year>2013</year>
<page-range>22 p</page-range><publisher-loc><![CDATA[Ponta de Pedras, PA ]]></publisher-loc>
<publisher-name><![CDATA[Localizado em: Arquivo da Secretaria Municipal de Saúde de Ponta de Pedras]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Análise da sazonalidade de preços de varejo do açaí, cupuaçu e bacaba no Estado do Pará]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[AKM]]></given-names>
</name>
<name>
<surname><![CDATA[Santana]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Estud Soc]]></source>
<year>2009</year>
<volume>11</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>7-22</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vicente]]></surname>
<given-names><![CDATA[ASC]]></given-names>
</name>
</person-group>
<source><![CDATA[Açaizais cultivados em terra firme no Estado do Pará]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Belém ]]></publisher-loc>
<publisher-name><![CDATA[Amazônia Irrigação]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Outbreak of toxoplasmosis associated with municipal drinking water]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bowie]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
<name>
<surname><![CDATA[King]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Werker]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Isaac-Renton]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Eng]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>1997</year>
<volume>350</volume>
<numero>9072</numero>
<issue>9072</issue>
<page-range>173-7</page-range></nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surto intrafamiliar de toxoplasmose, Santa Vitória do Palmar, RS, Julho de 2005]]></article-title>
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde</collab>
<source><![CDATA[Bol Eletr Epidemiol]]></source>
<year>2006</year>
<volume>6</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Ocular Involvement Following an Epidemic of Toxoplasma gondii Infection in Santa Isabel do Ivaí, Brazil]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silveira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Muccioli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Holland]]></surname>
<given-names><![CDATA[GN]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Yu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Paulo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Ophthalmol]]></source>
<year>2015</year>
<volume>159</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1013-21</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
