<?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>S2176-62232017000200031</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232017000200004</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[As hepatites virais: aspectos epidemiológicos, clínicos e de prevenção em municípios da Microrregião de Parauapebas, sudeste do estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Viral hepatitis: epidemiological, clinical aspects and prevention in municipalities of the Parauapebas Microregion, southeastern Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Las hepatitis virales: aspectos epidemiológicos, clínicos y de prevención en municipios de la Microrregión de Parauapebas, sudeste del estado de Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Heloisa Marceliano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarmento]]></surname>
<given-names><![CDATA[Vânia Pinto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malheiros]]></surname>
<given-names><![CDATA[Andreza Pinheiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paixão]]></surname>
<given-names><![CDATA[José Fábio da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Ocinéa do Socorro Gomes da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Manoel do Carmo Pereira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS Seção de Hepatologia ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>31</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232017000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232017000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232017000200031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  INTRODUÇÃO: Curionópolis e Canaã dos Carajás são municípios localizados a sudeste do estado do Pará, Brasil, estando submetidos a grande fluxo migratório, pela influência de áreas de garimpo e pela implantação de grandes projetos de mineração, o que impõe a necessidade de se conhecer, na região, os padrões epidemiológicos de doenças endêmicas, como as hepatites virais.  OBJETIVOS: Definir a frequência das infecções pelos vírus das hepatites A (VHA), B (VHB), C (VHC) e D (VHD) em amostras de soro de indivíduos procedentes de municípios da Microrregião de Parauapebas.  MATERIAIS E MÉTODOS: Realizou-se estudo descritivo quantitativo, entre agosto de 2012 e setembro de 2014, utilizando dados coletados, de forma aleatória, de indivíduos dos municípios de Canaã dos Carajás e Curionópolis. Foram coletadas amostras de sangue para exames sorológicos das hepatites virais A, B, C e D, por técnica imunoenzimática.  RESULTADOS: Em Canaã dos Carajás, entre as 825 amostras, houve prevalência de 76,4% para anti-VHA; 0,2% eram HBsAg+; foi detectada prevalência de 0,1% anti-VHC; sendo que o anti-HD das amostras HBsAg+ foi negativo. Em Curionópolis, entre as 376 amostras de soro, a prevalência de anti-VHA foi de 84,8%; 0,5% apresentaram HBsAg+; houve prevalência de anti-VHC de 0,5%; e nenhuma amostra foi positiva para anti-HD.  CONCLUSÃO: Concluiu-se, laboratorialmente, que Curionópolis apresentou endemicidade elevada para o VHA e o VHB, e baixa para o VHC; Canaã dos Carajás apresentou endemicidade elevada para o VHA, intermediária para o VHB e baixa para o VHC. O VHD não foi encontrado nessas populações.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  INTRODUCTION: Curionópolis and Canaã dos Carajás are municipalities located at southeast of Pará State, Brazil, with great migration flow due to the influence of mining areas and the implementation of large mining projects, making necessary to know the epidemiological patterns of endemic diseases in that region, such as viral hepatitis.  OBJECTIVES: To define the incidence of hepatitis A (HAV), B (HBV), C (HCV) and D (HDV) virus infections in serum samples of people from municipalities in Parauapebas Microregion.  MATERIALS AND METHODS: A quantitative and descriptive study was conducted between August 2012 and September 2014, using data collected randomly from individuals in Canaã dos Carajás and Curionópolis. Blood samples were collected for serological tests of viral hepatitis A, B, C and D by immunoenzymatic technique.  RESULTS: In Canaã dos Carajás, among the 825 samples, there was a prevalence of 76.4% for anti-HAV; 0.2% were HBsAg+; prevalence of 0.1% anti-HCV was detected; and anti-HD of the HBsAg+ samples was negative. In Curionópolis, among the 376 serum samples, anti-HAV prevalence was 84.8%; 0.5% showed HBsAg+; there was anti-HCV prevalence of 0.5%; and no samples were positive for anti-HD.  CONCLUSION: It was concluded in laboratory that Curionópolis presented high endemicity for HAV and HBV and low for HCV; Canaã dos Carajás presented high HAV endemicity, HBV intermediate endemicity, and low for HCV. HDV was not found in those populations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  INTRODUCCIÓN: Curionópolis y Canaã dos Carajás son municipios localizados a sudeste del estado de Pará, Brasil, y están sometidos a gran flujo migratorio, por la influencia de áreas de minas e por la implantación de grandes proyectos de minería, lo que impone la necesidad de conocer, en la región, los estándares epidemiológicos de enfermedades endémicas, como las hepatitis virales.  OBJETIVOS: Definir la frecuencia de las infecciones por los virus de las hepatitis A (VHA), B (VHB), C (VHC) y D (VHD) en muestras de suero de individuos procedentes de municipios de la Microrregión de Parauapebas.  MATERIALES Y MÉTODOS: Se realizó un estudio descriptivo cuantitativo, entre agosto de 2012 y setiembre de 2014, utilizando datos recolectados, de forma aleatoria, de individuos de los municipios de Canaã dos Carajás y Curionópolis. Se recolectaron muestras de sangre para exámenes serológicos de las hepatitis virales A, B, C y D, por técnica inmunoenzimática.  RESULTADOS: En Canaã dos Carajás, entre las 825 muestras, hubo prevalencia de 76,4% para anti-VHA; 0,2% era HBsAg+; se detectó prevalencia de 0,1% anti-VHC; siendo que el anti-HD de las muestras HBsAg+ fue negativo. En Curionópolis, entre las 376 muestras de suero, la prevalencia de anti-VHA fue de 84,8%; 0,5% presentó HBsAg+; hubo prevalencia de anti-VHC de 0,5%; y ninguna muestra fue positiva para anti-HD.  CONCLUSIÓN: Se concluye, vía laboratorio, que Curionópolis presentó endemicidad elevada para el VHA y el VHB, y baja para el VHC; Canaã dos Carajás presentó endemicidad elevada para el VHA, intermediaria para el VHB y baja para el VHC. El VHD no fue encontrado en esas poblaciones.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hepatite A]]></kwd>
<kwd lng="pt"><![CDATA[Hepatite B]]></kwd>
<kwd lng="pt"><![CDATA[Hepatite C]]></kwd>
<kwd lng="pt"><![CDATA[Hepatite D]]></kwd>
<kwd lng="en"><![CDATA[Hepatitis A]]></kwd>
<kwd lng="en"><![CDATA[Hepatitis B]]></kwd>
<kwd lng="en"><![CDATA[Hepatitis C]]></kwd>
<kwd lng="en"><![CDATA[Hepatitis D]]></kwd>
<kwd lng="es"><![CDATA[Hepatitis A]]></kwd>
<kwd lng="es"><![CDATA[Hepatitis B]]></kwd>
<kwd lng="es"><![CDATA[Hepatitis C]]></kwd>
<kwd lng="es"><![CDATA[Hepatitis D]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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