Países como o Brasil que possuem a Atenção Primária à Saúde como porta de entrada de um sistema de saúde universal têm o potencial de enfrentar a pandemia da COVID-19 de forma transversal e centrada na demanda da comunidade. A experiência do município de Nova Lima apresenta uma reorganização da APS diante da crise sanitária, apoiada nos vínculos estabelecidos no território e na continuidade do cuidado. O presente estudo tem o objetivo de descrever essa experiência municipal em ações baseada na garantia do direito à saúde para os usuários.
Anopheles (Kerteszia) cruzii has been
implicated as the primary vector of human and simian malarias out of the
Brazilian Amazon and specifically in the Atlantic Forest regions. The presence
of asymptomatic human cases, parasite-positive wild monkeys and the similarity
between the parasites infecting them support the discussion whether these
infections can be considered as a zoonosis. Although many aspects of the biology
of An. cruzii have already been addressed, studies conducted
during outbreaks of malaria transmission, aiming at the analysis of blood
feeding and infectivity, are missing in the Atlantic Forest. This study was
conducted in the location of Palestina, Juquitiba, where annually the majority
of autochthonous human cases are notified in the Atlantic Forest of the state of
São Paulo. Peridomiciliary sites were selected for collection of mosquitoes
in a perimeter of up to 100 m around the residences of human malaria cases. The
mosquitoes were analyzed with the purpose of molecular identification of
blood-meal sources and to examine the prevalence of Plasmodium.
A total of 13,441 females of An. (Ker.) cruzii were
collected. The minimum infection rate was calculated at 0.03% and
0.01%, respectively, for P. vivax and P.
malariae and only human blood was detected in the blood-fed
mosquitoes analyzed. This data reinforce the hypothesis that asymptomatic human
carriers are the main source of anopheline infection in the peridomiciliary
area, making the probability of zoonotic transmission less likely to happen.
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