Control of schistosomiasis in Brazil: perspectives and proposals

Detalhes bibliográficos
Autor(a) principal: Coura, José Rodrigues
Data de Publicação: 1995
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/43692
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Medicina Tropical. Rio de Janeiro, RJ, Brasil.
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spelling Coura, José Rodrigues2020-09-29T18:33:17Z2020-09-29T18:33:17Z1995COURA, José Rodrigues. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v.90, n. 2, p. 257-260, Mar./Apr. 1995.0074-0276https://www.arca.fiocruz.br/handle/icict/4369210.1590/S0074-027619950002000231678-8060engFundação Oswaldo Cruz. Instituto Oswaldo Cruz.Controle da EsquistossomoseEstratégia MultidisciplinarSchistosomiasis controlMultidisciplinary strategyControl of schistosomiasis in Brazil: perspectives and proposalsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Medicina Tropical. Rio de Janeiro, RJ, Brasil.Attempts to control schistosomiasis have hitherto involved the use of one or more of the following methods, either in isolation or in combination: (1) control of the intermediate host using molluscicides or biological methods; (2) basic sanitation and clean water supply; (3) health education; (4) individual or mass treatment; (5) protection of individuals in such a way as to prevent cercariae from penetrating the skin; (6) vaccine-based strategies against schistosomiasis. None of these methods is capable, on its own, of bringing about effective control of schistosomiasis, except in populations of a very limited size or under very special conditions. Molluscicides, besides expensive and toxic, have only a temporary effect. As for biological control, there is no effective method yet. Basic sanitation and clean water supply combined with health education potentially constitute the most effective approach, but only in the mid-to-long term. Mass treatment reduces morbidity, but does not control transmission. Protection of individuals has proved to be impracticable on a large scale. Vaccine-based strategies against schistosomiasis are still in the experimental stage. Experiments carried out in Brazil in the last 20 years have shown that mass treatment with single doses of oxamniquine or praziquantel can rapidly reduce levels of Shistosoma mansoni infection and morbidity in endemic areas. They have also shown that subsequent transmission and reinfection frequently occur in defined foci or "clusters", due to human contact with water, and in inverse proportion to the number and frequency of treatments carried out. On the basis of these experiments, the author suggests a multidisciplinary strategy for schistosomiasis control.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/43692/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALJoseRodrigues_Coura_IOC_1995.pdfJoseRodrigues_Coura_IOC_1995.pdfapplication/pdf246769https://www.arca.fiocruz.br/bitstream/icict/43692/2/JoseRodrigues_Coura_IOC_1995.pdf69dbfc3e1bdb4f2bab9f4650da43115aMD52TEXTJoseRodrigues_Coura_IOC_1995.pdf.txtJoseRodrigues_Coura_IOC_1995.pdf.txtExtracted texttext/plain4https://www.arca.fiocruz.br/bitstream/icict/43692/3/JoseRodrigues_Coura_IOC_1995.pdf.txtff4c8ff01d544500ea4bfea43e6108c1MD53icict/436922020-09-30 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dc.title.pt_BR.fl_str_mv Control of schistosomiasis in Brazil: perspectives and proposals
title Control of schistosomiasis in Brazil: perspectives and proposals
spellingShingle Control of schistosomiasis in Brazil: perspectives and proposals
Coura, José Rodrigues
Controle da Esquistossomose
Estratégia Multidisciplinar
Schistosomiasis control
Multidisciplinary strategy
title_short Control of schistosomiasis in Brazil: perspectives and proposals
title_full Control of schistosomiasis in Brazil: perspectives and proposals
title_fullStr Control of schistosomiasis in Brazil: perspectives and proposals
title_full_unstemmed Control of schistosomiasis in Brazil: perspectives and proposals
title_sort Control of schistosomiasis in Brazil: perspectives and proposals
author Coura, José Rodrigues
author_facet Coura, José Rodrigues
author_role author
dc.contributor.author.fl_str_mv Coura, José Rodrigues
dc.subject.other.pt_BR.fl_str_mv Controle da Esquistossomose
Estratégia Multidisciplinar
topic Controle da Esquistossomose
Estratégia Multidisciplinar
Schistosomiasis control
Multidisciplinary strategy
dc.subject.en.pt_BR.fl_str_mv Schistosomiasis control
Multidisciplinary strategy
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Medicina Tropical. Rio de Janeiro, RJ, Brasil.
publishDate 1995
dc.date.issued.fl_str_mv 1995
dc.date.accessioned.fl_str_mv 2020-09-29T18:33:17Z
dc.date.available.fl_str_mv 2020-09-29T18:33:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv COURA, José Rodrigues. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v.90, n. 2, p. 257-260, Mar./Apr. 1995.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/43692
dc.identifier.issn.pt_BR.fl_str_mv 0074-0276
dc.identifier.doi.none.fl_str_mv 10.1590/S0074-02761995000200023
dc.identifier.eissn.none.fl_str_mv 1678-8060
identifier_str_mv COURA, José Rodrigues. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v.90, n. 2, p. 257-260, Mar./Apr. 1995.
0074-0276
10.1590/S0074-02761995000200023
1678-8060
url https://www.arca.fiocruz.br/handle/icict/43692
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz.
publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz.
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