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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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a proposal for medical attention in the Brazilian Amazon.
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f02: a proposal for medical attention in the Brazilian Amazon.

Mentions: The proposal for medical care in the Brazilian Amazon Region that we made to the AmazonSurveillance and Protection System (SIVAM-SIPAM), by invitation from the SIVAM organisers,consisted of eight Base Hospitals, more than 35 SESP-type intermediate units with oneclinical doctor, one surgeon, one paediatrician, one gynaecologist-obstetrician, onedentist, one graduate nurse and assistants for each unit and mobile units with airtransportation (ship hospital with helicopter to transport the patients from remote areasto the health units) (Fig. 2). For unknown reasons,SIPAM never implemented the healthcare system, although it is entirely dedicated (so wehope) to the security of the Brazilian Amazon Region.


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)

a proposal for medical attention in the Brazilian Amazon.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f02: a proposal for medical attention in the Brazilian Amazon.
Mentions: The proposal for medical care in the Brazilian Amazon Region that we made to the AmazonSurveillance and Protection System (SIVAM-SIPAM), by invitation from the SIVAM organisers,consisted of eight Base Hospitals, more than 35 SESP-type intermediate units with oneclinical doctor, one surgeon, one paediatrician, one gynaecologist-obstetrician, onedentist, one graduate nurse and assistants for each unit and mobile units with airtransportation (ship hospital with helicopter to transport the patients from remote areasto the health units) (Fig. 2). For unknown reasons,SIPAM never implemented the healthcare system, although it is entirely dedicated (so wehope) to the security of the Brazilian Amazon Region.

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