Carlos Henrique Morais de Alencar

Scopus Publications

Seroprevalence, immune response dynamics, and incidence of COVID-19 after CoronaVac vaccination in a fully vaccinated small municipality in Northeast Brazil: a population-based surveillance study
Lourrany Borges Costa, Francisca Kalline de Almeida Barreto, Patrícia Pereira Lima Barbosa, Magda Moura de Almeida, Antonia Luciana Souza Bekman, et al.
BMC Infectious Diseases, 2026
An interrupted time series study of the leprosy case detection in Brazil after the COVID-19 pandemic
George Jó Bezerra Sousa, Daniele dos Santos Lages, Patrícia Pereira Lima Barbosa, Margarida Cristiana Napoleão Rocha, Sebastião Alves de Sena Neto, et al.
Scientific Reports, 2025
Environmental and Social Factors Associated with the Occurrence of Severe Tungiasis and Scabies in the State of Ceará, Brazil: An Ecological Study
Nathiel Silva, Carlos Henrique Alencar, Jorg Heukelbach
Tropical Medicine and Infectious Disease, 2025
Scabies and tungiasis are skin-related neglected tropical diseases (NTDs) associated with poverty and poor living conditions. We performed an ecological study covering a state in northeast Brazil to identify socio-economic and environmental factors associated with the occurrence of severe scabies and severe tungiasis, respectively. Data on disease occurrence on the municipality level were derived from a previous study based on online questionnaires. A total of 47 (26.0%) of the 181 state’s municipalities reported severe tungiasis, and 113 (62.4%) severe scabies. Municipalities with occurrence of severe tungiasis were characterized by higher annual rainfalls (median = 883 mm vs. 741 mm; p = 0.037), higher minimum temperatures (median = 23.4 °C vs. 22.7 °C; p = 0.002), higher aridity indices indicating more humid climates (median = 45.1 vs. 50.6; p = 0.019), lower altitudes (median = 88.8 m vs. 201 m; p < 0.001), higher mean air humidity (66.5% vs. 63%; p = 0.018), and better socioeconomic indices (Municipal Human Development Index [MHDI]—median = 0.616 vs. 0.611; p = 0.048/MHDI Longevity—mean = 0.769 vs. 0.759; p = 0.007/Municipal Development Index [MDI]—median = 27.5 vs. 21.8; p < 0.001). Municipalities with predominant luvisol soil characteristics had a lower risk for severe tungiasis (RR = 0.46; 95% CI = 0.27–0.79; p = 0.003), whereas municipalities with predominant gleysols had a significantly higher risk (RR = 2.44; 95% CI = 1.43–4.15; p = 0.010). Municipalities with occurrence of severe scabies were characterized by significantly higher annual rainfalls (median = 804 mm vs. 708 mm; p = 0.001), higher minimum temperatures (23.1 °C vs. 22.3 °C; p < 0.001), higher aridity index (median = 48.2 vs. 41.9; p = 0.014), higher air humidity (65.9% vs. 61%; p = 0.001), lower altitudes (median = 153 m vs. 246 m; p = 0.003), and better socio-economic indicators (MHDI—median = 0.616 vs. 608; p= 0.012/MHDI Education—mean = 0.559 vs. 0.541; p = 0.014/MDI—median = 24.3 vs. 21.1; p = 0.005). In multivariate regression analysis, MDI remained significantly associated with the presence of severe tungiasis in the final model (RR = 1.04; 95% CI: 1.02–1.05; p < 0.001) and the presence of severe scabies with minimum temperature (RR = 1.13; 95% CI: 1.04–1.24; p = 0.003) and aridity index (RR = 1.01; 95% CI: 1.00–1.01; p = 0.004). Our study underscores the importance of environmental and socioeconomic factors for the occurrence of severe scabies and tungiasis in a semi-arid climatic context, offering a perspective for identification of high-risk areas, and providing evidence for the control of skin NTDs withina One Health approach.
A Case of Vertical Transmission of Oropouche Virus in Brazil
Carlos Garcia Filho, Antônio Silva Lima Neto, Ana Maria Peixoto Cabral Maia, Luiz Osvaldo Rodrigues da Silva, Robson da Costa Cavalcante, et al.
New England Journal of Medicine, 2024
Human scabies and sarcoptic mange in northeast Brazil: Results from a rapid assessment method covering an entire state
Nathiel de Sousa Silva, Carlos Henrique Alencar, Jorg Heukelbach
Tropical Doctor, 2024
Scabies is a neglected tropical disease and has been highlighted as a target for control. Sarcoptic mange affects animals, but mange is also considered a zoonosis. We present rapid assessment data on scabies and sarcoptic mange collected from key informants via a web-based questionnaire in Ceará State (1265 data entries). A total of 181/184 (98.3%) municipalities reported the occurrence of human scabies; 149 (80.9%) current occurrence; 168 (91.3%) severe cases; and 113 (61.4%) severe cases currently. Sarcoptic mange was reported from 149/184 (80.9%) municipalities, and severe mange from 128 (69.9%), most commonly in dogs (117 municipalities), cats (79), pigs (17), cattle (15), horses (15), and goats (2). Respondents from 171 (92.9%) municipalities observed seasonality of occurrence. Scabies and sarcoptic mange are important public health issues in a northeast Brazilian state. The wide distribution of severe cases requires an integrated One Health approach effectively and sustainably to reduce the disease burden.
Temporal trends and space-time distribution of leprosy relapse in Brazil from 2001 to 2021
Reagan Nzundu Boigny, Kellyn Kessiene de Sousa Cavalcante, Caroline Mary Gurgel Dias Florencio, Paula Sacha Frota Nogueira, Ciro Martins Gomes, et al.
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2024
Background To analyse the temporal trends and spatiotemporal distribution of leprosy relapse in Brazil from 2001 to 2021. Methods An ecological study with a temporal trend approach and space–time analysis of leprosy relapse in Brazil was carried out with data from the Notifiable Diseases Information System. Results A total of 31 334 patients who experienced leprosy relapse were identified. The number of recurrent cases tended to increase throughout the study period, and this increase was significant among females and in almost all age groups, except for those &lt;15, 50–59 and ≥70 y. Several clusters of high- and low-risk patients were identified across all regions with a heterogeneous distribution. Conclusions The burden of relapse showed an increasing trend in some groups and was distributed in all regions.
SARS-CoV-2 Pandemic in a Small-Sized Municipality in Ceará State, Brazil: Temporal and Spatial Evolution
Jaliana Holanda Nascimento dos Santos, Carlos Henrique Alencar, Jorg Heukelbach
Tropical Medicine and Infectious Disease, 2024
Data on the temporal and spatial evolution of SARS-CoV-2 and local control measures and their effects on morbidity and mortality patterns in rural Brazil are scarce. We analyzed the data from case notification systems, epidemiological investigation reports, and municipal decrees in Itapajé, a small municipality in Ceará State in northeast Brazil. For spatial and spatio-temporal analyses, cases and deaths were mapped. There were a total of 3020 cases of COVID-19, recorded between April 2020 and December 2021; 135 (4.5%) died. The cumulative incidence and mortality rates were 5650.3 cases and 252.6 deaths per 100,000 people, respectively. The index case of SARS-CoV-2 in Itapajé was diagnosed in March 2020. The first peak of cases and deaths occurred in May 2020. The second wave peaked in May 2021, with the highest number of deaths in March 2021. According to the spatial analysis, the highest density of cases and deaths occurred in the central urban areas. In these areas, there were also the clusters of highest risk according to the spatio-temporal analyses. The municipal government issued 69 decrees on restriction measures, surveillance, and the maintenance of social isolation as a response to the pandemic. The spread of the SARS-CoV-2 pandemic in Itapajé mirrored the dynamics in large metropolitan regions, going from central neighborhoods of low socio-economic status to the wealthier peripheries.
Rabies outbreak in Brazil: first case series in children from an indigenous village
Dilceu Silveira Tolentino Júnior, Maryana Santos Vasconcelos Marques, Amanda Krummenauer, Magda Machado Saraiva Duarte, Silene Manrique Rocha, et al.
Infectious Diseases of Poverty, 2023
Background Human rabies outbreak transmitted by bats continues to be a relevant public health problem not only in the Amazon region. The disease has affected one of the areas with the greatest poverty in southeastern Brazil, a region inhabited by the Maxakali indigenous people. Case presentation We describe four cases of rabies among indigenous children that occurred in the indigenous village of Pradinho, municipality of Bertópolis, Minas Gerais, Brazil. Cases were notified between April and May 2022, all of whom died on average eight days after the first symptoms. All cases were observed in rural residents under 12 years of age. The probable form of exposure was through bat bites. The predominant symptoms were prostration, fever, dyspnea, sialorrhea, tachycardia, and altered level of consciousness. Half of the cases underwent late and/or incomplete post-exposure rabies prophylaxis, however, the other half underwent pre-exposure rabies prophylaxis, with only one case completing the scheme and another undergoing the adapted Milwaukee Protocol (Recife Protocol). All cases ended in death. Conclusions This was the first rabies outbreak among indigenous people in Brazil. Among the manifested clinical forms in the series, there was a disease atypical presentation in at least one case. We suggest active surveillance and an intercultural educational campaign to prevent new cases. Graphical abstract
Diagnosis of visceral leishmaniasis in Ceará state, Brazil: A flow analysis of cases between 2007 and 2021
Kellyn Kessiene de Sousa Cavalcante, Francisco Roger Aguiar Cavalcante, Reagan Nzundu Boigny, Kelvia Maria Oliveira Borges, Carlos Henrique Alencar
Tropical Medicine and International Health, 2023
ObjectivesTo analyse the flow of cases of visceral leishmaniasis (VL) in the state of Ceará, Brazil, between 2007 and 2021.MethodsAn ecological study was conducted using a spatial approach of newly confirmed cases of VL recorded in the Notifiable Diseases Information System. We identified individuals whose municipality of diagnosis differed from that of their residence. Flow maps, constructed using Tabwin 32 and ArcMap 9.2, allowed for the identification of the volume of traffic between the municipality of residence and that of initial care.ResultsThere were 6775 confirmed VL cases. As a flow indicator, 178 counties had at least one resident diagnosed in another municipality in Ceará, with 2491 VL cases and an average trip of 79 km. The largest hub for receiving cases for diagnosis was the capital Fortaleza (1478 patients from 129 other municipalities), followed by Sobral, located in the northwestern region of Ceará (599 from 55 municipalities), and Barbalha, in the southern region (171 from 29 municipalities). In this southern region, 25 municipalities moved 55 people for treatment to Juazeiro do Norte and 11 municipalities moved 39 patients to Crato. A total of 255 patients with VL from 11 municipalities in other Brazilian states, mainly from the Northeast and North, were observed and notified in health services in Ceará.ConclusionsThe major centres of VL diagnosis outside residence were in the cities of Fortaleza, Sobral, Barbalha, Juazeiro do Norte and Crato. There was also an outflow of cases from other municipalities located in the northeastern and northern regions of Brazil. The flows were more intense during the first triennium of the analysis and milder from 2019 to 2021. Understanding the diagnostic flow of VL helps in decision making and the development of public policies to improve the lives of the population.
Phytochemical prospection and larvicidal bioactivity of the janaguba (Himatanthus drasticus) Mart. Plumel (Apocynaceae) latex against Aedes aegypti L. (Diptera: Culicidae)
C. S. Leandro, F. R. Azevedo, E. L. Cândido, C. H. Alencar
Brazilian Journal of Biology, 2023
The aim of this study was to carry out phytochemical prospecting and evaluate the larvicidal activity of Himatanthus drasticus latex extracts against Aedes aegypti. The extracts were obtained by maceration from 5 g of latex powder concentrated separately in 100 mL of methanol, ethyl acetate, and hexane solvents. The concentrations of 100, 200, 300, 400, and 500 ppm of each extract were tested in triplicate with a solution of pyriproxyfen as the positive control and distilled water and dimethylsulfoxide as the negative control. The phytochemical prospection of the methanolic extract showed the presence of phenolic compounds, such as anthocyanins, anthocyanidins, catechins, chalcones, aurones, leucoanthocyanidins, and condensed tannins. The insecticidal bioactivity was most significant for the methanolic extract. The methanolic extract lethal concentrations (LC) of 50 and 90% were 190.76 and 464.74 ppm, respectively. After 48 hours of exposure, the extracts using methanol, ethyl acetate, and hexane at their highest concentrations (500 ppm) caused larval mortality of 100, 73.33, and 66.67%, respectively. These extracts also promoted changes in the external morphology of the larvae, such as damage to the anal papillae, darkening of the body, and reduction in the number of bristles. The methanolic extract showed greater expressivity for morphological changes. The latex of H. drasticus has larvicidal activity against third-stade larvae of A. aegypti and it is more significant when obtained through maceration in methanol. The methanolic extract of H. drasticus latex contains phenolic compounds with insecticidal activity against A. aegypti larvae.
Occurrence of Tungiasis in Ceará State, Northeast Brazil: Results of a Rapid Assessment Method
Nathiel de Sousa Silva, Carlos Henrique Alencar, Cláudia Maria Lins Calheiros, Jorg Heukelbach
Revista Da Sociedade Brasileira De Medicina Tropical, 2023
Phytochemical prospection, hemagglutinating and insecticidal activity of saline extracts from the seeds of Tamboril (Enterolobium contortisiliquum) Vell. Morong (Fabaceae) on Aedes aegypti (Diptera: Culicidae)
F. B. Barros, F. R. Azevedo, E. L. Cândido, C. H. Alencar, F. N. P. Júnior, et al.
Brazilian Journal of Biology, 2023
Chikungunya in Brazil: An epidemic of high cost for private healthcare, 2017
Maria de Margarette Oliveira de Andrade, Francisca Kalline de Almeida Barreto, Tania Maria Silva Coelho, Geovana Praça Pinto, Isabella Timbo Queiroz, et al.
Tropical Medicine and International Health, 2022
Epidemiological Aspects and High Magnitude of Human Visceral Leishmaniasis in Ceará, Northeast of Brazil, 2007–2021
Kellyn Kessiene de Sousa Cavalcante, Kelvia Maria Oliveira Borges, Francisco Roger Aguiar Cavalcante, Francisco Gustavo Silveira Correia, Caroline Mary Gurgel Dias Florêncio, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2022
Epidemiological and clinical factors associated with lethality from Human Visceral Leishmaniasis in Northeastern Brazil, 2007 to 2018
Kellyn Kessiene de Sousa Cavalcante, Clarice Pessoa Almeida, Reagan Nzundu Boigny, Francisco Roger Aguiar Cavalcante, Francisco Gustavo Silveira Correia, et al.
Revista do Instituto De Medicina Tropical De Sao Paulo, 2022
Seroprevalence and factors associated with SARS-CoV-2 infection among education workers after the first wave: the first cross-sectional study in Brazil
Pâmela de Castro França, Paulo Goberlânio Barros Silva, Jose Lima de Carvalho Rocha, Anne Carolinne Bezerra Perdigão, Nayara Santos de Oliveira, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2022
Seroepidemiological survey on chikungunya in endemic zones for arboviruses in Brazil, 2019
Dayse Aparecida de Oliveira Braga, Francisca Kalline de Almeida Barreto, Clemilson Nogueira Paiva, Izabel Letícia Cavalcante Ramalho, Luciano Pamplona de Góes Cavalcanti, et al.
Zoonoses and Public Health, 2021
Knowledge, attitudes and practices regarding sylvatic rabies among high-risk households in ceará state, Brazil
Naylê Francelino Holanda Duarte, Patrícia Pereira Lima Barbosa, Danielle Bastos Araujo, Silvana Regina Favoretto, Phyllis Catharina Romijn, et al.
Tropical Medicine and Infectious Disease, 2021
Risk areas for Human Visceral Leishmaniosis 2007–2018: A temporal and spatial analysis in Ceará, Brazil
Kellyn Kessiene de Sousa Cavalcante, Jarier de Oliveira Moreno, Reagan Nzundu Boigny, Francisco Roger Aguiar Cavalcante, Caroline Mary Gurgel Dias Florêncio, et al.
Zoonoses and Public Health, 2021
Cancerous and non-neoplastic stem cells in the stomach similarly express CD44 and CD133
Neli Patrícia Pereira Feitosa, Venúcia Bruna Magalhães Pereira, Bruno Gadelha Bezerra Silva, Andréia Victoria Franklin Queroz, Bruno Jucá Rodrigues, et al.
Acta Histochemica, 2021
High effectiveness of sars-cov-2 vaccines in reducing covid-19-related deaths in over 75-year-olds, Ceará State, Brazil
Carlos Henrique Alencar, Luciano Pamplona de Góes Cavalcanti, Magda Moura de Almeida, Patrícia Pereira Lima Barbosa, Kellyn Kessiene de Sousa Cavalcante, et al.
Tropical Medicine and Infectious Disease, 2021
Validation of the Brazilian version of the Whodas 2.0 for people affected by leprosy
Jardel Gonçalves de Sousa Almondes, Shamyr Sulyvan de Castro, Paula Sacha Frota Nogueira, Reagan Nzundu Boigny, Carlos Henrique Alencar
Leprosy Review, 2021
Clinical aspects of human rabies in the state of Ceará, Brazil: an overview of 63 cases
Naylê Francelino Holanda Duarte, Roberto da Justa Pires Neto, Victoria Forte Viana, Levi Ximenes Feijão, Carlos Henrique Alencar, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2021
Clinical aspects of human rabies in the state of Ceará, Brazil: An overview of 63 cases
Naylê Francelino Holanda Duarte, Roberto da Justa Pires Neto, Victoria Forte Viana, Levi Ximenes Feijão, Carlos Henrique Alencar, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2021
Magnitude and temporal trends of leprosy relapse in the state of ceará, brazil in the period 2001–2018
Reagan Nzundu Boigny, Caroline Mary Gurgel Dias Florêncio, Kellyn Kessiene de Sousa Cavalcante, Jarier de Oliveira Moreno, Pedro José de Almeida, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2021
Epidemiology of human rabies in the state of Ceará, Brazil, 1970 to 2019
Naylê Francelino Holanda Duarte, Roberto da Justa Pires Neto, Victoria Forte Viana, Levi Ximenes Feijão, Karina Gatti de Abreu, et al.
Epidemiologia E Servicos De Saude, 2021
Seroprevalence, spatial dispersion and factors associated with flavivirus and chikungunha infection in a risk area: a population-based seroprevalence study in Brazil
Francisca Kalline de Almeida Barreto, Carlos Henrique Alencar, Fernanda Montenegro de Carvalho Araújo, Rhaquel de Morais Alves Barbosa Oliveira, John Washington Cavalcante, et al.
BMC Infectious Diseases, 2020
Increased detection of rabies virus in bats in Ceará State (Northeast Brazil) after implementation of a passive surveillance programme
Naylê Francelino Holanda Duarte, Carlos Henrique Alencar, Kellyn Kessiene de Sousa Cavalcante, Francisco Gustavo Silveira Correia, Phyllis Catharina Romijn, et al.
Zoonoses and Public Health, 2020
Dengue in northeastern Brazil: a spatial and temporal perspective
Ana Beatriz Souza Martins, Francisco Gustavo Silveira Correia, Luciano Pamplona de Góes Cavalcanti, Carlos Henrique Alencar
Revista Da Sociedade Brasileira De Medicina Tropical, 2020
Post-exposure human rabies prophylaxis: Spatial patterns of inadequate procedures in ceará-Brazil, 2007 to 2015
Kellyn Kessiene de Sousa Cavalcante, Caroline Mary Gurgel Dias Florêncio, Jarier de Oliveira Moreno, Francisco Gustavo Silveira Correia, Carlos Henrique Alencar
Revista Da Sociedade Brasileira De Medicina Tropical, 2020
Influence of the social determinants on the incidence of aids in piauí: An ecological study
Thatiana Araujo Maranhão, George Jó Bezerra Sousa, Carlos Henrique Alencar, Mônica de Avelar Figueiredo Mafra Magalhães, Wilson Correia de Abreu, et al.
Texto E Contexto Enfermagem, 2020
Visceral Leishmaniasis: Temporal and spatial distribution in Fortaleza, Ceará State, Brazil, 2007-2017
Clarice Pessoa Almeida, Francisco Roger Aguiar Cavalcante, Jarier de Oliveira Moreno, Caroline Mary Gurgel Dias Florêncio, Kellyn Kessiene de Sousa Cavalcante, et al.
Epidemiologia E Servicos De Saude, 2020
Human visceral leishmaniasis: Epidemiological, temporal and spacial aspects in Northeast Brazil, 2003-2017
Francisco Roger Aguiar Cavalcante, Kellyn Kessiene de Sousa Cavalcante, Caroline Mary Gurgel Dias Florencio, Jarier de Oliveira Moreno, Francisco Gustavo Silveira Correia, et al.
Revista do Instituto De Medicina Tropical De Sao Paulo, 2020
Mortality due to acquired immunodeficiency syndrome and associated social factors: a spatial analysis
Thatiana Araújo Maranhão, Carlos Henrique Alencar, Mônica de Avelar Figueiredo Mafra Magalhães, George Jó Bezerra Sousa, Leonardo Miranda Ribeiro, et al.
Revista Brasileira De Enfermagem, 2020
Unequal burden of mortality from gastric cancer in Brazil and its regions, 2000–2015
Lucia Libanez Bessa Campelo Braga, Alberto Novaes Ramos, Manuel Bonfim Braga Neto, Anderson Fuentes Ferreira, Dulciene Maria Magalhães Queiroz, et al.
Gastric Cancer, 2019
Nutritional aspects of people affected by leprosy, between 2001 and 2014, in semi-arid Brazilian municipalities
Camila Silveira Silva Teixeira, Danielle Souto de Medeiros, Carlos Henrique Alencar, Alberto Novaes Ramos Júnior, Jorg Heukelbach
Ciencia E Saude Coletiva, 2019
A major chikungunya epidemic with high mortality in northeastern Brazil
Adriana Rocha Simião, Francisca Kalline de Almeida Barreto, Rhaquel de Morais Alves Barbosa Oliveira, John Washington Cavalcante, Antônio Silva Lima Neto, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2019
Human rabies: evaluation of post-exposure prophylaxis prevalence in Ceará, Brazil, 2007-2015
Kellyn Kessiene de Sousa Cavalcante, Carlos Henrique Alencar
Epidemiologia E Servicos De Saude Revista do Sistema Unico De Saude do Brasil, 2018
Epidemiology and spatiotemporal patterns of leprosy detection in the state of Bahia, Brazilian Northeast Region, 2001–2014
Eliana Amorim de Souza, Anderson Fuentes Ferreira, Jorg Heukelbach, Reagan Nzundu Boigny, Carlos Henrique Alencar, et al.
Tropical Medicine and Infectious Disease, 2018
Dengue Fever and Aedes aegypti in indigenous Brazilians: seroprevalence, risk factors, knowledge and practices
Rafael Henrique Machado Sacramento, Fernanda Montenegro de Carvalho Araújo, Danielle Malta Lima, Carlos Carlos Henrique Alencar, Victor Emanuel Pessoa Martins, et al.
Tropical Medicine and International Health, 2018
Editorial: Zika Virus research
Rubén Bueno-Marí, Juan-Carlos Saiz, Oscar D. Salomón, Luis C. Villamil-Jiménez, Jorg Heukelbach, et al.
Frontiers in Neurology, 2018
Programmatic vulnerability in leprosy control: Gender-related patterns in Bahia State, Brazil
Eliana Amorim de Souza, Reagan Nzundu Boigny, Anderson Fuentes Ferreira, Carlos Henrique Alencar, Maria Leide W. Oliveira, et al.
Cadernos De Saude Publica, 2018
Leprosy and gender in Brazil: Trends in an endemic area of the Northeast region, 2001-2014
Eliana Amorim de Souza, Anderson Fuentes Ferreira, Reagan Nzundu Boigny, Carlos Henrique Alencar, Jorg Heukelbach, et al.
Revista De Saude Publica, 2018
High occurrence of disabilities caused by leprosy: Census from a hyperendemic area in Brazil's savannah region
Leprosy Review, 2017
Zika Virus: What have we learnt since the start of the recent epidemic?
Juan-Carlos Saiz, Miguel A. Martín-Acebes, Rubén Bueno-Marí, Oscar D. Salomón, Luis C. Villamil-Jiménez, et al.
Frontiers in Microbiology, 2017
Epidemiology of soil-transmitted helminthiases-related mortality in Brazil
FRANCISCO R. MARTINS-MELO, ALBERTO N. RAMOS, CARLOS H. ALENCAR, MAURICÉLIA S. LIMA, JORG HEUKELBACH
Parasitology, 2017
Social Determinants Of Leprosy In A Hyperendemic State In North Brazil
Lorena Dias Monteiro, Rosa Maria Salani Mota, Francisco Rogerlândio Martins-Melo, Carlos Henrique Alencar, Jorg Heukelbach
Revista De Saude Publica, 2017
Reprint of “Neurocysticercosis-related mortality in Brazil, 2000–2011: Epidemiology of a neglected neurologic cause of death”
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Marta Guimarães Cavalcanti, Carlos Henrique Alencar, Jorg Heukelbach
Acta Tropica, 2017
Changes in infestation sites of female Aedes aegypti in Northeast Brazil
Luciano Pamplona de Góes Cavalcanti, Rhaquel de Morais Alves Barbosa Oliveira, Carlos Henrique Alencar
Revista Da Sociedade Brasileira De Medicina Tropical, 2016
Trends and spatial patterns of mortality related to neglected tropical diseases in Brazil
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Carlos Henrique Alencar, Jorg Heukelbach
Parasite Epidemiology and Control, 2016
Zika virus infection, associated microcephaly, and low yellow fever vaccination coverage in Brazil: Is there any causal link
Luciano Pamplona De Góes Cavalcanti, Pedro Luiz Tauil, Carlos Henrique Alencar, Wanderson Oliveira, Mauro Martins Teixeira, et al.
Journal of Infection in Developing Countries, 2016
Clinical and epidemiological profile of leprosy patients attended at Ceará, 2007-2011
Maria Iranilda Queirós, Alberto Novaes Ramos Júnior, Carlos Henrique Morais Alencar, Lorena Dias Monteiro, Amanda Lima Sena, et al.
Anais Brasileiros De Dermatologia, 2016
Spatial distribution of disseminated histoplasmosis and AIDS co-infection in an endemic area of Northeastern Brazil
Francisco Gustavo Silveira Correia, Carlos Henrique Alencar, Lisandra Serra Damasceno, Isadora Cavalcanti Ramos, Lícia Borges Pontes, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2016
Mortality from neglected tropical diseases in Brazil, 2000–2011
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Carlos Henrique Alencar, Jorg Heukelbach
Bulletin of the World Health Organization, 2016
Zika virus outbreak in Brazil
Jorg Heukelbach, Carlos Henrique Alencar, Alyson Ann Kelvin, Wanderson Kleber De Oliveira, Luciano Pamplona de Góes Cavalcanti
Journal of Infection in Developing Countries, 2016
ZIKAtracker: A mobile app for reporting cases of ZIKV worldwide
Alyson Ann Kelvin, David Banner, Luciano Pamplona, Carlos Alencar, Salvatore Rubino, et al.
Journal of Infection in Developing Countries, 2016
Temporal trends of leprosy in a Brazilian state capital in Northeast Brazil: Epidemiology and analysis by joinpoints, 2001 to 2012
Aline Lima Brito, Lorena Dias Monteiro, Alberto Novaes Ramos Junior, Jorg Heukelbach, Carlos Henrique Alencar
Revista Brasileira De Epidemiologia, 2016
Neurocysticercosis-related mortality in Brazil, 2000-2011: Epidemiology of a neglected neurologic cause of death
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Marta Guimarães Cavalcanti, Carlos Henrique Alencar, Jorg Heukelbach
Acta Tropica, 2016
Mortality related to tuberculosis-HIV/AIDS co-infection in Brazil, 2000-2011: Epidemiological patterns and time trends
Mauricélia da Silveira Lima, Francisco Rogerlândio Martins-Melo, Jorg Heukelbach, Carlos Henrique Alencar, Reagan Nzundu Boigny, et al.
Cadernos De Saude Publica, 2016
Physical disabilities at diagnosis of leprosy in a hyperendemic area of Brazil: trends and associated factors
Leprosy Review, 2015
Spatiotemporal patterns of schistosomiasis- related deaths, Brazil, 2000–2011
Francisco Rogerlândio Martins-Melo, Marta Cristhiany Cunha Pinheiro, Alberto Novaes Ramos, Carlos Henrique Alencar, Fernando Schemelzer de Moraes Bezerra, et al.
Emerging Infectious Diseases, 2015
Leprosy-related mortality in Brazil: A neglected condition of a neglected disease
Francisco Rogerlândio Martins-Melo, Adriana Valéria Assunção-Ramos, Alberto Novaes Ramos, Carlos Henrique Alencar, Renan Magalhães Montenegro, et al.
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2015
Leprosy trends in tocantins, a hyperendemic state in the north of Brazil, 2001-2012
Lorena Dias Monteiro, Francisco Rogerlândio Martins-Melo, Aline Lima Brito, Mauricélia da Silveira Lima, Carlos Henrique Alencar, et al.
Cadernos De Saude Publica, 2015
The influence of fetal growth restriction on cardiovascular health among adolescents in Brazil: A retrospective cohort study
Priscilla de Jesus dos Santos Alves, A. C. P. T. Henriques, K. F. Silva, A. J. M. Leite, F. E. L. Feitosa, et al.
Indian Pediatrics, 2015
Spatial patterns of leprosy in a hyperendemic state in Northern Brazil, 2001-2012
Lorena Dias Monteiro, Francisco Rogerlândio Martins-Melo, Aline Lima Brito, Carlos Henrique Alencar, Jorg Heukelbach
Revista De Saude Publica, 2015
Trends in schistosomiasis-related mortality in Brazil, 2000-2011
Francisco Rogerlândio Martins-Melo, Marta Cristhiany Cunha Pinheiro, Alberto Novaes Ramos, Carlos Henrique Alencar, Fernando Schemelzer de Moraes Bezerra, et al.
International Journal for Parasitology, 2014
Epidemiological patterns of mortality due to visceral leishmaniasis and HIV/AIDS co-infection in Brazil, 2000-2011
Francisco Rogerlândio Martins-Melo, Mauricélia da Silveira Lima, Carlos Henrique Alencar, Alberto Novaes Ramos, Jorg Heukelbach
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2014
Mortality and case fatality due to visceral leishmaniasis in Brazil: A nationwide analysis of epidemiology, trends and spatial patterns
Francisco Rogerlândio Martins-Melo, Mauricélia da Silveira Lima, Alberto Novaes Ramos, Carlos Henrique Alencar, Jorg Heukelbach
Plos One, 2014
Prevalence of Chagas disease in Brazil: A systematic review and meta-analysis
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Carlos Henrique Alencar, Jorg Heukelbach
Acta Tropica, 2014
Systematic review: Prevalence of Chagas disease in pregnant women and congenital transmission of Trypanosoma cruzi in Brazil: A systematic review and meta-analysis
Francisco Rogerlândio Martins‐Melo, Mauricélia da Silveira Lima, Alberto Novaes Ramos, Carlos Henrique Alencar, Jörg Heukelbach
Tropical Medicine and International Health, 2014
Limited activity and social participation after hospital discharge from leprosy treatment in a hyperendemic area in north Brazil
Lorena Dias Monteiro, Carlos Henrique Alencar, Jaqueline Caracas Barbosa, Candice Cristiane Barros Santana Novaes, Rita de Cássia Pereira da Silva, et al.
Revista Brasileira De Epidemiologia, 2014
Temporal trends and spatial distribution of unsafe abortion in Brazil, 1996-2012
Francisco Rogerlândio Martins-Melo, Mauricélia da Silveira Lima, Carlos Henrique Alencar, Alberto Novaes Ramos Jr, Francisco Herlânio Costa Carvalho, et al.
Revista De Saude Publica, 2014
Migration among individuals with leprosy: A population-based study in Central Brazil
Christine Murto, Liana Ariza, Carlos Henrique Alencar, Olga André Chichava, Alexcian Rodrigues Oliveira, et al.
Cadernos De Saude Publica, 2014
Disseminated histoplasmosis in HIV-infected patients: Determinants of relapse and mortality in a north-eastern area of Brazil
Lisandra Serra Damasceno, Alberto Novaes Ramos, Carlos Henrique Alencar, Maria Vânia Freitas Gonçalves, Jacó Ricarte Lima de Mesquita, et al.
Mycoses, 2014
Factors associated with migration in individuals affected by Leprosy, Maranhão, Brazil: An exploratory cross-sectional study
C. Murto, C. Kaplan, L. Ariza, K. Schwarz, C. H. Alencar, et al.
Journal of Tropical Medicine, 2013
Disseminated histoplasmosis and aids: Relapse and late mortality in endemic area in North-Eastern Brazil
Lisandra Serra Dasmasceno, Alberto Ramos Novaes Jr, Carlos Henrique Morais Alencar, Daniel Teixeira Lima, José Júlio Costa Sidrim, et al.
Mycoses, 2013
Agreement between parents and adolescents on dental fluorosis: A population-based study
Maria Eneide Leitão de Almeida, Ana Karine Macedo Teixeira, Carlos Henrique Alencar, Saul Martins Paiva, Mauro Henrique Nogueira Guimarães de Abreu
Brazilian Oral Research, 2013
Self-perception of people afflicted with leprosy regarding their oral health and the need for treatment
Janaína Rocha de Sousa Almeida, Carlos Henrique Alencar, Jaqueline Caracas Barbosa, Aldo Angelim Dias, Maria Eneide Leitão de Almeida
Ciencia E Saude Coletiva, 2013
Pandemic influenza A (H1N1) 2009: Epidemiological analysis of cases in a tropical/semi-arid region of Brazil
Roberto da Justa Pires Neto, Daniele Rocha Queiroz Lemos, Luciano Pamplona de Góes Cavalcanti, Alberto Novaes Ramos Junior, Carlos Henrique Alencar, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2013
Late-stage diagnosis of HIV infection in Brazilian children: Evidence from two national cohort studies
Alberto Novaes Ramos Jr., Luiza Harunari Matida, Carlos Henrique Alencar, Norman Hearst, Jorg Heukelbach
Cadernos De Saude Publica, 2013
Physical disabilities in leprosy patients after discharge from multidrug therapy in Northern Brazil
Lorena Dias Monteiro, Carlos Henrique Morais de Alencar, Jaqueline Caracas Barbosa, Katiane Pereira Braga, Milene Damous de Castro, et al.
Cadernos De Saude Publica, 2013
High prevalence of intestinal infections and ectoparasites in dogs, Minas Gerais State (southeast Brazil)
Jörg Heukelbach, Raphael Frank, Liana Ariza, Íris de Sousa Lopes, Alcides de Assis e Silva, et al.
Parasitology Research, 2012
Mortality related to Chagas disease and HIV/AIDS coinfection in Brazil
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Carlos Henrique Alencar, Jorg Heukelbach
Journal of Tropical Medicine, 2012
Multiple causes of death related to Chagas' disease in Brazil, 1999 to 2007
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos Junior, Carlos Henrique Alencar, Jorg Heukelbach
Revista Da Sociedade Brasileira De Medicina Tropical, 2012
Mortality of Chagas' disease in Brazil: Spatial patterns and definition of high-risk areas
Francisco Rogerlândio Martins‐Melo, Alberto Novaes Ramos, Carlos Henrique Alencar, Wolfram Lange, Jorg Heukelbach
Tropical Medicine and International Health, 2012
Occurrence of natural vertical transmission of dengue-2 and dengue-3 viruses in Aedes aegypti and Aedes albopictus in Fortaleza, Ceará, Brazil
Victor Emanuel Pessoa Martins, Carlos Henrique Alencar, Michel Tott Kamimura, Fernanda Montenegro de Carvalho Araújo, Salvatore Giovanni De Simone, et al.
Plos One, 2012
Clusters of leprosy transmission and of late diagnosis in a highly endemic area in Brazil: Focus on different spatial analysis approaches
Carlos H. Alencar, Alberto N. Ramos, Emerson S. dos Santos, Joachim Richter, Jorg Heukelbach
Tropical Medicine and International Health, 2012
Epidemiology of mortality related to Chagas' disease in Brazil, 1999-2007
Francisco Rogerlândio Martins-Melo, Carlos Henrique Alencar, Alberto Novaes Ramos, Jorg Heukelbach
Plos Neglected Tropical Diseases, 2012
Mortality due to Chagas disease in Brazil from 1979 to 2009: Trends and regional differences
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos Jr, Carlos Henrique Alencar, Jorg Heukelbach
Journal of Infection in Developing Countries, 2012
Persisting leprosy transmission despite increased control measures in an endemic cluster in Brazil: the unfinished agenda.
Leprosy Review, 2012
Leprosy diagnosis in municipalities other than the patients' place of residence: Spatial analysis, 2001-2009
Carlos Henrique Morais de Alencar, Alberto Novaes Ramos Jr., Sebastião Alves de Sena Neto, Christine Murto, Maria de Jesus Freitas de Alencar, et al.
Cadernos De Saude Publica, 2012
Interruption and defaulting of multidrug therapy against leprosy: Population-based study in Brazil's Savannah region
Jorg Heukelbach, Olga André Chichava, Alexcian Rodrigues de Oliveira, Kathrin Häfner, Friederike Walther, et al.
Plos Neglected Tropical Diseases, 2011
Analysis of protection or risk factors for dental fluorosis in 6 to 8 year-old children in Fortaleza, Brazil
Revista Panamericana De Salud Publica Pan American Journal of Public Health, 2010
Prevalence and risk factors of toxoplasmosis among pregnant women in Fortaleza, Northeastern Brazil
Susann Sroka, Nina Bartelheimer, Andreas Winter, Jörg Heukelbach, Liana Ariza, et al.
American Journal of Tropical Medicine and Hygiene, 2010
Spatial distribution and breeding site characteristics of Aedes albopictus and Aedes aegypti in Fortaleza, State of Ceará
Victor Emanuel Pessoa Martins, Carlos Henrique Morais de Alencar, Patrícia Emília Gomes Facó, Rosa Fireman Dutra, Carlucio Roberto Alves, et al.
Revista Da Sociedade Brasileira De Medicina Tropical, 2010
Impact of water renewal on the residual effect of larvicides in the control of Aedes aegypti
Memorias do Instituto Oswaldo Cruz, 2010
Reduced oviposition of Aedes aegypti gravid females in domestic containers with predatory fish
Luciano de Góes Cavalcanti Pamplona, Carlos H Alencar, José Wellington O. Lima, Jörg Heukelbach
Tropical Medicine and International Health, 2009
Hansen's Disease in the municipality of Fortaleza, CE, Brazil: epidemiological and operational aspects in children under 15-years-old (1995-2006)
Carlos Henrique Morais de Alencar, Jaqueline Caracas Barbosa, Alberto Novaes Ramos Jr, Maria de Jesus Freitas de Alencar, Ricardo José Soares Pontes, et al.
Revista Brasileira De Enfermagem, 2008

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