06/07/2015 15h22 - Updated 6/07/2015 15h22

HPV aumenta casos de câncer de boca e garganta entre jovens

Photo: Marcelo Camargo (Agency Brazil)
Photo: Marcelo Camargo (Agency Brazil)

Se há vinte anos os registros de câncer de boca e garganta eram quase que exclusivamente entre pessoas acima dos 50 years.

currently, um dado chama a atenção dos oncologistas: cada vez mais jovensadultos até 40 years – têm apresentados tumores malignos nessas partes do corpo. “A média etária de pessoas com câncer nessas áreas tem caído. Nowadays, atinge cerca de 30 a 40% de pessoas que não são tabagistas nem etilistas, e são mais jovens”, afirma o oncologista Luiz Paulo Kowalski, Diretor do Núcleo de Cabeça e Pescoço do Hospital A. C. Camargo.

De acordo com dados do Instituto Nacional do Câncer (Inca), os cânceres de cavidade oral e orofaríngeo estão entre os dez tipos de maior incidência em homens brasileiros.

E, mesmo que o cigarro e o álcool ainda sejam suas principais causas, eles costumam exigir uma exposição prolongada para o desenvolvimento de um tumor – between 15 e 30 anos de consumo.

That is why, um outro fator de risco tem sido considerado pelos pesquisadores: o papiloma vírus, popularmente conhecido como HPV, que tem a capacidade de desenvolver um câncer em menos tempo.

Com a queda do consumo do tabaco, esperávamos diminuir a incidência e a mortalidade do câncer, mas houve uma mudança de perfil. Está caindo o número de cânceres relacionados ao tabaco, devido às campanhas de controle, mas estão aumentando os casos relacionados ao HPV.Pesquisadores apontam que, up until 2030, o número de casos relacionados ao vírus deve superar os casos ligados ao tabaco nos Estados Unidos.

Um estudo atual, feito com orientação da bióloga e geneticista do A.C. Camargo e da Universidade Estadual Paulista (unesp), Sílvia Regina Rogatto, aponta que em casos de câncer de amídala a incidência do HPV cresceu de 25%, registrados há 20 years, for 80%.

Em uma outra pesquisa, comandada por Kowalski, os médicos detectaram que 32% dos casos de câncer de boca em jovens adultos eram em portadores do vírus. Em pacientes acima de 50 years, a presença do vírus foi detectada em apenas 8%.

O estudo feito por Silvia e sua equipe em pacientes do A. C. Camargo, in São Paulo, e no Hospital do Câncer de Barretos, within the state, descobriu que 80% dos pacientes da capital são positivos para a presença do vírus enquanto os voluntários de Barretos correspondem a 15%.

A presença em grandes capitais é mais evidente, pois os hábitos costumam ser um pouco diferentes”, analisa o Kowalski. Mas não se deve relacionar a transmissão exclusivamente à atividade sexual. “O vírus pode ser transmitido por saliva, com um beijo, for example. Antigamente não era educado beber no copo de ninguém, hoje já é uma coisa normal.

Estima-se que entre 25% e 50% das mulheres e 50% dos homens estejam infectados pelo HPV em todo mundo. Mas a maioria das infecções é transitória, sendo combatida espontaneamente pelo sistema imune.

De acordo com pesquisas feitas entre homens norte-americanos, mexicanos e brasileiros, at least 2% da população adulta tem o vírus HPV e não apresenta nenhum sintoma.

Existem papilomas que são como verrugas que podem aparecer na garganta ou na boca. Quem apresenta alguma ferida deve observar se ela está demorando a cicatrizar. however, mesmo quando o tumor maligno já se desenvolveu, pode não haver lesão visível. Em outros casos, pessoas que tiveram infecção podem não ter anticorpos elevados também. “A infecção pode ser silenciosa”, conta médico.

In general, cânceres de boca e garganta podem apresentar os seguintes sintomas: dor constante, nódulo, dificuldade para mastigar, rouquidão, dor na língua e mau hálito persistente. “Quanto mais precoce o diagnóstico, best, pois o tratamento não é tão agressivo e as chances de recuperação são maiores. Uma lesão que durar mais de 15 dias é porque tem algo errado.

Os tumores ligados ao HPV tem uma taxa de cura maior do que os associados a tabaco e ao álcool. “Eles respondem melhor ao tratamento, tanto com cirurgia, que geralmente é seguido de radioterapia, quanto na associação de radioterapia e quimioterapia.

A vacinação é a melhor forma de se prevenir. “Ela dá imunização fazendo as três doses e é fundamental que se inicie uma campanha para vacinar todo mundo, principalmente meninos e meninas antes de iniciarem a vida sexual. Nós precisamos começar a trabalhar agora para ter efeito daqui a 15 or 20 years”, coloca o oncologista.

Outras formas de prevenção são: sexo seguro, se alimentar bem, não fumar, não beber, boa higiene oral e evitar traumatismos. “Um terço dos casos de câncer poderiam ser evitados se houvesse alimentação adequada e a prática de atividades físicas”, explica o nutricionista Fábio Gomes da Silva, da Unidade Técnica de Alimentação, Nutrição e Câncer do Instituto Nacional do Câncer (Inca) Inca. Verduras e frutas, especialmente as cítricas, são protetoras. “A alimentação corresponde de 20 a 30% na prevenção.

Fazer o autoexame da boca com frequência também é importante. Analise a mucosa na bochecha, abaixo da língua, acima, e observe se há manchas avermelhadas e esbranquiçadas e/ou pequenos nódulos.

Source: Exame.com

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o número de cânceres relacionados ao tabaco' and lang = 'en' 191 | 0.0002 | enabled | not cached | 932 | SELECT translated, source FROM wp_translations WHERE original = 'devido às campanhas de controle' and lang = 'en' 192 | 0.0002 | enabled | not cached | 951 | SELECT translated, source FROM wp_translations WHERE original = 'mas estão aumentando os casos relacionados ao HPV.' and lang = 'en' 193 | 0.0002 | enabled | not cached | 925 | SELECT translated, source FROM wp_translations WHERE original = 'Pesquisadores apontam que' and lang = 'en' 194 | 0.0002 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'até' and lang = 'en' 195 | 0.0002 | enabled | not cached | 1000 | SELECT translated, source FROM wp_translations WHERE original = 'o número de casos relacionados ao vírus deve superar os casos ligados ao tabaco nos Estados Unidos' and lang = 'en' 196 | 0.0001 | enabled | not cached | 914 | SELECT translated, source FROM wp_translations WHERE 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espontaneamente pelo sistema imune' and lang = 'en' 235 | 0.0009 | enabled | not cached | 960 | SELECT translated, source FROM wp_translations WHERE original = 'De acordo com pesquisas feitas entre homens norte-americanos' and lang = 'en' 236 | 0.0001 | enabled | not cached | 923 | SELECT translated, source FROM wp_translations WHERE original = 'mexicanos e brasileiros' and lang = 'en' 237 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'ao menos' and lang = 'en' 238 | 0.0002 | enabled | not cached | 970 | SELECT translated, source FROM wp_translations WHERE original = 'da população adulta tem o vírus HPV e não apresenta nenhum sintoma' and lang = 'en' 239 | 0.0002 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Existem papilomas que são como verrugas que podem aparecer na garganta ou na boca' and lang = 'en' 240 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM 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FROM wp_translations WHERE original = 'A infecção pode ser silenciosa' and lang = 'en' 247 | 0.0002 | enabled | not cached | 912 | SELECT translated, source FROM wp_translations WHERE original = 'conta médico' and lang = 'en' 248 | 0.0001 | enabled | not cached | 988 | SELECT translated, source FROM wp_translations WHERE original = 'No geral' and lang = 'en' 249 | 0.0001 | enabled | not cached | 967 | SELECT translated, source FROM wp_translations WHERE original = 'cânceres de boca e garganta podem apresentar os seguintes sintomas' and lang = 'en' 250 | 0.0001 | enabled | not cached | 912 | SELECT translated, source FROM wp_translations WHERE original = 'dor constante' and lang = 'en' 251 | 0.0001 | enabled | not cached | 906 | SELECT translated, source FROM wp_translations WHERE original = 'nódulo' and lang = 'en' 252 | 0.0001 | enabled | not cached | 925 | SELECT translated, source FROM wp_translations WHERE original = 'dificuldade para mastigar' and lang = 'en' 253 | 0.0001 | enabled | not cached | 909 | SELECT translated, source FROM wp_translations WHERE original = 'rouquidão' and lang = 'en' 254 | 0.0001 | enabled | not cached | 940 | SELECT translated, source FROM wp_translations WHERE original = 'dor na língua e mau hálito persistente' and lang = 'en' 255 | 0.0002 | enabled | not cached | 934 | SELECT translated, source FROM wp_translations WHERE original = 'Quanto mais precoce o diagnóstico' and lang = 'en' 256 | 0.0002 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'melhor' and lang = 'en' 257 | 0.0002 | enabled | not cached | 983 | SELECT translated, source FROM wp_translations WHERE original = 'pois o tratamento não é tão agressivo e as chances de recuperação são maiores' and lang = 'en' 258 | 0.0001 | enabled | not cached | 928 | SELECT translated, source FROM wp_translations WHERE original = 'Uma lesão que durar mais de' and lang = 'en' 259 | 0.0001 | enabled | not cached | 931 | SELECT translated, source FROM wp_translations WHERE original = 'dias é porque tem algo errado.' and lang = 'en' 260 | 0.0001 | enabled | not cached | 995 | SELECT translated, source FROM wp_translations WHERE original = 'Os tumores ligados ao HPV tem uma taxa de cura maior do que os associados a tabaco e ao álcool' and lang = 'en' 261 | 0.0001 | enabled | not cached | 935 | SELECT translated, source FROM wp_translations WHERE original = 'Eles respondem melhor ao tratamento' and lang = 'en' 262 | 0.0002 | enabled | not cached | 918 | SELECT translated, source FROM wp_translations WHERE original = 'tanto com cirurgia' and lang = 'en' 263 | 0.0001 | enabled | not cached | 941 | SELECT translated, source FROM wp_translations WHERE original = 'que geralmente é seguido de radioterapia' and lang = 'en' 264 | 0.0002 | enabled | not cached | 955 | SELECT translated, source FROM wp_translations WHERE original = 'quanto na associação de radioterapia e quimioterapia.' and lang = 'en' 265 | 0.0001 | enabled | not cached | 946 | SELECT translated, source FROM wp_translations WHERE original = 'A vacinação é a melhor forma de se prevenir' and lang = 'en' 266 | 0.0001 | enabled | not cached | 1011 | SELECT translated, source FROM wp_translations WHERE original = 'Ela dá imunização fazendo as três doses e é fundamental que se inicie uma campanha para vacinar todo mundo' and lang = 'en' 267 | 0.0003 | enabled | not cached | 965 | SELECT translated, source FROM wp_translations WHERE original = 'principalmente meninos e meninas antes de iniciarem a vida sexual' and lang = 'en' 268 | 0.0001 | enabled | not cached | 966 | SELECT translated, source FROM wp_translations WHERE original = 'Nós precisamos começar a trabalhar agora para ter efeito daqui a' and lang = 'en' 269 | 0.0001 | enabled | not cached | 972 | SELECT translated, source FROM wp_translations WHERE original = 'ou' and lang = 'en' 270 | 0.0001 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'anos' and lang = 'en' 271 | 0.0002 | enabled | not cached | 920 | SELECT translated, source FROM wp_translations WHERE original = 'coloca o oncologista' and lang = 'en' 272 | 0.0002 | enabled | not cached | 933 | SELECT translated, source FROM wp_translations WHERE original = 'Outras formas de prevenção são' and lang = 'en' 273 | 0.0001 | enabled | not cached | 910 | SELECT translated, source FROM wp_translations WHERE original = 'sexo seguro' and lang = 'en' 274 | 0.0001 | enabled | not cached | 915 | SELECT translated, source FROM wp_translations WHERE original = 'se alimentar bem' and lang = 'en' 275 | 0.0001 | enabled | not cached | 909 | SELECT translated, source FROM wp_translations WHERE original = 'não fumar' and lang = 'en' 276 | 0.0001 | enabled | not cached | 909 | SELECT translated, source FROM wp_translations WHERE original = 'não beber' and lang = 'en' 277 | 0.0001 | enabled | not cached | 938 | SELECT translated, source FROM wp_translations WHERE original = 'boa higiene oral e evitar traumatismos' and lang = 'en' 278 | 0.0001 | enabled | not cached | 1023 | SELECT translated, source FROM wp_translations WHERE original = 'Um terço dos casos de câncer poderiam ser evitados se houvesse alimentação adequada e a prática de atividades físicas' and lang = 'en' 279 | 0.0005 | enabled | not cached | 945 | SELECT translated, source FROM wp_translations WHERE original = 'explica o nutricionista Fábio Gomes da Silva' and lang = 'en' 280 | 0.0002 | enabled | not cached | 936 | SELECT translated, source FROM wp_translations WHERE original = 'da Unidade Técnica de Alimentação' and lang = 'en' 281 | 0.0001 | enabled | not cached | 953 | SELECT translated, source FROM wp_translations WHERE original = 'Nutrição e Câncer do Instituto Nacional do Câncer' and lang = 'en' 282 | 0.0001 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'Inca' and lang = 'en' 283 | 0 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'Inca' and lang = 'en' 284 | 0.0001 | enabled | not cached | 917 | SELECT translated, source FROM wp_translations WHERE original = 'Verduras e frutas' and lang = 'en' 285 | 0.0002 | enabled | not cached | 926 | SELECT translated, source FROM wp_translations WHERE original = 'especialmente as cítricas' and lang = 'en' 286 | 0.0001 | enabled | not cached | 914 | SELECT translated, source FROM wp_translations WHERE original = 'são protetoras' and lang = 'en' 287 | 0.0001 | enabled | not cached | 930 | SELECT translated, source FROM wp_translations WHERE original = 'A alimentação corresponde de' and lang = 'en' 288 | 0.0001 | enabled | cached | 970 | SELECT translated, source FROM wp_translations WHERE original = 'a' and lang = 'en' 289 | 0.0001 | enabled | not cached | 914 | SELECT translated, source FROM wp_translations WHERE original = 'na prevenção.' and lang = 'en' 290 | 0.0001 | enabled | not cached | 963 | SELECT translated, source FROM wp_translations WHERE original = 'Fazer o autoexame da boca com frequência também é importante' and lang = 'en' 291 | 0.0002 | enabled | not cached | 928 | SELECT translated, source FROM wp_translations WHERE original = 'Analise a mucosa na bochecha' and lang = 'en' 292 | 0.0001 | enabled | not cached | 917 | SELECT translated, source FROM wp_translations WHERE original = 'abaixo da língua' and lang = 'en' 293 | 0.0001 | enabled | not cached | 904 | SELECT translated, source FROM wp_translations WHERE original = 'acima' and lang = 'en' 294 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'e observe se há manchas avermelhadas e esbranquiçadas e/ou pequenos nódulos' and lang = 'en' 295 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'Fonte' and lang = 'en' 296 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'Exame.com' and lang = 'en' 297 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'Leia mais' and lang = 'en' 298 | 0.0001 | enabled | not cached | 1087 | SELECT translated, source FROM wp_translations WHERE original = 'Vocalista do Iron Maiden diz que HPV causou câncer na língua' and lang = 'en' 299 | 0.0001 | enabled | not cached | 913 | SELECT translated, source FROM wp_translations WHERE original = 'País registra' and lang = 'en' 300 | 0.0002 | enabled | not cached | 931 | SELECT translated, source FROM wp_translations WHERE original = 'casos suspeitos de microcefalia' and lang = 'en' 301 | 0.0002 | enabled | not cached | 971 | SELECT translated, source FROM wp_translations WHERE original = 'Presidente Dilma sanciona lei que restringe acesso ao seguro-desemprego' and lang = 'en' 302 | 0.0002 | enabled | not cached | 909 | SELECT translated, source FROM wp_translations WHERE original = 'Brasil cai' and lang = 'en' 303 | 0.0001 | enabled | not cached | 948 | SELECT translated, source FROM wp_translations WHERE original = 'lugares em ranking sobre facilidade de negócios' and lang = 'en' 304 | 0.0001 | enabled | not cached | 1092 | SELECT translated, source FROM wp_translations WHERE original = 'Se você é a favor de uma imprensa totalmente livre e imparcial' and lang = 'en' 305 | 0.0001 | enabled | not cached | 1039 | SELECT translated, source FROM wp_translations WHERE original = 'colabore curtindo a nossa página no' and lang = 'en' 306 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'Facebook' and lang = 'en' 307 | 0.0001 | enabled | not cached | 1022 | SELECT translated, source FROM wp_translations WHERE original = 'e visitando com frequência o' and lang = 'en' 308 | 0.0001 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 309 | 0.0001 | enabled | not cached | 992 | SELECT translated, source FROM wp_translations WHERE original = 'Página inicial' and lang = 'en' 310 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Doença' and lang = 'en' 311 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'HPV' and lang = 'en' 312 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'Jovens' and lang = 'en' 313 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM Post' and lang = 'en' 314 | 0.0001 | enabled | not cached | 999 | SELECT translated, source FROM wp_translations WHERE original = 'Ultimas notícias' and lang = 'en' 315 | 0.0001 | enabled | cached | 1064 | SELECT translated, source FROM wp_translations WHERE original = 'Ministro da Fazenda diz que economia saiu da UTI' and lang = 'en' 316 | 0 | enabled | cached | 1030 | SELECT translated, source FROM wp_translations WHERE original = 'mas ainda está em recuperação' and lang = 'en' 317 | 0.0001 | enabled | not cached | 1201 | SELECT translated, source FROM wp_translations WHERE original = 'Meirelles disse que um dos “remédios” que ajudarão na recuperação da economia é a reforma da Previdência' and lang = 'en' 318 | 0.0001 | enabled | not cached | 1069 | SELECT translated, source FROM wp_translations WHERE original = 'cuja proposta deve ser apresentada hoje por Temer' and lang = 'en' 319 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'h03' and lang = 'en' 320 | 0.0001 | enabled | cached | 1082 | SELECT translated, source FROM wp_translations WHERE original = 'Rede de Controle realiza encontro com a sociedade no TCE-AM' and lang = 'en' 321 | 0 | enabled | cached | 994 | SELECT translated, source FROM wp_translations WHERE original = 'nesta quarta' and lang = 'en' 322 | 0.0001 | enabled | not cached | 1202 | SELECT translated, source FROM wp_translations WHERE original = 'A Rede é composta por diversos órgãos e tem o objetivo de apresentar à sociedade os mecanismos e ferramentas de controle' and lang = 'en' 323 | 0.0001 | enabled | not cached | 1060 | SELECT translated, source FROM wp_translations WHERE original = 'como a correta aplicação do dinheiro público' and lang = 'en' 324 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'h49' and lang = 'en' 325 | 0.0001 | enabled | cached | 1097 | SELECT translated, source FROM wp_translations WHERE original = 'Receita deve liberar esta semana consulta ao último lote do IR' and lang = 'en' 326 | 0.0001 | enabled | not cached | 1207 | SELECT translated, source FROM wp_translations WHERE original = 'Os contribuintes que não forem relacionados no último lote terão que aguardar a liberação de lotes residuais no próximo ano' and lang = 'en' 327 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'h57' and lang = 'en' 328 | 0.0001 | enabled | cached | 981 | SELECT translated, source FROM wp_translations WHERE original = 'Jovem de' and lang = 'en' 329 | 0 | enabled | cached | 1007 | SELECT translated, source FROM wp_translations WHERE original = 'anos é o primeiro' and lang = 'en' 330 | 0 | enabled | cached | 1010 | SELECT translated, source FROM wp_translations WHERE original = 'sem os dois braços' and lang = 'en' 331 | 0 | enabled | cached | 1047 | SELECT translated, source FROM wp_translations WHERE original = 'a adquirir CNH Especial no Norte do país' and lang = 'en' 332 | 0.0001 | enabled | not cached | 1005 | SELECT translated, source FROM wp_translations WHERE original = 'No último sábado' and lang = 'en' 333 | 0.0001 | enabled | not cached | 1116 | SELECT translated, source FROM wp_translations WHERE original = 'Leonardo passou pelo teste de direção e mostrou muita habilidade nos pés' and lang = 'en' 334 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'h44' and lang = 'en' 335 | 0.0001 | enabled | cached | 1082 | SELECT translated, source FROM wp_translations WHERE original = 'Justiça determina novo afastamento do prefeito de Beruri' and lang = 'en' 336 | 0.0001 | enabled | not cached | 1113 | SELECT translated, source FROM wp_translations WHERE original = 'Odemilson Lima Magalhães é réu em ação de improbidade administrativa' and lang = 'en' 337 | 0.0001 | enabled | not cached | 995 | SELECT translated, source FROM wp_translations WHERE original = 'movida pelo MP' and lang = 'en' 338 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'h26' and lang = 'en' 339 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'editorias' and lang = 'en' 340 | 0.0001 | enabled | cached | 1004 | SELECT translated, source FROM wp_translations WHERE original = 'Fatos e Versões' and lang = 'en' 341 | 0 | enabled | cached | 981 | SELECT translated, source FROM wp_translations WHERE original = 'Cidades' and lang = 'en' 342 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Amazonas' and lang = 'en' 343 | 0 | enabled | cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'Brasil' and lang = 'en' 344 | 0 | enabled | cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'Mundo' and lang = 'en' 345 | 0.0001 | enabled | cached | 983 | SELECT translated, source FROM wp_translations WHERE original = 'Política' and lang = 'en' 346 | 0 | enabled | cached | 981 | SELECT translated, source FROM wp_translations WHERE original = 'Famosos' and lang = 'en' 347 | 0 | enabled | cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'Policial' and lang = 'en' 348 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Esportes' and lang = 'en' 349 | 0 | enabled | cached | 990 | SELECT translated, source FROM wp_translations WHERE original = 'Tecnologia' and lang = 'en' 350 | 0 | enabled | cached | 983 | SELECT translated, source FROM wp_translations WHERE original = 'Economia' and lang = 'en' 351 | 0 | enabled | cached | 991 | SELECT translated, source FROM wp_translations WHERE original = 'Concursos' and lang = 'en' 352 | 0 | enabled | cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'Saúde' and lang = 'en' 353 | 0 | enabled | cached | 987 | SELECT translated, source FROM wp_translations WHERE original = 'Educação' and lang = 'en' 354 | 0 | enabled | cached | 991 | SELECT translated, source FROM wp_translations WHERE original = 'Gastronomia' and lang = 'en' 355 | 0 | enabled | cached | 1000 | SELECT translated, source FROM wp_translations WHERE original = 'Espaço Cultural' and lang = 'en' 356 | 0 | enabled | cached | 993 | SELECT translated, source FROM wp_translations WHERE original = 'Curiosidades' and lang = 'en' 357 | 0 | enabled | cached | 990 | SELECT translated, source FROM wp_translations WHERE original = 'Abre Aspas' and lang = 'en' 358 | 0 | enabled | cached | 994 | SELECT translated, source FROM wp_translations WHERE original = 'Desaparecidos' and lang = 'en' 359 | 0 | enabled | cached | 981 | SELECT translated, source FROM wp_translations WHERE original = 'Vídeos' and lang = 'en' 360 | 0.0001 | enabled | not cached | 987 | SELECT translated, source FROM wp_translations WHERE original = 'utilidades' and lang = 'en' 361 | 0.0001 | enabled | not cached | 1012 | SELECT translated, source FROM wp_translations WHERE original = 'Governo do Amazonas' and lang = 'en' 362 | 0.0001 | enabled | not cached | 1017 | SELECT translated, source FROM wp_translations WHERE original = 'Prefeitura Municipal de Manaus' and lang = 'en' 363 | 0.0001 | enabled | not cached | 1014 | SELECT translated, source FROM wp_translations WHERE original = 'Assembléia Legislativa do AM' and lang = 'en' 364 | 0.0001 | enabled | not cached | 974 | SELECT translated, source FROM wp_translations WHERE original = 'CMM' and lang = 'en' 365 | 0.0001 | enabled | not cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Detran' and lang = 'en' 366 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'Sinetram' and lang = 'en' 367 | 0.0001 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'contato' and lang = 'en' 368 | 0.0001 | enabled | cached | 1003 | SELECT translated, source FROM wp_translations WHERE original = 'Redação AM POST' and lang = 'en' 369 | 0 | enabled | cached | 1013 | SELECT translated, source FROM wp_translations WHERE original = 'redacao@ampost.com.br' and lang = 'en' 370 | 0.0001 | enabled | not cached | 1007 | SELECT translated, source FROM wp_translations WHERE original = 'facebook/ampostbr' and lang = 'en' 371 | 0.0001 | enabled | cached | 989 | SELECT translated, source FROM wp_translations WHERE original = 'Comercial' and lang = 'en' 372 | 0 | enabled | cached | 1013 | SELECT translated, source FROM wp_translations WHERE original = 'contato@ampost.com.br' and lang = 'en' 373 | 0 | enabled | cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'Links' and lang = 'en' 374 | 0 | enabled | cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'Anuncie' and lang = 'en' 375 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Contato' and lang = 'en' 376 | 0 | enabled | cached | 995 | SELECT translated, source FROM wp_translations WHERE original = 'Termos de uso' and lang = 'en' 377 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Contato' and lang = 'en' 378 | 0 | enabled | cached | 995 | SELECT translated, source FROM wp_translations WHERE original = 'Termos de uso' and lang = 'en' 379 | 0.0001 | enabled | not cached | 972 | SELECT translated, source FROM wp_translations WHERE original = 'Wp' and lang = 'en' 380 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'Copyright' and lang = 'en' 381 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 382 | 0.0001 | enabled | not cached | 1009 | SELECT translated, source FROM wp_translations WHERE original = 'All rights reserved' and lang = 'en' 383 | 0.0001 | enabled | not cached | 902 | SELECT translated, source FROM wp_translations WHERE original = 'RSS' and lang = 'en' 384 | 0.0001 | enabled | not cached | 903 | SELECT translated, source FROM wp_translations WHERE original = 'Atom' and lang = 'en' 385 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 386 | 0.0001 | enabled | not cached | 903 | SELECT translated, source FROM wp_translations WHERE original = 'Feed' and lang = 'en' 387 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 388 | 0.0001 | enabled | not cached | 912 | SELECT translated, source FROM wp_translations WHERE original = 'Comments Feed' and lang = 'en' 389 | 0.0001 | enabled | not cached | 902 | SELECT translated, source FROM wp_translations WHERE original = 'RSD' and lang = 'en' 390 | 0.0001 | enabled | cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'Facebook' and lang = 'en' 391 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'Twitter' and lang = 'en' 392 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'Instagram' and lang = 'en' 393 | 0.0001 | enabled | cached | 1087 | SELECT translated, source FROM wp_translations WHERE original = 'Vocalista do Iron Maiden diz que HPV causou câncer na língua' and lang = 'en' 394 | 0.0001 | enabled | cached | 913 | SELECT translated, source FROM wp_translations WHERE original = 'País registra' and lang = 'en' 395 | 0 | enabled | cached | 931 | SELECT translated, source FROM wp_translations WHERE original = 'casos suspeitos de microcefalia' and lang = 'en' 396 | 0 | enabled | cached | 971 | SELECT translated, source FROM wp_translations WHERE original = 'Presidente Dilma sanciona lei que restringe acesso ao seguro-desemprego' and lang = 'en' 397 | 0 | enabled | cached | 909 | SELECT translated, source FROM wp_translations WHERE original = 'Brasil cai' and lang = 'en' 398 | 0 | enabled | cached | 948 | SELECT translated, source FROM wp_translations WHERE original = 'lugares em ranking sobre facilidade de negócios' and lang = 'en' 399 | 0.0001 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Foto' and lang = 'en' 400 | 0 | enabled | cached | 1000 | SELECT translated, source FROM wp_translations WHERE original = 'Marcelo Camargo' and lang = 'en' 401 | 0 | enabled | cached | 998 | SELECT translated, source FROM wp_translations WHERE original = 'Agência Brasil' and lang = 'en' 402 | 0 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Foto' and lang = 'en' 403 | 0.0002 | enabled | not cached | 1000 | SELECT translated, source FROM wp_translations WHERE original = 'altosagitos.com' and lang = 'en' 404 | 0 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Foto' and lang = 'en' 405 | 0.0001 | enabled | not cached | 919 | SELECT translated, source FROM wp_translations WHERE original = 'James Gathany/PHILL' and lang = 'en' 406 | 0.0001 | enabled | not cached | 907 | SELECT translated, source FROM wp_translations WHERE original = 'CDC/VEJA' and lang = 'en' 407 | 0.0001 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Foto' and lang = 'en' 408 | 0.0001 | enabled | not cached | 994 | SELECT translated, source FROM wp_translations WHERE original = 'Reprodução' and lang = 'en' 409 | 0 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'Foto' and lang = 'en' 410 | 0 | enabled | cached | 994 | SELECT translated, source FROM wp_translations WHERE original = 'Reprodução' and lang = 'en' 411 | 0.0001 | enabled | not cached | 1031 | SELECT translated, source FROM wp_translations WHERE original = 'f9e30ce7abfc8bb8d2a0452920e3e1' and lang = 'en' 412 | 0 | enabled | cached | 1003 | SELECT translated, source FROM wp_translations WHERE original = 'Redação AM POST' and lang = 'en' 413 | 0.0001 | enabled | not cached | 1017 | SELECT translated, source FROM wp_translations WHERE original = 'webmaster@ampost.com.br' and lang = 'en' 414 | 0.0001 | enabled | not cached | 1093 | SELECT translated, source FROM wp_translations WHERE original = 'O AM POST é o maior portal de notícias do estado do Amazonas' and lang = 'en' 415 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'esporte' and lang = 'en' 416 | 0.0001 | enabled | not cached | 987 | SELECT translated, source FROM wp_translations WHERE original = 'jornais' and lang = 'en' 417 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'revistas' and lang = 'en' 418 | 0.0001 | enabled | not cached | 985 | SELECT translated, source FROM wp_translations WHERE original = 'biblioteca' and lang = 'en' 419 | 0.0001 | enabled | not cached | 993 | SELECT translated, source FROM wp_translations WHERE original = 'classificados' and lang = 'en' 420 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'compras' and lang = 'en' 421 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'computador' and lang = 'en' 422 | 0.0001 | enabled | not cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'corpo' and lang = 'en' 423 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'saúde' and lang = 'en' 424 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'moda' and lang = 'en' 425 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'carros' and lang = 'en' 426 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'cinema' and lang = 'en' 427 | 0.0001 | enabled | not cached | 985 | SELECT translated, source FROM wp_translations WHERE original = 'crianças' and lang = 'en' 428 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'diversão' and lang = 'en' 429 | 0.0001 | enabled | not cached | 975 | SELECT translated, source FROM wp_translations WHERE original = 'arte' and lang = 'en' 430 | 0.0001 | enabled | not cached | 983 | SELECT translated, source FROM wp_translations WHERE original = 'economia' and lang = 'en' 431 | 0.0001 | enabled | not cached | 987 | SELECT translated, source FROM wp_translations WHERE original = 'educação' and lang = 'en' 432 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'internet' and lang = 'en' 433 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'jogos' and lang = 'en' 434 | 0.0001 | enabled | not cached | 988 | SELECT translated, source FROM wp_translations WHERE original = 'novelas' and lang = 'en' 435 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'rádio' and lang = 'en' 436 | 0.0001 | enabled | not cached | 972 | SELECT translated, source FROM wp_translations WHERE original = 'tv' and lang = 'en' 437 | 0.0001 | enabled | not cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'tempo' and lang = 'en' 438 | 0.0001 | enabled | not cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'mapas' and lang = 'en' 439 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'trânsito' and lang = 'en' 440 | 0.0001 | enabled | not cached | 1000 | SELECT translated, source FROM wp_translations WHERE original = 'últimas notícias' and lang = 'en' 441 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'viagem' and lang = 'en' 442 | 0.0001 | enabled | not cached | 990 | SELECT translated, source FROM wp_translations WHERE original = 'jornalismo' and lang = 'en' 443 | 0.0001 | enabled | not cached | 993 | SELECT translated, source FROM wp_translations WHERE original = 'informação' and lang = 'en' 444 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'notícia' and lang = 'en' 445 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'cultura' and lang = 'en' 446 | 0.0001 | enabled | not cached | 997 | SELECT translated, source FROM wp_translations WHERE original = 'entretenimento' and lang = 'en' 447 | 0.0001 | enabled | not cached | 985 | SELECT translated, source FROM wp_translations WHERE original = 'lazer' and lang = 'en' 448 | 0.0001 | enabled | not cached | 983 | SELECT translated, source FROM wp_translations WHERE original = 'opinião' and lang = 'en' 449 | 0.0001 | enabled | not cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'análise' and lang = 'en' 450 | 0.0001 | enabled | cached | 984 | SELECT translated, source FROM wp_translations WHERE original = 'internet' and lang = 'en' 451 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'televisão' and lang = 'en' 452 | 0.0001 | enabled | not cached | 991 | SELECT translated, source FROM wp_translations WHERE original = 'fotografia' and lang = 'en' 453 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'imagem' and lang = 'en' 454 | 0.0001 | enabled | not cached | 973 | SELECT translated, source FROM wp_translations WHERE original = 'som' and lang = 'en' 455 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'áudio' and lang = 'en' 456 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'vídeo' and lang = 'en' 457 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'fotos' and lang = 'en' 458 | 0.0001 | enabled | not cached | 990 | SELECT translated, source FROM wp_translations WHERE original = 'tecnologia' and lang = 'en' 459 | 0.0001 | enabled | not cached | 990 | SELECT translated, source FROM wp_translations WHERE original = 'vestibular' and lang = 'en' 460 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'empregos' and lang = 'en' 461 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'humor' and lang = 'en' 462 | 0.0001 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'música' and lang = 'en' 463 | 0.0001 | enabled | not cached | 978 | SELECT translated, source FROM wp_translations WHERE original = 'pt-br' and lang = 'en' 464 | 0.0001 | enabled | not cached | 986 | SELECT translated, source FROM wp_translations WHERE original = 'text/html' and lang = 'en' 465 | 0.0001 | enabled | not cached | 996 | SELECT translated, source FROM wp_translations WHERE original = 'charset=UTF-8' and lang = 'en' 466 | 0 | enabled | cached | 960 | SELECT translated, source FROM wp_translations WHERE original = 'HPV aumenta casos de câncer de boca e garganta entre jovens' and lang = 'en' 467 | 0.0001 | enabled | not cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'http' and lang = 'en' 468 | 0.0001 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'ampost.com.br/2015/07/hpv-aumenta-casos-de-cancer-de-boca-e-garganta-entre-jovens/' and lang = 'en' 469 | 0.0001 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'http' and lang = 'en' 470 | 0.0001 | enabled | not cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'ampost.com.br/wp-content/uploads/2015/07/size_810_16_9_vacina-hpv-1-Copy.jpg' and lang = 'en' 471 | 0.0001 | enabled | not cached | 906 | SELECT translated, source FROM wp_translations WHERE original = 'article' and lang = 'en' 472 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 473 | 0.0001 | enabled | not cached | 919 | SELECT translated, source FROM wp_translations WHERE original = 'summary_large_image' and lang = 'en' 474 | 0 | enabled | cached | 960 | SELECT translated, source FROM wp_translations WHERE original = 'HPV aumenta casos de câncer de boca e garganta entre jovens' and lang = 'en' 475 | 0 | enabled | cached | 1014 | SELECT translated, source FROM wp_translations WHERE original = 'Se há vinte anos os registros de câncer de boca e garganta eram quase que exclusivamente entre pessoas acima dos' and lang = 'en' 476 | 0 | enabled | cached | 977 | SELECT translated, source FROM wp_translations WHERE original = 'anos' and lang = 'en' 477 | 0 | enabled | cached | 987 | SELECT translated, source FROM wp_translations WHERE original = 'Atualmente' and lang = 'en' 478 | 0 | enabled | cached | 942 | SELECT translated, source FROM wp_translations WHERE original = 'um dado chama a atenção dos oncologistas' and lang = 'en' 479 | 0.0001 | enabled | not cached | 919 | SELECT translated, source FROM wp_translations WHERE original = 'cada vez mais jov..' and lang = 'en' 480 | 0 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'http' and lang = 'en' 481 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'ampost.com.br/2015/07/hpv-aumenta-casos-de-cancer-de-boca-e-garganta-entre-jovens/' and lang = 'en' 482 | 0 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'http' and lang = 'en' 483 | 0 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'ampost.com.br/wp-content/uploads/2015/07/size_810_16_9_vacina-hpv-1-Copy.jpg' and lang = 'en' 484 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 485 | 0.0002 | enabled | not cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'doença' and lang = 'en' 486 | 0.0001 | enabled | not cached | 902 | SELECT translated, source FROM wp_translations WHERE original = 'hpv' and lang = 'en' 487 | 0.0002 | enabled | not cached | 979 | SELECT translated, source FROM wp_translations WHERE original = 'jovens' and lang = 'en' 488 | 0.0001 | enabled | not cached | 980 | SELECT translated, source FROM wp_translations WHERE original = 'brasil' and lang = 'en' 489 | 0.0001 | enabled | not cached | 908 | SELECT translated, source FROM wp_translations WHERE original = 'dontuseme' and lang = 'en' 490 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 'AM POST' and lang = 'en' 491 | 0.0001 | enabled | not cached | 904 | SELECT translated, source FROM wp_translations WHERE original = 'en-US' and lang = 'en' 492 | 0 | enabled | cached | 976 | SELECT translated, source FROM wp_translations WHERE original = 'http' and lang = 'en' 493 | 0 | enabled | cached | 982 | SELECT translated, source FROM wp_translations WHERE original = 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