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Surveillance, health promotion and control of Chagas disease in the Amazon Region--Medical attention in the Brazilian Amazon Region: a proposal.

Coura JR, Junqueira AC - Mem. Inst. Oswaldo Cruz (2015)

Bottom Line: We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines.The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught.Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care.

View Article: PubMed Central - PubMed

Affiliation: Laboratório de Doenças Parasitárias, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.

ABSTRACT
We refer to Oswaldo Cruz's reports dating from 1913 about the necessities of a healthcare system for the Brazilian Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care.

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Related in: MedlinePlus

Pan-Amazon area in South America.
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f01: Pan-Amazon area in South America.

Mentions: Today, the Brazilian Amazon Region not only has the abovementioned challenges, but also hasthe following problems of paramount importance: (i) disorderly occupation, (ii)uncontrolled deforestation, (iii) risk of desertification and (iv) internationalcovetousness. The Brazilian Amazon Region has borders with Bolivia, Peru, Equator,Colombia, Venezuela, Guyana, Suriname and French Guyana (Fig. 1), with a total length of over 16,886 km, which people cross accompaniedby domestic animals. The great number of wild reservoirs and vectors infected byTrypanosoma cruzi makes Chagas disease hard to control.


Surveillance, health promotion and control of Chagas disease in the Amazon Region--Medical attention in the Brazilian Amazon Region: a proposal.

Coura JR, Junqueira AC - Mem. Inst. Oswaldo Cruz (2015)

Pan-Amazon area in South America.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4660612&req=5

f01: Pan-Amazon area in South America.
Mentions: Today, the Brazilian Amazon Region not only has the abovementioned challenges, but also hasthe following problems of paramount importance: (i) disorderly occupation, (ii)uncontrolled deforestation, (iii) risk of desertification and (iv) internationalcovetousness. The Brazilian Amazon Region has borders with Bolivia, Peru, Equator,Colombia, Venezuela, Guyana, Suriname and French Guyana (Fig. 1), with a total length of over 16,886 km, which people cross accompaniedby domestic animals. The great number of wild reservoirs and vectors infected byTrypanosoma cruzi makes Chagas disease hard to control.

Bottom Line: We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines.The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught.Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care.

View Article: PubMed Central - PubMed

Affiliation: Laboratório de Doenças Parasitárias, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.

ABSTRACT
We refer to Oswaldo Cruz's reports dating from 1913 about the necessities of a healthcare system for the Brazilian Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care.

Show MeSH
Related in: MedlinePlus