Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil

Detalhes bibliográficos
Autor(a) principal: Coura-Filho, Pedro
Data de Publicação: 1995
Outros Autores: Farah, Márcio William C., Rezende, Dilermando F. de, Lamartine, Simone da Silva, Carvalho, Omar S., Katz, Naftale
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/731
Resumo: This study identified the role of biological and social determinants in the transmission of schistosomiasis mansoni in Ravena, Minas Gerais, Brazil, in 1980. This data was used to characterize the clinical and epidemiological profiles of the endemic desease in the population, allowing for the determination of the efficacy of the potable water supply and the specific treatment of those infected with S. mansoni. The district contains three locations, Ravenopolis, Ravena and Lavapes, where the prevalence of the endemic disease was, 20.1%, 42.6% and 63.9%, respectively. The prevalence in the district was statistically higher in men. The age brackets that displayed differences by gender were 10-14 and 15-19 years. Severity of infection was statistically different among individuals within the 10-14 year bracket in ali three locations, and in the 15-19 year bracket among individuals from Ravenopolis and Ravena. The hepatointestinal form was associated with age, and individuals under 15 years of age presented risk of infection 8.85 times higher than adults. Multivariable analysis of the factors involved in transmission of the disease showed that Lavapes was independently associated with infection. In that area, poor sanitary conditions and the proximity of houses to streams infested with S. marsoni cercariae facilitated infection of neighborhood women while performing domestic activities, as well as men digging sand from the streams for construction. These results show the focal nature of transmission of the endemic requiring specific intervention for effective control of disease.
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spelling Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, BrasilEsquistossomoseEpidemiologiaSuprimento de ÁguaMedidas de ControleSaneamentoThis study identified the role of biological and social determinants in the transmission of schistosomiasis mansoni in Ravena, Minas Gerais, Brazil, in 1980. This data was used to characterize the clinical and epidemiological profiles of the endemic desease in the population, allowing for the determination of the efficacy of the potable water supply and the specific treatment of those infected with S. mansoni. The district contains three locations, Ravenopolis, Ravena and Lavapes, where the prevalence of the endemic disease was, 20.1%, 42.6% and 63.9%, respectively. The prevalence in the district was statistically higher in men. The age brackets that displayed differences by gender were 10-14 and 15-19 years. Severity of infection was statistically different among individuals within the 10-14 year bracket in ali three locations, and in the 15-19 year bracket among individuals from Ravenopolis and Ravena. The hepatointestinal form was associated with age, and individuals under 15 years of age presented risk of infection 8.85 times higher than adults. Multivariable analysis of the factors involved in transmission of the disease showed that Lavapes was independently associated with infection. In that area, poor sanitary conditions and the proximity of houses to streams infested with S. marsoni cercariae facilitated infection of neighborhood women while performing domestic activities, as well as men digging sand from the streams for construction. These results show the focal nature of transmission of the endemic requiring specific intervention for effective control of disease.Neste estudo foram identificados os determinantes biológicos e sociais na transmissão da esquistossomose em Ravena, Sabará, Minas Gerais, Brasil, em 1980, visando a caracterizar o perfil clínico-epidemiológico da endemia na população para posterior avaliação da eficácia do fornecimento de água potável intradomiciliar e o tratamento específico quadrianual dos infectados pelo Schistosoma mansoni. O distrito é formado por três localidades: Ravenópolis, Ravena e Lavapés, cujas prevalências da endemia foram 20,1%; 42,6% e 63,9%, respectivamente. A prevalência da endemia no distrito foi estatisticamente maior nos homens. As faixas etárias que apresentaram diferenças por sexo foram as de 10-14 e 15-19 anos. A intensidade da infecção só foi diferente estatisticamente entre indivíduos com idade entre 10 e 14 anos nas três localidades, e de 15 a 19 anos entre indivíduos de Ravenópolis e Ravena. A forma hepatointestinal estava associada à idade: menores de 15 anos apresentaram risco 8,85 vezes maior do que os adultos. A análise multivariada dos fatores determinantes da transmissão da endemia evidenciou que a localidade de Lavapés esteve independentemente associada à infecção pelo S. mansoni. Era onde estavam ocorrendo os maiores riscos de infecção por falta de saneamento, maior proximidade das casas a córregos infestados por cercárias de S. mansoni, o que facilitava a infeccção das donas-de-casa em atividades domésticas e dos homens na prática de tirar areia. Esses resultados apontam o carater focal da transmissão da endemia, exigindo medidas específicas.Reports in Public HealthCadernos de Saúde Pública1995-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731Reports in Public Health; Vol. 11 No. 2 (1995): April/JuneCadernos de Saúde Pública; v. 11 n. 2 (1995): Abril/Junho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731/1478https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731/1479Coura-Filho, PedroFarah, Márcio William C.Rezende, Dilermando F. deLamartine, Simone da SilvaCarvalho, Omar S.Katz, Naftaleinfo:eu-repo/semantics/openAccess2024-03-06T15:26:02Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/731Revistahttps://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:2024-03-06T13:00:55.305495Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
title Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
spellingShingle Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
Coura-Filho, Pedro
Esquistossomose
Epidemiologia
Suprimento de Água
Medidas de Controle
Saneamento
title_short Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
title_full Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
title_fullStr Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
title_full_unstemmed Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
title_sort Determinantes ambientais e sociais da esquistossomose mansoni em Ravena, Minas Gerais, Brasil
author Coura-Filho, Pedro
author_facet Coura-Filho, Pedro
Farah, Márcio William C.
Rezende, Dilermando F. de
Lamartine, Simone da Silva
Carvalho, Omar S.
Katz, Naftale
author_role author
author2 Farah, Márcio William C.
Rezende, Dilermando F. de
Lamartine, Simone da Silva
Carvalho, Omar S.
Katz, Naftale
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Coura-Filho, Pedro
Farah, Márcio William C.
Rezende, Dilermando F. de
Lamartine, Simone da Silva
Carvalho, Omar S.
Katz, Naftale
dc.subject.por.fl_str_mv Esquistossomose
Epidemiologia
Suprimento de Água
Medidas de Controle
Saneamento
topic Esquistossomose
Epidemiologia
Suprimento de Água
Medidas de Controle
Saneamento
description This study identified the role of biological and social determinants in the transmission of schistosomiasis mansoni in Ravena, Minas Gerais, Brazil, in 1980. This data was used to characterize the clinical and epidemiological profiles of the endemic desease in the population, allowing for the determination of the efficacy of the potable water supply and the specific treatment of those infected with S. mansoni. The district contains three locations, Ravenopolis, Ravena and Lavapes, where the prevalence of the endemic disease was, 20.1%, 42.6% and 63.9%, respectively. The prevalence in the district was statistically higher in men. The age brackets that displayed differences by gender were 10-14 and 15-19 years. Severity of infection was statistically different among individuals within the 10-14 year bracket in ali three locations, and in the 15-19 year bracket among individuals from Ravenopolis and Ravena. The hepatointestinal form was associated with age, and individuals under 15 years of age presented risk of infection 8.85 times higher than adults. Multivariable analysis of the factors involved in transmission of the disease showed that Lavapes was independently associated with infection. In that area, poor sanitary conditions and the proximity of houses to streams infested with S. marsoni cercariae facilitated infection of neighborhood women while performing domestic activities, as well as men digging sand from the streams for construction. These results show the focal nature of transmission of the endemic requiring specific intervention for effective control of disease.
publishDate 1995
dc.date.none.fl_str_mv 1995-06-01
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url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731
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dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731/1478
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/731/1479
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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. 11 No. 2 (1995): April/June
Cadernos de Saúde Pública; v. 11 n. 2 (1995): Abril/Junho
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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reponame_str Cadernos de Saúde Pública
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repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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