Vigilância epidemiológica em doença de Chagas

Detalhes bibliográficos
Autor(a) principal: Dias, João Carlos Pinto
Data de Publicação: 2000
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1368
Resumo: Chagas disease still constitutes an important medical problem in affected countries. In some, the extent of the disease is still unknown and control programs have not been implemented. In others the disease has been reduced due to regular control programs and other economic and social factors. Epidemiological surveillance with community participation to guard against disease transmission is now the basic challenge. Applied research and in-depth reformulation of health systems are required to establish efficient and sustainable Chagas disease surveillance programs, considering low density of peridomiciliary vectors as the most relevant factor. In addition, a large population of already infected, poor individuals require specific medical attention and social security. As a consequence of health care decentralization, Federal institutions such as the Brazilian National Health Foundation (FNS) are being progressively decommissioned, and new participants must be engaged in the process. Communities themselves, together with regional and local institutions, must take charge of surveillance in order to guarantee its efficiency and sustainability.
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spelling Vigilância epidemiológica em doença de ChagasDoença de ChagasTriatominaeVigilância EpidemiológicaControle de VetoresPrevenção e ControleChagas disease still constitutes an important medical problem in affected countries. In some, the extent of the disease is still unknown and control programs have not been implemented. In others the disease has been reduced due to regular control programs and other economic and social factors. Epidemiological surveillance with community participation to guard against disease transmission is now the basic challenge. Applied research and in-depth reformulation of health systems are required to establish efficient and sustainable Chagas disease surveillance programs, considering low density of peridomiciliary vectors as the most relevant factor. In addition, a large population of already infected, poor individuals require specific medical attention and social security. As a consequence of health care decentralization, Federal institutions such as the Brazilian National Health Foundation (FNS) are being progressively decommissioned, and new participants must be engaged in the process. Communities themselves, together with regional and local institutions, must take charge of surveillance in order to guarantee its efficiency and sustainability.A doença de Chagas ainda representa importante problema médico e social nos países afetados. Em alguns deles, a extensão da doença segue desconhecida e programas de controle não foram implementados, mas, em outros, a endemia foi efetivamente minimizada mercê de controle e mudanças sociais e econômicas. Nesses casos, uma vigilância epidemiológica participativa e permanente sobre as formas de transmissão constitui, hoje, o horizonte operacional. Isso requer pesquisa aplicada e profundas reformulações no sistema de saúde, objetivando uma vigilância duradoura, eficiente e auto-sustentável, capaz de controlar, em especial, os triatomíneos em baixa densidade e presentes no espaço peridomiciliar. Por outro lado, remanesce uma população significativa de já infectados, a requerer atenção médica e previdenciária, tudo isto geralmente localizado em regiões e/ou populações mais pobres. Face ao desmonte progressivo de instituições federais como a Fundação Nacional de Saúde, no Brasil, em nome do processo de descentralização, instituições locais e regionais, bem como a comunidade, precisam assumir essa vigilância de maneira compartida e eficaz, o que pressupõe maturidade social e política dos novos atores envolvidos.Reports in Public HealthCadernos de Saúde Pública2000-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1368Reports in Public Health; Vol. 16 No. 6 (2000): Supplement 2Cadernos de Saúde Pública; v. 16 n. 6 (2000): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1368/2724https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1368/2725Dias, João Carlos Pintoinfo:eu-repo/semantics/openAccess2024-03-06T15:26:24Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1368Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:38.652155Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Vigilância epidemiológica em doença de Chagas
title Vigilância epidemiológica em doença de Chagas
spellingShingle Vigilância epidemiológica em doença de Chagas
Dias, João Carlos Pinto
Doença de Chagas
Triatominae
Vigilância Epidemiológica
Controle de Vetores
Prevenção e Controle
title_short Vigilância epidemiológica em doença de Chagas
title_full Vigilância epidemiológica em doença de Chagas
title_fullStr Vigilância epidemiológica em doença de Chagas
title_full_unstemmed Vigilância epidemiológica em doença de Chagas
title_sort Vigilância epidemiológica em doença de Chagas
author Dias, João Carlos Pinto
author_facet Dias, João Carlos Pinto
author_role author
dc.contributor.author.fl_str_mv Dias, João Carlos Pinto
dc.subject.por.fl_str_mv Doença de Chagas
Triatominae
Vigilância Epidemiológica
Controle de Vetores
Prevenção e Controle
topic Doença de Chagas
Triatominae
Vigilância Epidemiológica
Controle de Vetores
Prevenção e Controle
description Chagas disease still constitutes an important medical problem in affected countries. In some, the extent of the disease is still unknown and control programs have not been implemented. In others the disease has been reduced due to regular control programs and other economic and social factors. Epidemiological surveillance with community participation to guard against disease transmission is now the basic challenge. Applied research and in-depth reformulation of health systems are required to establish efficient and sustainable Chagas disease surveillance programs, considering low density of peridomiciliary vectors as the most relevant factor. In addition, a large population of already infected, poor individuals require specific medical attention and social security. As a consequence of health care decentralization, Federal institutions such as the Brazilian National Health Foundation (FNS) are being progressively decommissioned, and new participants must be engaged in the process. Communities themselves, together with regional and local institutions, must take charge of surveillance in order to guarantee its efficiency and sustainability.
publishDate 2000
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 16 No. 6 (2000): Supplement 2
Cadernos de Saúde Pública; v. 16 n. 6 (2000): Suplemento 2
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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