Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/216952 |
Resumo: | Chagas disease (CD) is a neglected disease caused by the protozoan Trypanosoma cruzi. It has high morbidity and mortality rates and mainly affects socially vulnerable populations. This is a cross-sectional study, with retrospective and prospective data collection. Using questionnaires applied to environmental surveillance coordinators, we characterized the status of CD surveillance activities in municipalities endemic for the disease in Northern Minas Gerais State (MG) and Jequitinhonha Valley (Vale do Jequitinhonha). Moreover, we spatialized the vulnerability index for chronic CD in the study area. The population consisted of 22 environmental surveillance coordinators, active in 2020, from Northern MG and Jequitinhonha Valley, 21 municipalities included in the SaMi-Trop research project, and Montes Claros municipality. After applying the questionnaires to the coordinators, a descriptive analysis of the variables was performed. To characterize the active municipalities, the explanatory variables collected in the questionnaire were compared with the dichotomous variable. Bivariate descriptive analysis was performed. Finally, geoprocessing techniques were used to spatialize the data and prepare maps. Regarding the team of endemic combat agents (ECA), 90.9% reported the lack of a specific team for CD vector control actions. Of the 22 municipalities participating in this study, nine were active (41.1%). Only 25% (n=2) of active municipalities (9% of the municipalities studied) met the target of visiting 50% of households per year. Finally, 81.1% of the coordinators stated that in their municipality, they developed actions linked to primary health care (PHC). The implementation of CD surveillance activities weakened in the endemic region. Few municipalities have a surveillance team, with low regularity of active surveillance and noncompliance with the program’s goal. The results suggest insufficient recording of activities in the information system, considering that there are municipalities that report performing the activities, but no production record was observed in the system. |
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Overview of Chagas disease surveillance in an endemic region in Southeastern BrazilChagas diseaseHealth SurveillanceControlNeglected diseasesChagas disease (CD) is a neglected disease caused by the protozoan Trypanosoma cruzi. It has high morbidity and mortality rates and mainly affects socially vulnerable populations. This is a cross-sectional study, with retrospective and prospective data collection. Using questionnaires applied to environmental surveillance coordinators, we characterized the status of CD surveillance activities in municipalities endemic for the disease in Northern Minas Gerais State (MG) and Jequitinhonha Valley (Vale do Jequitinhonha). Moreover, we spatialized the vulnerability index for chronic CD in the study area. The population consisted of 22 environmental surveillance coordinators, active in 2020, from Northern MG and Jequitinhonha Valley, 21 municipalities included in the SaMi-Trop research project, and Montes Claros municipality. After applying the questionnaires to the coordinators, a descriptive analysis of the variables was performed. To characterize the active municipalities, the explanatory variables collected in the questionnaire were compared with the dichotomous variable. Bivariate descriptive analysis was performed. Finally, geoprocessing techniques were used to spatialize the data and prepare maps. Regarding the team of endemic combat agents (ECA), 90.9% reported the lack of a specific team for CD vector control actions. Of the 22 municipalities participating in this study, nine were active (41.1%). Only 25% (n=2) of active municipalities (9% of the municipalities studied) met the target of visiting 50% of households per year. Finally, 81.1% of the coordinators stated that in their municipality, they developed actions linked to primary health care (PHC). The implementation of CD surveillance activities weakened in the endemic region. Few municipalities have a surveillance team, with low regularity of active surveillance and noncompliance with the program’s goal. The results suggest insufficient recording of activities in the information system, considering that there are municipalities that report performing the activities, but no production record was observed in the system.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2023-10-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/21695210.1590/S1678-9946202365051Revista do Instituto de Medicina Tropical de São Paulo; Vol. 65 (2023); e51Revista do Instituto de Medicina Tropical de São Paulo; v. 65 (2023); e51Revista do Instituto de Medicina Tropical de São Paulo; Vol. 65 (2023); e511678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/216952/198497Copyright (c) 2023 Aline Ferreira Rafael , Raquel Aparecida Ferreira, Ariela Ferreira Mota, Renata Fiúza Damasceno, Agna Soares da Silva Menezes, Bartolomeu Teixeira Lopes, Gustavo Libério de Paulo, Ester Cerdeira Sabino, Antônio Luiz Pinho Ribeiro, Nayara Dornela Quintino, Thallyta Maria Vieirahttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccess Rafael , Aline FerreiraFerreira, Raquel Aparecida Mota, Ariela Ferreira Damasceno, Renata Fiúza Menezes, Agna Soares da Silva Lopes, Bartolomeu TeixeiraPaulo, Gustavo Libério de Sabino, Ester Cerdeira Ribeiro, Antônio Luiz Pinho Quintino, Nayara Dornela Vieira, Thallyta Maria 2023-12-22T12:47:01Zoai:revistas.usp.br:article/216952Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2023-12-22T12:47:01Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)false |
dc.title.none.fl_str_mv |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
title |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
spellingShingle |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil Rafael , Aline Ferreira Chagas disease Health Surveillance Control Neglected diseases |
title_short |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
title_full |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
title_fullStr |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
title_full_unstemmed |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
title_sort |
Overview of Chagas disease surveillance in an endemic region in Southeastern Brazil |
author |
Rafael , Aline Ferreira |
author_facet |
Rafael , Aline Ferreira Ferreira, Raquel Aparecida Mota, Ariela Ferreira Damasceno, Renata Fiúza Menezes, Agna Soares da Silva Lopes, Bartolomeu Teixeira Paulo, Gustavo Libério de Sabino, Ester Cerdeira Ribeiro, Antônio Luiz Pinho Quintino, Nayara Dornela Vieira, Thallyta Maria |
author_role |
author |
author2 |
Ferreira, Raquel Aparecida Mota, Ariela Ferreira Damasceno, Renata Fiúza Menezes, Agna Soares da Silva Lopes, Bartolomeu Teixeira Paulo, Gustavo Libério de Sabino, Ester Cerdeira Ribeiro, Antônio Luiz Pinho Quintino, Nayara Dornela Vieira, Thallyta Maria |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rafael , Aline Ferreira Ferreira, Raquel Aparecida Mota, Ariela Ferreira Damasceno, Renata Fiúza Menezes, Agna Soares da Silva Lopes, Bartolomeu Teixeira Paulo, Gustavo Libério de Sabino, Ester Cerdeira Ribeiro, Antônio Luiz Pinho Quintino, Nayara Dornela Vieira, Thallyta Maria |
dc.subject.por.fl_str_mv |
Chagas disease Health Surveillance Control Neglected diseases |
topic |
Chagas disease Health Surveillance Control Neglected diseases |
description |
Chagas disease (CD) is a neglected disease caused by the protozoan Trypanosoma cruzi. It has high morbidity and mortality rates and mainly affects socially vulnerable populations. This is a cross-sectional study, with retrospective and prospective data collection. Using questionnaires applied to environmental surveillance coordinators, we characterized the status of CD surveillance activities in municipalities endemic for the disease in Northern Minas Gerais State (MG) and Jequitinhonha Valley (Vale do Jequitinhonha). Moreover, we spatialized the vulnerability index for chronic CD in the study area. The population consisted of 22 environmental surveillance coordinators, active in 2020, from Northern MG and Jequitinhonha Valley, 21 municipalities included in the SaMi-Trop research project, and Montes Claros municipality. After applying the questionnaires to the coordinators, a descriptive analysis of the variables was performed. To characterize the active municipalities, the explanatory variables collected in the questionnaire were compared with the dichotomous variable. Bivariate descriptive analysis was performed. Finally, geoprocessing techniques were used to spatialize the data and prepare maps. Regarding the team of endemic combat agents (ECA), 90.9% reported the lack of a specific team for CD vector control actions. Of the 22 municipalities participating in this study, nine were active (41.1%). Only 25% (n=2) of active municipalities (9% of the municipalities studied) met the target of visiting 50% of households per year. Finally, 81.1% of the coordinators stated that in their municipality, they developed actions linked to primary health care (PHC). The implementation of CD surveillance activities weakened in the endemic region. Few municipalities have a surveillance team, with low regularity of active surveillance and noncompliance with the program’s goal. The results suggest insufficient recording of activities in the information system, considering that there are municipalities that report performing the activities, but no production record was observed in the system. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/216952 10.1590/S1678-9946202365051 |
url |
https://www.revistas.usp.br/rimtsp/article/view/216952 |
identifier_str_mv |
10.1590/S1678-9946202365051 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/216952/198497 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 65 (2023); e51 Revista do Instituto de Medicina Tropical de São Paulo; v. 65 (2023); e51 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 65 (2023); e51 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
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Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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1798951636606910464 |