Condições de saneamento básico em áreas hiperendêmicas para esquistossomose no estado de Pernambuco em 2012

Saucha, Camylla Veloso Valença; Silva, José Alexandre Menezes da; Amorim, Liliane Barbosa

doi:10.5123/s1679-49742015000300015

Cited by 29 publications

(29 citation statements)

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“…Nevertheless, it is essential to reaffirm the key nature of implementing substantial environmental improvements in order to permanently eliminate and/or control schistosomiasis, thus valuing the quality of life and dignity of the population and, even more importantly, addressing the social determinants of the problem [10, 13, 22, 37]. …”

Section: Discussionmentioning

confidence: 99%

“…Pernambuco is one of the states where schistosomiasis is endemic; in Pernambuco, schistosomiasis affects 102 (55%) of the 185 municipalities, with regional differences [8], and between 10 and 50% of test results are positive [9, 10]. The death and hospitalization rates related to schistosomiasis are significantly higher in Pernambuco than in other Brazilian states [11].…”

Section: Introductionmentioning

confidence: 99%

“…In addition to involving improved sanitation conditions and treated drinking water availability [10, 13], the control of schistosomiasis involves early diagnosis, timely treatment, surveillance and educational actions [14]. In endemic areas with positivity rates equal to or greater than 10%, schistosomiasis control using praziquantel is recommended by means of large-scale treatment of the population.…”

Section: Introductionmentioning

confidence: 99%

“…SANAR is the first initiative of the integrated plan at the state level to develop a specific program for combating schistosomiasis by including collective treatment. The main integrated SANAR actions were community education and environmental assessment in hyperendemic areas for schistosomiasis [10, 19], supplemented by household collective treatment. At the management level, the program established guidelines, goals and indicators that were routinely monitored as part of the priority actions of the Pernambuco State Government [20, 21]; these parameters were associated with the training of health workers, particularly primary health care teams, community health workers, and personnel from endemic control, health surveillance, information systems, and laboratory organizations [22].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: the SANAR program, 2011–2014

et al. 2018

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BackgroundBrazil is an endemic country for schistosomiasis in the Latin American and Caribbean countries. Pernambuco is a higher-endemic Brazilian state among the 19 states reporting the disease in the country; schistosomiasis affects 102 (55%) of its 185 municipalities. Our objective was to evaluate the effectiveness of the treatment cycles of the SANAR Program (Plan to Reduce and Eliminate Neglected Diseases) in Pernambuco State in Northeast Brazil.MethodsA cross-sectional population-based study was conducted in 2014 via a household survey in 117 hyperendemic locations in the state of Pernambuco. We compared the schistosomiasis prevalence rates in hyperendemic locations, aggregated by geographical region, before and after the intervention. The dependent variable was a positive stool test result by the Kato-Katz method, and the main exposure variable was the number of treatment cycles (one/two). The covariables were the regions of the state and socioenvironmental, socioeconomic, demographic and behavioral characteristics.ResultsIn all, 12,969 individuals were interviewed, 8932 of whom had stool tests. Of these, 4969 (55.6%) underwent two cycles of collective treatment. Changes in the environmental conditions since 2011 were minimal. Comparison before (2011) and after (2014) treatment showed an average schistosomiasis prevalence of 18.6%, decreasing to 4.1% and 2.0% in locations with one and two treatment cycles, respectively. In 2014, the highest schistosomiasis prevalence was found in the forest area (2.8%), while the lowest was found in the northern region (1.2%) of the state. The adjusted analysis showed a lower occurrence of schistosomiasis in individuals living in areas with two treatment cycles than in individuals from areas with just one cycle (PR 0.65, 95% CI: 0.47–0.89).ConclusionsThe political decision made in Pernambuco to implement the SANAR Program in 2011 greatly impacted the burden of schistosomiasis. This program was effective in reducing the occurrence of schistosomiasis in hyperendemic areas in Pernambuco, with a stronger response in areas with two cycles of collective treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: the SANAR program, 2011–2014

et al. 2018

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“…As to human health, various diseases are caused by the absence of adequate sanitary facilities, such as typhoid fever, caused by poor hygiene and basic sanitation; Cholera, acute diarrhea; Hepatitis A and E; Toxoplasmosis (MOURA et al, 2016); Ascaridiasis (SILVA et al, 2010); Trichuriasis, ancylostomiasis, schistosomiasis (SAUCHA et al, 2015) and teniasis. The adequate sanitary prevent such diseases, allowing less contamination of the environment and water courses.…”

Section: Resultsmentioning

confidence: 99%

Sanitary Facilities in the State of Maranhão, Brazil

Silva

Castro²,

Jesus

et al. 2017

J. Geo. Mod.

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Sanitary sewage consists of a necessary service for quality of life and promotion of public health. In Brazil, the index of households with adequate sanitary facilities is still low and irrelevant in relation to the demand in the country. This study study aimed to evaluate the amount of sanitary facilities in the households of the State of Maranhão. For this, we used data from the census of the Brazilian Institute of Geography and Statistics and from the Municipal Health Department, collected in 2000 and 2010. The analysis of data was performed by means of descriptive statistics and the generation of an isoline map using the Surfer 11 program. The results showed that in 2000, only 9 counties had more than 20,000 sanitary facilities. In 2010, this number increased to 12 municipalities. The data had lognormal distribution and high coefficient of variation. The state capital, São Luís, had a greater number of facilities and water supply. This stems from the greater contingent and distribution of GDP per capita. The counties of Nova Colinas and São Pedro dos Crentes had the lowest numbers of sanitary facilities. Sanitary sewage allows the adequate dispose of fecal waste and improves the quality of life of the population.

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Morbidity of mansoni schistosomiasis in Pernambuco—Brazil: Analysis on the temporal evolution of deaths, hospital admissions and severe clinical forms (1999–2014)

et al. 2016

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Condições de saneamento básico em áreas hiperendêmicas para esquistossomose no estado de Pernambuco em 2012

Cited by 29 publications

References 0 publications

Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: the SANAR program, 2011–2014

Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: the SANAR program, 2011–2014

Sanitary Facilities in the State of Maranhão, Brazil

Morbidity of mansoni schistosomiasis in Pernambuco—Brazil: Analysis on the temporal evolution of deaths, hospital admissions and severe clinical forms (1999–2014)

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