Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/35078 |
Resumo: | Leprosy is still a significant public health problem in Brazil, and the control of household contacts is primordial to control this endemic and achieve the elimination goal. Objective: To describe and analyze the evolution of the control measures of household contacts of people affected by leprosy and its practical impact in Brazil and in the state of São Paulo, from 1991 to 2012. Methods: This was a narrative review, held in thesis, ordinances, manuals, dissertations, journal articles and newsletters, available in online databases, of relevance in scientific circles, filtering out only publications from 1991 to 2012. The data were first cataloged and subsequently it was applied reading techniques, forming a database. Results and Discussion: All standardizations cited here, related to the surveillance of contacts that have been issued and revoked since 1991, did not have significant impact on the evaluation of the contacts. The control was not incremented and/or prioritized by official agencies and health units, contributing to dozens of household contacts continue feeding the problem of endemics. Conclusion: We support the expansion of the concept of communicating beyond the household contacts. Interventions should be constant and maintained to ensure the reduction of cases that will not be achieved if elimination activities remain restricted only to the diagnosis and treatment of new cases, leaving behind the epidemiological surveillance, routine examination of communicating, vaccination, treatment, patient education, family and community. |
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Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012Análise do controle dos contatos intradomiciliares de pessoas atingidas pela hanseníase no Brasil e no estado de São Paulo de 1991 a 2012ControleHanseníaseContaminaçãoControlLeprosyContaminationLeprosy is still a significant public health problem in Brazil, and the control of household contacts is primordial to control this endemic and achieve the elimination goal. Objective: To describe and analyze the evolution of the control measures of household contacts of people affected by leprosy and its practical impact in Brazil and in the state of São Paulo, from 1991 to 2012. Methods: This was a narrative review, held in thesis, ordinances, manuals, dissertations, journal articles and newsletters, available in online databases, of relevance in scientific circles, filtering out only publications from 1991 to 2012. The data were first cataloged and subsequently it was applied reading techniques, forming a database. Results and Discussion: All standardizations cited here, related to the surveillance of contacts that have been issued and revoked since 1991, did not have significant impact on the evaluation of the contacts. The control was not incremented and/or prioritized by official agencies and health units, contributing to dozens of household contacts continue feeding the problem of endemics. Conclusion: We support the expansion of the concept of communicating beyond the household contacts. Interventions should be constant and maintained to ensure the reduction of cases that will not be achieved if elimination activities remain restricted only to the diagnosis and treatment of new cases, leaving behind the epidemiological surveillance, routine examination of communicating, vaccination, treatment, patient education, family and community.A hanseníase constitui um relevante problema de Saúde Pública no Brasil, e o controle dos comunicantes é fundamental para o controle da endemia e o alcance das metas de eliminação. Objetivo: Descrever e analisar a evolução das medidas de controle dos comunicantes intradomiciliares das pessoas atingidas pela hanseníase e seu impacto prático no Brasil e no estado de São Paulo, entre 1991 a 2012. Métodos: Trata se de revisão narrativa, realizada em teses, portarias, manuais, dissertações, artigos de periódicos e boletins informativos, disponíveis em Bases de Dados on-line, de relevância no meio científico, filtrando apenas publicações entre 1991 a 2012. Os dados foram inicialmente catalogados e, posteriormente aplicadas técnicas de leituras/fichamento com a formação de um banco de dados. Resultados e Discussão: Todas as normatizações aqui citadas, com relação à vigilância dos contatos que foram sendo expedidas e revogadas a partir de 1991, não causaram impacto significativo no controle dos comunicantes. O controle não foi incrementado e/ou priorizado pelos órgãos oficiais e unidades de saúde, contribuindo para que dezenas de comunicantes intradomiciliares continuem alimentando o “iceberg” da endemia. Conclusão: Defendemos a ampliação do conceito de comunicante para além dos contatos intradomiciliares. As intervenções devem ser constantes e mantidas, para que se assegure a redução da ocorrência dos casos, que não serão alcançadas caso as atividades de eliminação fiquem restritas apenas ao diagnóstico e tratamento dos casos novos, deixando para segundo plano a vigilância epidemiológica, o exame rotineiro dos comunicantes, a vacinação, o tratamento, a educação do paciente, da família e da comunidade.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2013-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3507810.47878/hi.2013.v38.35078Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 38 No. 1/2 (2013); 68-78Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 38 n. 1/2 (2013); 68-781982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/35078/33551Neto, José Martins PintoCarvalho, Haroldo Teófilo deCunha, Leonardo Elias Silveira daCassenote, Alex Jones FloresLozano, André WilianMartins, Ana Paula de Sousainfo:eu-repo/semantics/openAccess2021-06-04T02:55:46Zoai:ojs.periodicos.saude.sp.gov.br:article/35078Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2021-06-04T02:55:46Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 Análise do controle dos contatos intradomiciliares de pessoas atingidas pela hanseníase no Brasil e no estado de São Paulo de 1991 a 2012 |
title |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
spellingShingle |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 Neto, José Martins Pinto Controle Hanseníase Contaminação Control Leprosy Contamination |
title_short |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
title_full |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
title_fullStr |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
title_full_unstemmed |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
title_sort |
Analysis of control household contacts of people affected by leprosy in brazil and the state of São Paulo de 1991 a 2012 |
author |
Neto, José Martins Pinto |
author_facet |
Neto, José Martins Pinto Carvalho, Haroldo Teófilo de Cunha, Leonardo Elias Silveira da Cassenote, Alex Jones Flores Lozano, André Wilian Martins, Ana Paula de Sousa |
author_role |
author |
author2 |
Carvalho, Haroldo Teófilo de Cunha, Leonardo Elias Silveira da Cassenote, Alex Jones Flores Lozano, André Wilian Martins, Ana Paula de Sousa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Neto, José Martins Pinto Carvalho, Haroldo Teófilo de Cunha, Leonardo Elias Silveira da Cassenote, Alex Jones Flores Lozano, André Wilian Martins, Ana Paula de Sousa |
dc.subject.por.fl_str_mv |
Controle Hanseníase Contaminação Control Leprosy Contamination |
topic |
Controle Hanseníase Contaminação Control Leprosy Contamination |
description |
Leprosy is still a significant public health problem in Brazil, and the control of household contacts is primordial to control this endemic and achieve the elimination goal. Objective: To describe and analyze the evolution of the control measures of household contacts of people affected by leprosy and its practical impact in Brazil and in the state of São Paulo, from 1991 to 2012. Methods: This was a narrative review, held in thesis, ordinances, manuals, dissertations, journal articles and newsletters, available in online databases, of relevance in scientific circles, filtering out only publications from 1991 to 2012. The data were first cataloged and subsequently it was applied reading techniques, forming a database. Results and Discussion: All standardizations cited here, related to the surveillance of contacts that have been issued and revoked since 1991, did not have significant impact on the evaluation of the contacts. The control was not incremented and/or prioritized by official agencies and health units, contributing to dozens of household contacts continue feeding the problem of endemics. Conclusion: We support the expansion of the concept of communicating beyond the household contacts. Interventions should be constant and maintained to ensure the reduction of cases that will not be achieved if elimination activities remain restricted only to the diagnosis and treatment of new cases, leaving behind the epidemiological surveillance, routine examination of communicating, vaccination, treatment, patient education, family and community. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35078 10.47878/hi.2013.v38.35078 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35078 |
identifier_str_mv |
10.47878/hi.2013.v38.35078 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35078/33551 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 38 No. 1/2 (2013); 68-78 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 38 n. 1/2 (2013); 68-78 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797578753343488 |