Search Results (183)

Background: Genital tract infections and dysbiosis-related conditions contribute substantially to women’s sexual and reproductive morbidity. In South America, evidence on clinically relevant genital microorganisms remains fragmented across countries, populations, and diagnostic approaches. This systematic review and meta-analysis synthesized the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Gardnerella vaginalis, and Candida spp. among women in South America. Methods: We searched PubMed/MEDLINE, Web of Science, Cochrane Library, and SciELO for studies published from 1 January 2014 to 29 February 2024. Eligible studies reported prevalence data for at least one target microorganism in female populations from South American countries. Two reviewers independently screened studies, extracted data, and assessed methodological quality using Joanna Briggs Institute criteria for prevalence studies. Crude prevalence and random-effects pooled prevalence estimates with 95% confidence intervals were calculated. The review protocol was registered in PROSPERO (CRD420261324060). Results: Of 629 records identified, 51 studies from eight South American countries and French Guiana met the eligibility criteria for the systematic review, and 46 contributed to the main pooled prevalence meta-analysis. Substantial between-study heterogeneity was observed across all pathogen-specific analyses. Pooled prevalence was highest for G. vaginalis (28%), followed by Candida spp. (12%), C. trachomatis (7%), T. vaginalis (6%), and N. gonorrhoeae (3.2%). Conclusions: This review highlights the heterogeneous burden of clinically relevant genital microorganisms among women in South America and supports standardized diagnostic approaches, clearer phenotypic definitions, and stronger surveillance across underrepresented regional settings. Full article

Background/Objectives: Strongyloides stercoralis may persist through autoinfection and is clinically important before corticosteroid exposure, but its relationship with airway obstruction in children with sickle cell disease (SCD) is uncertain. We examined whether routine-detected S. stercoralis infection was associated with spirometry-defined airway obstruction in children with SCD in French Guiana. Methods: This multicentre cross-sectional secondary analysis used an availability-based sample from a routine respiratory screening database. Eligible children aged 5–17 years had SCD, spirometry, and stool parasitology documented during routine care. The primary outcome was FEV1/FVC < 80%. Logistic regression adjusted for age, sex, genotype, hydroxyurea treatment, previous acute chest syndrome, and atopy. Results: Stool parasitology was available for 160 children; 26 (16.2%) had S. stercoralis detected. Among 138 children with complete spirometry and covariate data, 45 (32.6%) had obstruction. S. stercoralis was not associated with obstruction in univariable analysis (OR 0.75, 95% CI 0.30–1.91) or after adjustment (adjusted OR 1.02, 95% CI 0.37–2.86; p = 0.964). Male sex was independently associated with obstruction (adjusted OR 2.32, 95% CI 1.11–4.83). Conclusions: Routine-detected S. stercoralis infection was not an independent correlate of airway obstruction. The wide confidence interval, limited exposure ascertainment, and small infected subgroup mean that clinically important protective or harmful associations cannot be excluded. Full article

Background: Asthma is an important respiratory comorbidity in children with sickle cell disease (SCD), but respiratory symptoms overlap with SCD-related pulmonary manifestations. Methods: We analyzed prospectively recorded routine-care data from 140 children aged 5–17 years who were offered a standardized respiratory assessment during clinically stable follow-up. During revision, we applied a post hoc operational spirometric comparator: reversible airflow obstruction required FEV₁/FVC < 80% plus an FEV₁ increase ≥12% after salbutamol. Participants with normal spirometry formed the negative comparator; incomplete or intermediate objective patterns remained unclassified. Results: Reversible obstruction was identified in 43 children, normal spirometry in 25, and 72 remained unclassified. Previous clinical suspicion was present in 10/43 (23.3%), 3/25 (12.0%), and 22/72 (30.6%), respectively. In the deliberately contrastive classified-only analysis (n = 68), sensitivity was 23.3% (95% CI 11.8–38.6), specificity 88.0% (68.8–97.5), LR+ 1.94 (0.59–6.39), LR− 0.87 (0.70–1.09), and κ = 0.090 (95% CI −0.059 to 0.239). The likelihood-ratio intervals were wide and included 1.0, indicating substantial imprecision rather than proof of no discrimination. Conclusions: Prior clinical suspicion showed low sensitivity and slight agreement with spirometry-defined reversible obstruction. Interpretation is limited by the post hoc two-gate comparison and by the large, non-randomly distributed unclassified group. Full article

Mustelids are a very diverse carnivoran group, boasting the largest number of carnivoran species today, with the most extreme ecological adaptations. Nevertheless, Neotropical Lyncodontini, one Neotropical mustelid subfamily, is one of the least studied from a genetic and evolutionary perspective. The use of small fragments of three mitochondrial (mt) markers (NADH5, 12S rRNA, and D-loop) proved to be very useful for recovering relevant information on the evolutionary history of Neotropical Lyncodontini species of the genera Galictis and Lyncodon. This study used the largest population sample analyzed to date for G. vittata (13 specimens from Guatemala, Colombia, Ecuador, Peru, Bolivia, and French Guiana) and reports for the first time sequences for three mt markers for L. patagonicus other than the mtCyt-b gene. The main results obtained were the following. (1) The haplotype and nucleotide diversity of G. vittata was lower than these statistics measured in other studies of G. cuja in southern and southeastern Brazil. (2) There was evidence from two analyses of a possible population expansion of the female lineages of G. vittata, which began between 635,000 and 370,000 years ago (ya) (mismatch distribution), whereas another procedure (BSP) detected population growth from 500,000 to 80,000 ya, with a population decrease around 40,000 ya. (3) Three genetically distinct groups were detected within G. vittata. One group was in Central America and northern Colombia, another in French Guiana, and the third in the rest of South America. (4) The origin of Neotropical Lyncodontini was older than in other studies (late Miocene, early Pliocene). (6) Some of the analyses detected a closer relationship between L. patagonicus and G. cuja than the latter with G. vittata. This could show that Galictis might be a paraphyletic genus. (7) Many analyses detected that the L. patagonicus haplotypes were the first to originate in situ in South America before the definitive closure of the isthmus of Panama, followed by those of G. cuja, with G. vittata showing the most recent haplotypes. This could indicate that the origin of the current Neotropical Lyncodontini occurred in the south of South America and that colonization occurred towards the north. Full article

Background: Intestinal parasitic infections are common in tropical settings and may influence immune regulation, allergic responses, and respiratory health. In children with sickle cell disease (SCD), respiratory morbidity is multifactorial, and the contribution of intestinal parasites remains uncertain. This study assessed whether documented intestinal parasitic infections, particularly helminth infections, were associated with asthma-like respiratory phenotypes and clinical morbidity in children with SCD in French Guiana. Methods: We conducted a multicenter cross-sectional analysis of children and adolescents younger than 18 years with confirmed SCD who were being followed by the pediatric SCD centers of Saint-Laurent-du-Maroni, Cayenne, and Kourou between January 2022 and December 2025. Clinical, respiratory, and parasitological data were extracted from routine-care medical records. Intestinal parasitic infection was defined as at least one documented stool parasitology result identifying Strongyloides stercoralis, hookworm, or Entamoeba histolytica, according to the variables consistently available in the database. Respiratory outcomes included physician-diagnosed asthma, bronchial obstruction, bronchodilator reversibility, and an asthma-like respiratory phenotype. Results: Among 233 included children, 105 (45.1%) had at least one documented intestinal parasitic infection and 82 (35.2%) had a helminth infection. Hookworm was the most common parasite (75/233, 32.2%), followed by Entamoeba histolytica (33/233, 14.2%) and Strongyloides stercoralis (24/233, 10.3%). An asthma-like respiratory phenotype was observed in 32/105 infected children (30.5%) versus 44/128 non-infected children (34.4%). Bronchial obstruction and bronchodilator reversibility were also similar between groups. After adjustment for age, sex, genotype, hydroxyurea treatment, rural residence, site of follow-up, and environmental tobacco smoke exposure, intestinal parasitic infection was not associated with asthma-like respiratory phenotype (adjusted OR: 0.94, 95% CI: 0.51–1.72; p = 0.844), recurrent hospitalization, or history of acute chest syndrome. Conclusions: In this routine-care multicenter pediatric SCD cohort from French Guiana, intestinal parasitic infections were common but were not associated with respiratory phenotype or selected morbidity outcomes. Because testing and respiratory assessment were not systematic, these findings should be interpreted as showing that routine parasitological status alone could not identify children with respiratory morbidity. Prospective studies with standardized repeated parasitological, immunological, environmental, and respiratory assessments are needed. Full article

This paper explores the culinary and cultural significance of cooked leafy vegetables among Afro-descendant communities in French Guiana and Suriname, including French Guianese and Surinamese Creoles, Maroons, and Haitian migrants. While leafy greens play a major dietary role across sub-Saharan Africa, their consumption in the Americas remains understudied. This ethnobotanical study of edible leafy plants is based on surveys of local markets, gardens and residents. Drawing on 26 informal interviews conducted in four local languages (French, French Guianese Creole, Haitian Creole, and Nengee Tongo), we describe 36 species of edible leaves from 20 plant families consumed in the region. Our findings show that although the practice of eating leafy greens is widely shared, the species selected, their names, and their perceived properties vary noticeably across cultural groups. Some plants are eaten exclusively by Maroons (e.g., Cestrum latifolium, Capsicum spp.), others by Haitians (e.g., Corchorus olitorius, Rivina humilis), and some have fallen into disuse among younger generations. These differences are shaped by ecological availability, cultural memory, food-medicine beliefs, and interethnic influences. We suggest that the term callaloo (referring to both dishes and leafy vegetables), which circulates in multiple linguistic and culinary forms throughout the African diaspora, can serve as a metaphor for the interculturalization of foodways. More than ingredients, these leafy vegetables act as dynamic cultural markers—symbols of resilience, transmission, and transformation. In a context of rapid globalization, where unseen foods risk sinking further into obscurity, these plant-based traditions highlight both the adaptability and fragility of Afro-descendant culinary heritage in the Guiana Shield. Full article

Background/Objectives: Acute chest syndrome (ACS) is a frequent and potentially life-threatening complication of sickle cell disease (SCD) that often develops during hospitalization for vaso-occlusive crisis (VOC). The early identification of pediatric patients at risk remains challenging, particularly in high-prevalence settings. This study aimed to identify predictors of acute chest syndrome following vaso-occlusive crisis in children with SCD. Methods: We conducted a retrospective cohort study of children and adolescents (≤18 years) with confirmed SCD admitted for VOC to Cayenne Hospital Center, French Guiana, between January 2014 and September 2024. ACS that occurred during hospitalization or within 7 days of admission was recorded. Multivariable logistic regression was used to identify independent predictors, and model performance was assessed using receiver operating characteristic (ROC) analysis. Results: Among the 825 VOC episodes in 190 patients, 239 (29%) were complicated by ACS. Independent ACS predictors were thoracic or abdominal pain at presentation (adjusted odds ratio [aOR] 14, 95% CI 6–32, p < 0.001), prior history of ACS (aOR 7.4, 95% CI 4.5–12.1), and Hb SS or Sβ⁰ genotype (aOR 1.8, 95% CI 1.2–2.4), age > 10 years (aOR 1.6, 95% CI 1.1–2.4), male sex (aOR 1.6, 95% CI 1.1–2.4), Hydroxyurea treatment was associated with a higher risk of acute chest syndrome (aOR 8.7, 95% CI 5.2–14.5), likely reflecting greater baseline disease severity among treated patients. The probability threshold maximizing the Youden index was 0.67, corresponding to a Youden index of 0.56. At this threshold, the model had a sensitivity of 61%, a specificity of 95%, a positive predictive value of 85%, and a negative predictive value of 86%. The apparent area under the receiver operating characteristic curve was 0.87 (95% CI, 0.83–0.89). The receiver operating characteristic analysis yielded an area under the curve of 0.87, indicating good apparent discrimination. Conclusions: These findings support targeted monitoring and early preventive strategies during pediatric VOC admissions. Full article

Indigenous peoples in Amazonia face major mental health inequities, including high rates of suicidal behaviour among adolescents and young adults in some settings. We conducted a scoping review of the peer-reviewed literature on community health workers (CHWs) and equivalent cadres involved in Indigenous and remote contexts, with a focus on their roles in relation to mental health, psychosocial support, and suicide prevention among Indigenous populations in Amazonia and the Guiana Shield. We reported this review in line with PRISMA-ScR. Searches (September–November 2025) were conducted in PubMed/MEDLINE, Scopus, Web of Science and SciELO, complemented by targeted searches in major publisher platforms and JSTOR. We included English, French, Spanish and Portuguese publications that (i) described CHWs or functionally equivalent cadres in Indigenous/remote contexts and/or (ii) reported CHW-related roles, models, or experiences relevant to mental health, psychosocial support or suicide prevention in Amazonian settings. Global documentation of CHW designations used in Indigenous/remote contexts was compiled; we compiled evidence from Amazonia and the Guiana Shield on CHW roles, programme models, implementation conditions and reported outcomes. Data were charted into a structured template (cadre designation, setting, population, study type, functions, programme features and reported mental health/suicide-related outcomes) and synthesised descriptively and thematically. CHWs commonly function as cultural and linguistic brokers between Indigenous communities and biomedical systems, supporting early detection of distress, psychosocial accompaniment, referral navigation and dialogue with local healing practices. Reported programme models differ markedly: Brazil’s institutionalised Indigenous Health Agents (AIS) offer stability and formal recognition, whereas French Guiana relies more heavily on project-based mediation with innovative practices but greater funding fragility. The available literature remains heterogeneous and uneven across countries, with limited evaluative designs and substantial reliance on descriptive reports. Future work should prioritise stronger implementation and impact evaluation, alongside Indigenous-led governance and sustainable support for CHW cadres. Full article

At least seven species of wild cats inhabit Colombia, and these species are also distributed throughout Mexico, Central America, and the rest of South America (jaguar, puma, jaguarundi, ocelot, margay, tigrina, and Pampas cat). A checklist and review of phylogeographic and population genetic studies on these seven wild cat species has been conducted here, as this information is vital for effective conservation programs. The jaguar is the feline species on which the most population genetic studies have been carried out in the Neotropics. In general, little genetic structure has been found at a macro-geographic scale. Genetic diversity is high in countries such as Colombia, Peru, and Bolivia, and generally throughout the Amazon basin. However, genetic diversity is more moderate or even significantly lower in Mexico and the Brazilian Atlantic Forest. Much of the genetic research on the jaguar has focused on Brazil, Mexico, and Belize, but Colombia is also very well represented in these studies. However, there is a complete or very pronounced lack of data in other areas such as Venezuela, the Guianas, some Central American countries, Paraguay, and northern Argentina. After the jaguar, the most studied feline in Neotropics from a population genetics perspective is the puma. In North America, this species has low genetic diversity, while the diversity in Central America is moderate, and South America is where genetic diversity is highest. The countries best represented in these studies are Brazil (southern of the country), Mexico, Belize, and Argentina. However, countries like Colombia, Ecuador, Peru, and Paraguay are very poorly represented in puma genetic studies. Very few genetic studies have been conducted on the jaguarundi, despite its vast geographic distribution. In northern Mexico, its genetic diversity is very low, but in countries like Colombia, Peru, and Bolivia, genetic diversity is very high. Colombia is probably the country where jaguarundis have been genetically studied most extensively. The third wild cat species with the most molecular studies in Neotropics is the ocelot, although it lags considerably behind jaguars and pumas. Its genetic diversity is low in Texas and northern Mexico, but very high, especially in countries surrounding the Amazon basin. A good number of macro-geographic studies have been conducted on the ocelot, and these studies are very representative of ocelots in countries such as Colombia (probably the best represented country), Ecuador, Peru, Bolivia, Panama, and Costa Rica. However, there are other countries where molecular studies of the ocelot have not been carried out, such as Paraguay and Argentina, with the lack of such studies in Brazil being particularly noteworthy. Very few molecular studies have been conducted on the margay. In general, its genetic diversity is very high in all the studies performed. Colombia, Peru and Bolivia are very well represented, but the lack of molecular studies in Mexico, much of Central America, and South American countries such as Brazil, Paraguay, and Argentina is striking. The tigrina is one of the Neotropical wild cat species that requires the most molecular studies to unravel its complex systematics. Only the southern Brazilian tigrina (Leopardus guttulus), which was elevated to a new species, has generated comprehensive molecular information. Molecular studies of the Andean tigrina have revealed a very complex picture that, at present, does not allow us to know exactly how many species or taxa inhabit that area of South America and, therefore, to develop a conservation program that adequately correlates with that number of taxa. Finally, in the case of the Pampas cat, molecular studies are well represented with specimens from Peru, Bolivia, Chile, Argentina, Brazil and Uruguay. Studies are needed in Paraguay, and especially in Ecuador and southern Colombia (assuming a stable population of Pampas cats exists in the latter country), where even at the molecular level, the specific taxon (one species or five species) present has not yet been determined. All this information is essential for developing effective regional and global conservation programs for these magnificent creatures. In Colombia, the development of molecular studies with the puma, the tigrina, and the Pampas cat is of special interest. Full article

Ice, Cloud, and Land Elevation Satellite-2 (ICESat-2) represents a major advancement in remote sensing for terrestrial observation, substantially improving the capability to map vegetation structural parameters. However, spatial heterogeneity poses significant challenges to data accuracy. To evaluate the performance of ICESat-2 and improve its inversion accuracy, this study used airborne LiDAR data to validate ICESat-2 terrain and canopy height measurements in boreal forests of Alberta, Canada, and in three tropical rainforest regions—Costa Rica, French Guiana, and Gabon. Machine-learning approaches were further applied to calibrate ICESat-2 canopy height estimates. Our results show that the uncalibrated ICESat-2 data exhibit strong consistency in boreal forests, with higher accuracy under snow-covered nighttime conditions (terrain error < 1 m, canopy height error of 3.19 m). In contrast, the uncertainties in tropical rainforests are considerably larger, with terrain errors of 3–7 m and canopy height errors of 5–7 m. After calibration, XGBoost reduced canopy height error by 0.84 m in boreal forests, whereas Random Forest calibration improved canopy height accuracy by 1.09 m in tropical regions. Overall, our findings provide additional scientific evidence supporting the reliability of ICESat-2 measurements and substantially enhance the accuracy of satellite-based canopy height estimation. Full article

The present study has applied a probabilistic oil spill modeling framework to assess the potential risks associated with offshore oil spills in the Foz do Amazonas sedimentary basin, a region of exceptional ecological importance and increasing geopolitical and socio-environmental relevance. By integrating a large ensemble of simulations with validated hydrodynamic, atmospheric and wave-driven forcings, the analysis of said simulations has provided a robust and seasonally resolved assessment of oil drift and beaching patterns along the Guianas and the Brazilian Equatorial Margin. The model has presented a total of 47,500 simulations performed on 95 drilling sites located across the basin, using the Lagrangian Spill, Transport and Fate Model (STFM) and incorporating a six-year oceanographic and meteorological variability. The simulations have included ocean current fields provided by HYCOM, wind forcing provided by GFS and Stokes drift provided by ERA5. Model performance has been evaluated by comparisons with satellite-tracked surface drifters using normalized cumulative Lagrangian separation metrics and skill scores. Mean skill scores have reached 0.98 after 5 days and 0.95 after 10 days, remaining above 0.85 up to 20 days, indicating high reliability for short to intermediate forecasting horizons and suitability for probabilistic applications. Probabilistic simulations have revealed a pronounced seasonal effect, governed by the annual migration of the Intertropical Convergence Zone (ITCZ). During the JFMA period, shoreline impact probabilities have exceeded 40–50% along extensive portions of the French Guiana and Amapá state (Brazil) coastlines, with oil reaching the coast typically within 10–20 days. In contrast, during the JASO period, beaching probabilities have decreased to below 15%, accompanied by a substantial reduction in impact along the coastline and higher variability in arrival times. Although coastal exposure has been markedly reduced during JASO, a residual probability of approximately 2% of oil intrusion into the Amazonas river mouth has persisted. Full article

Tuberculosis (TB) is still a significant public health threat, with rising drug resistance and high incidence in multiple areas worldwide. In the search for novel antitubercular agents, this study explores the application of a bioactivity-guided molecular networking approach to identify bioactive compounds from seven plant species (Curatella americana, Davilla nitida, Dipteryx punctata, Indigofera suffruticosa, Quassia amara, Tetradenia riparia, and Zingiber zerumbet) collected in French Guiana. Using ultrasound-assisted extraction followed by liquid–liquid partitioning and UHPLC-HRMS/MS analysis, a library of 72 samples was tested against Mycobacterium tuberculosis. The non-polar fractions from Indigofera suffruticosa, Tetradenia riparia, and Zingiber zerumbet showed the highest activity. The integration of metabolomic and bioassay data on molecular networks allowed the prioritization and annotation of active compounds, revealing flavonoids as contributors to the antitubercular activity of the active samples. In addition, the use of computational tools such as GNPS, SIRIUS, and TIMA-R enabled dereplication and increased the confidence in the structural prediction of active metabolites. This approach demonstrated its potential in accelerating the identification of both known and novel bioactive compounds without requiring exhaustive isolation, offering a robust strategy for natural product-based drug development against TB. Full article

This study aimed to determine the prevalence of type 1 diabetes mellitus (T1DM) in French Guiana and describe the social profiles of the patients. We conducted a multicenter cross-sectional study of children under 18 years who were diagnosed with type 1 diabetes and followed up from 2002 to 2021. Over a 20-year period, 48 children under 18 years with type 1 diabetes living in French Guiana were included in the study, out of a total of 59 cases. There were 26 girls and 22 boys. The median age at diagnosis was 8.52 years [IQR 6–12]. The incidence rate was 5.9 per 100,000 people in children aged 0–18 years. The 5–9-year age group was the most affected 43.7% (95% CI 38–51%). Of these children, 56.2% (95% confidence interval 40–70%) lived in single-parent households, and 35% (95% CI 23–57%) of the parents had a primary education. Of the children, 29% (95% CI 21–42%) were from families with no resources. Diabetes was diagnosed by ketoacidosis in 56% (95% CI 38–74%) of the patients. Forty percent (95% CI 35–66%) of the patients had an HbA1c > 9%. There was an imbalance in the prevalence of children with higher Hba1c (>9%), with 18.7% (95% CI 10–29%, p < 0.001) of children whose parents had a low level of education having an Hba1c > 9% compared with only 6% (95% CI 3–10%) of children whose parents had a university degree, and a marked imbalance in the prevalence of children with High Hba1c (>9%) among children from single-parent families (22.9%, 95% CI 17–30%) compared with children whose parents lived in couples (8%, 95% CI 5–12%). The 10–14-year age group (18.7%, 95% CI 11–25%) had the highest imbalance in the prevalence of poor diabetes control between children whose parents had lower versus higher education levels. Diabetic retinopathy and diabetic nephropathy were the only reported complications. The multivariate analysis showed that a low level of parental education (Odds ratio 2.9 [95% CI 2.1–4.5], p < 0.001) and single-parent families (Odds ratio 3.1 [95% CI 2.6–4.3], p < 0.001) were predictors of poor control of T1DM. However, the lack of social insurance coverage at diagnosis was not associated with poor T1DM control (p = 0.4). In conclusion, these sociodemographic factors should be considered when caring for children with T1DM in French Guiana. Full article

Anopheles darlingi is a major malaria vector in South America. Understanding its population dynamics is critical for designing effective vector control strategies. While various Anopheles collection methods exist, they may sample distinct populations. Microsatellite genotyping across nine loci was performed to characterize An. darlingi populations, which were collected in French Guiana between 6:30 p.m. and 7:00 a.m. using human landing catch (HLC) or Mosquito Magnet^® (MM) traps. Traps were arranged in a 3 × 3 Latin square design to minimize possible effects of geographical position. Pairwise F_ST index and discriminant analyses of principal components (DAPC) were used to make comparisons. A total of 431 An. darlingi were analyzed. No significant genetic differentiation was observed between collection methods or time slots (F_ST values non-significant, p > 0.25), with DAPC revealing a single genetic cluster. Despite documented phenotypic variations, no significant population structure was detected among An. darlingi sampled in a rural village in French Guiana via collection methods or time slots. These findings confirm that mosquitoes collected with these various methods or time slots are suitable for the molecular studies of An. darlingi in French Guiana. In this context, Mosquito Magnet^® traps could also represent an alternative to the now controversial human landing catch. Full article

The Amazonian forests located within the Guiana Shield store above-average levels of biomass per hectare. However, considerable uncertainty remains regarding carbon stocks in this region, mainly due to limited inventory data and the lack of spatial datasets that account for factors influencing variation among forest types. The present study investigates the spatial distribution of original total forest biomass in the state of Amapá, located in the northeastern Brazilian Amazon. Using data from forest inventory plots, we applied geostatistical interpolation techniques (kriging) combined with environmental variables to generate a high-resolution map of forest biomass distribution. The stocks of biomass were associated with different forest types and land uses. The average biomass was 536.5 ± 64.3 Mg ha⁻¹ across forest types, and non-flooding lowland forest had the highest average (619.1 ± 38.3), followed by the submontane (521.8 ± 49.8) and the floodplain (447.6 ± 45.5) forests. Protected areas represented 84.1% of Amapá’s total biomass stock, while 15.9% was in agriculture and ranching areas, but the average biomass is similar between land-use types. Sustainable-use reserves stock more biomass (40%) than integral-protection reserves (35%) due to the higher average biomass associated with well-structured forests and a greater density of large trees. The map generated in the present study contributes to a better understanding of carbon balance across multiple spatial scales and demonstrates that forests in this region contain the highest carbon stocks per hectare (260.2 ± 31.2 Mg ha⁻¹, assuming that 48.5% of biomass is carbon) in the Amazon. To conserve these stocks, it is necessary to go further than merely maintaining protected areas by strengthening the protection of reserves, restricting logging activities in sustainable-use areas, promoting strong enforcement against illegal deforestation, and supporting the implementation of REDD+ projects. These actions are critical for avoiding substantial carbon stock losses and for reducing greenhouse-gas emissions from this region. Full article