Periodic deworming programme in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/10722 |
Resumo: | To evaluate the periodic deworming programme (PDP) against soil-transmitted helminth infection and estimate the cost-benefit of this action in a Northeastern Brazilian State. An observational descriptive study was peformed by two branches: an epidemiological analysis of parasitological stool tests positivity in the 7 health micro-regions of Sergipe State, from January to June 2019, and a cost-benefitial analysis through comparison between estimated costs of PDP and conventional diagnose and treatment method from 2014 to 2018. From the 1110 parasitological stool tests evaluated, 317 were positive: 20 (1.8 %) for helminths and 307 (26.7%) for protozoan parasites. Among positive tests, 61 (19.2%) were in PDP age target group (5-14 years). An annual average of 255,283 Albendazole tablets (400mg, single dose) were distributed with an annual average coverage rate of 84.2%. To support the programme, approximately R$ 281,859.25 (US$ 89,775.67) were transferred per year to the state of Sergipe. PDP estimated cost-effectiveness was R$ 1.10 (US$ 0.34) per event prevented and generated a cost-minimization of approximately R$ 335.617,60 (US$124,568.00) when compared to the conventional diagnose and treat method. The positive rates of soil-transmitted helminth infection in parasitological tests in Sergipe were low and the recommendation for PDP seems to be currently inadequate. Most positive tests were for commensal protozoa species. PDP estimated cost is lower than conventional diagnose and treatment method. Protozoa infections prevention policies should be evaluated as they are the major parasitic infection in our community after PDP. |
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Periodic deworming programme in BrazilPrograma de desparasitación periódica en BrasilPrograma de desparasitação periódica no BrasilParasitic diseasesTherapeuticsEpidemiologyPublic healthCost-benefit analysis.Enfermedades parasitariasTerapiaEpidemiologíaSalud públicaAnálisis coste-beneficio.Doenças parasitáriasTerapêuticaEpidemiologiaSaúde públicaAnálise de custo-benefício.To evaluate the periodic deworming programme (PDP) against soil-transmitted helminth infection and estimate the cost-benefit of this action in a Northeastern Brazilian State. An observational descriptive study was peformed by two branches: an epidemiological analysis of parasitological stool tests positivity in the 7 health micro-regions of Sergipe State, from January to June 2019, and a cost-benefitial analysis through comparison between estimated costs of PDP and conventional diagnose and treatment method from 2014 to 2018. From the 1110 parasitological stool tests evaluated, 317 were positive: 20 (1.8 %) for helminths and 307 (26.7%) for protozoan parasites. Among positive tests, 61 (19.2%) were in PDP age target group (5-14 years). An annual average of 255,283 Albendazole tablets (400mg, single dose) were distributed with an annual average coverage rate of 84.2%. To support the programme, approximately R$ 281,859.25 (US$ 89,775.67) were transferred per year to the state of Sergipe. PDP estimated cost-effectiveness was R$ 1.10 (US$ 0.34) per event prevented and generated a cost-minimization of approximately R$ 335.617,60 (US$124,568.00) when compared to the conventional diagnose and treat method. The positive rates of soil-transmitted helminth infection in parasitological tests in Sergipe were low and the recommendation for PDP seems to be currently inadequate. Most positive tests were for commensal protozoa species. PDP estimated cost is lower than conventional diagnose and treatment method. Protozoa infections prevention policies should be evaluated as they are the major parasitic infection in our community after PDP.Evaluar el programa de desparasitación periódica (PDP) contra helmintos transmitidos por el suelo y estimar el costo-beneficio de esta acción en un estado del Nordeste de Brasil. Se realizó un estudio observacional descriptivo en dos ramas: un análisis epidemiológico de la positividad de exámenes parasitológicos de heces en las 7 microrregiones sanitarias del estado de Sergipe, de enero a junio de 2019, y un análisis de costo-beneficio por comparación entre costos estimados de PDP y método convencional de diagnóstico y tratamiento de 2014 a 2018. De los 1110 exámenes parasitológicos de heces evaluados, 317 fueron positivos: 20 (1.8%) para helmintos y 307 (26.7%) para parásitos protozoarios. Entre las pruebas positivas, 61 (19,2%) estaban en el grupo de edad PDP (5-14 años). Se distribuyó un promedio anual de 255.283 comprimidos de albendazol (400 mg, dosis única) con una tasa de cobertura anual promedio del 84,2%. Para apoyar el programa, se transfirieron aproximadamente R $ 281.859,25 (US $ 89.775,67) por año al estado de Sergipe. El costo-efectividad estimado del PDP fue de R $ 1,10 (US $ 0,34) por evento evitado y generó una minimización de costos de aproximadamente R $ 335.617,60 (US $ 124.568,00) en comparación con el método convencional de diagnostico y tratamiento. Tasas de suelo positivas. La infección por helmintos probada por parasitólogos en Sergipe fue baja y la recomendación de PDP parece ser actualmente inadecuada. La mayoría de las pruebas positivas fueron para especies de protozoos comensales. El costo estimado de la PDP es menor que el método convencional de diagnóstico y tratamiento. Se deben evaluar las políticas para prevenir las infecciones por protozoos, ya que son la principal infección parasitaria en nuestra comunidad después de la PDP.Avaliar o programa de desparasitação periódica (PDP) contra helmintos transmitidos pelo solo e estimar o custo-benefício dessa ação em um Estado do Nordeste brasileiro. Foi realizado um estudo observacional descritivo em dois ramos: uma análise epidemiológica da positividade dos exames parasitológicos de fezes nas 7 microrregiões de saúde do Estado de Sergipe, no período de janeiro a junho de 2019, e uma análise de custo-benefício por comparação entre os custos estimados da PDP e convencional método de diagnóstico e tratamento de 2014 a 2018. Dos 1110 exames parasitológicos de fezes avaliados, 317 foram positivos: 20 (1,8%) para helmintos e 307 (26,7%) para parasitas protozoários. Entre os testes positivos, 61 (19,2%) estavam na faixa etária PDP (5-14 anos). Uma média anual de 255.283 comprimidos de albendazol (400 mg, dose única) foi distribuída com uma taxa de cobertura média anual de 84,2%. Para apoiar o programa, foram transferidos aproximadamente R$ 281.859,25 (US $ 89.775,67) por ano para o estado de Sergipe. O custo-efetividade estimado do PDP foi de R $ 1,10 (US $ 0,34) por evento evitado e gerou uma minimização de custo de aproximadamente R $ 335.617,60 (US $ 124.568,00) quando comparado ao método convencional de diagnóstico e tratamento. As taxas positivas de solo. A infecção por helmintos testados pelos parasitológicos em Sergipe foram baixos e a recomendação para PDP parece ser atualmente inadequada. A maioria dos testes positivos foram para espécies de protozoários comensais. O custo estimado do PDP é menor do que o diagnóstico convencional e o método de tratamento. As políticas de prevenção de infecções por protozoários devem ser avaliadas, pois eles são a principal infecção parasitária em nossa comunidade após a PDP.Research, Society and Development2020-12-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1072210.33448/rsd-v9i11.10722Research, Society and Development; Vol. 9 No. 11; e100091110722Research, Society and Development; Vol. 9 Núm. 11; e100091110722Research, Society and Development; v. 9 n. 11; e1000911107222525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/10722/9584Copyright (c) 2020 Ariel Oliveira Celestino; Pablo Amercio Silva Lima; Larissa Maria Cardoso Lima Rodrigues; Camila Mendonça França; Isabel Ribeiro Santana Lopes; Sarah Cristina Fontes Vieira; Ikaro Daniel de Carvalho Barreto; Fernanda Esperidião; Ricardo Queiroz Gurgelhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCelestino, Ariel Oliveira Lima, Pablo Amercio Silva Rodrigues, Larissa Maria Cardoso Lima França, Camila Mendonça Lopes, Isabel Ribeiro Santana Vieira, Sarah Cristina Fontes Barreto, Ikaro Daniel de Carvalho Esperidião, Fernanda Gurgel, Ricardo Queiroz 2020-12-10T23:37:57Zoai:ojs.pkp.sfu.ca:article/10722Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:43.780429Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Periodic deworming programme in Brazil Programa de desparasitación periódica en Brasil Programa de desparasitação periódica no Brasil |
title |
Periodic deworming programme in Brazil |
spellingShingle |
Periodic deworming programme in Brazil Celestino, Ariel Oliveira Parasitic diseases Therapeutics Epidemiology Public health Cost-benefit analysis. Enfermedades parasitarias Terapia Epidemiología Salud pública Análisis coste-beneficio. Doenças parasitárias Terapêutica Epidemiologia Saúde pública Análise de custo-benefício. |
title_short |
Periodic deworming programme in Brazil |
title_full |
Periodic deworming programme in Brazil |
title_fullStr |
Periodic deworming programme in Brazil |
title_full_unstemmed |
Periodic deworming programme in Brazil |
title_sort |
Periodic deworming programme in Brazil |
author |
Celestino, Ariel Oliveira |
author_facet |
Celestino, Ariel Oliveira Lima, Pablo Amercio Silva Rodrigues, Larissa Maria Cardoso Lima França, Camila Mendonça Lopes, Isabel Ribeiro Santana Vieira, Sarah Cristina Fontes Barreto, Ikaro Daniel de Carvalho Esperidião, Fernanda Gurgel, Ricardo Queiroz |
author_role |
author |
author2 |
Lima, Pablo Amercio Silva Rodrigues, Larissa Maria Cardoso Lima França, Camila Mendonça Lopes, Isabel Ribeiro Santana Vieira, Sarah Cristina Fontes Barreto, Ikaro Daniel de Carvalho Esperidião, Fernanda Gurgel, Ricardo Queiroz |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Celestino, Ariel Oliveira Lima, Pablo Amercio Silva Rodrigues, Larissa Maria Cardoso Lima França, Camila Mendonça Lopes, Isabel Ribeiro Santana Vieira, Sarah Cristina Fontes Barreto, Ikaro Daniel de Carvalho Esperidião, Fernanda Gurgel, Ricardo Queiroz |
dc.subject.por.fl_str_mv |
Parasitic diseases Therapeutics Epidemiology Public health Cost-benefit analysis. Enfermedades parasitarias Terapia Epidemiología Salud pública Análisis coste-beneficio. Doenças parasitárias Terapêutica Epidemiologia Saúde pública Análise de custo-benefício. |
topic |
Parasitic diseases Therapeutics Epidemiology Public health Cost-benefit analysis. Enfermedades parasitarias Terapia Epidemiología Salud pública Análisis coste-beneficio. Doenças parasitárias Terapêutica Epidemiologia Saúde pública Análise de custo-benefício. |
description |
To evaluate the periodic deworming programme (PDP) against soil-transmitted helminth infection and estimate the cost-benefit of this action in a Northeastern Brazilian State. An observational descriptive study was peformed by two branches: an epidemiological analysis of parasitological stool tests positivity in the 7 health micro-regions of Sergipe State, from January to June 2019, and a cost-benefitial analysis through comparison between estimated costs of PDP and conventional diagnose and treatment method from 2014 to 2018. From the 1110 parasitological stool tests evaluated, 317 were positive: 20 (1.8 %) for helminths and 307 (26.7%) for protozoan parasites. Among positive tests, 61 (19.2%) were in PDP age target group (5-14 years). An annual average of 255,283 Albendazole tablets (400mg, single dose) were distributed with an annual average coverage rate of 84.2%. To support the programme, approximately R$ 281,859.25 (US$ 89,775.67) were transferred per year to the state of Sergipe. PDP estimated cost-effectiveness was R$ 1.10 (US$ 0.34) per event prevented and generated a cost-minimization of approximately R$ 335.617,60 (US$124,568.00) when compared to the conventional diagnose and treat method. The positive rates of soil-transmitted helminth infection in parasitological tests in Sergipe were low and the recommendation for PDP seems to be currently inadequate. Most positive tests were for commensal protozoa species. PDP estimated cost is lower than conventional diagnose and treatment method. Protozoa infections prevention policies should be evaluated as they are the major parasitic infection in our community after PDP. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-10 |
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://rsdjournal.org/index.php/rsd/article/view/10722 10.33448/rsd-v9i11.10722 |
url |
https://rsdjournal.org/index.php/rsd/article/view/10722 |
identifier_str_mv |
10.33448/rsd-v9i11.10722 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/10722/9584 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 11; e100091110722 Research, Society and Development; Vol. 9 Núm. 11; e100091110722 Research, Society and Development; v. 9 n. 11; e100091110722 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052817114923008 |