The COVID-19 pandemic impacted the activities of the Schistosomiasis Control Program in Brazil: is the goal of controlling the disease by 2030 at risk?

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2024-08-05 DOI:10.1093/trstmh/trae024

Lucas Almeida Andrade, Wandklebson Silva da Paz, Rosália E Santos Ramos, Welde N Borges de Santana, Thuelly Juvêncio da Rocha, Flávia Silva Damasceno, Allan Dantas Dos Santos, Débora Dos Santos Tavares, Rodrigo Feliciano do Carmo, Carlos Dornels Freire de Souza, Deborah Aparecida Negrão-Corrêa, Ricardo Toshio Fujiwara, Abelardo Silva-Júnior, Wagnner José Nascimento Porto, Márcio Bezerra-Santos

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引用次数: 0

Abstract

Background: Schistosomiasis continues to represent a serious public health problem in Brazil. With the coronavirus disease 2019 (COVID-19) pandemic, several control strategies were suspended, probably compromising the goals of eradicating the disease in the country. We aimed to assess the impact of the COVID-19 pandemic on Schistosomiasis Control Program (PCE) actions in all endemic states of Brazil.

Methods: We performed an ecological study using spatial analysis techniques. The PCE variables assessed were the population surveyed, the number of Kato-Katz tests, positive cases of schistosomiasis and the percentage of cases treated between 2015 and 2021. The percent change was calculated to verify if there was an increase or decrease in 2020 and 2021, along with time trend analyses provided by the Joinpoint model. Spatial distribution maps were elaborated considering the percent change.

Results: The surveyed population decreased in 2020 (-65.38%) and 2021 (-37.94%) across Brazil. There was a proportional reduction in the number of Kato-Katz tests (2020, -67.48%; 2021, -40.52%), a decrease in the percentage of positive cases (2020, -71.16%; 2021, -40.5%) and a reduction in the percentage of treated cases (2020, -72.09%; 2021, -41.67%). Time trend analyses showed a decreasing trend in most PCE variables.

Conclusions: The PCE activities were impacted by the COVID-19 pandemic in Brazil and PCE strategies must be urgently reviewed, focusing on investments in all endemic areas.

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COVID-19 大流行对巴西血吸虫病控制计划活动的影响：到 2030 年控制该疾病的目标是否面临风险？

背景：血吸虫病仍然是巴西的一个严重公共卫生问题。随着 2019 年冠状病毒病（COVID-19）的流行，一些控制策略被暂停，这可能会影响在巴西根除该疾病的目标。我们旨在评估 COVID-19 大流行对巴西所有流行州血吸虫病控制计划（PCE）行动的影响：我们利用空间分析技术开展了一项生态研究。所评估的 PCE 变量包括 2015 年至 2021 年间调查的人口、卡托-卡茨检测次数、血吸虫病阳性病例以及治疗病例的百分比。计算了变化百分比，以核实 2020 年和 2021 年是增加还是减少，同时利用 Joinpoint 模型提供的时间趋势分析。根据变化百分比绘制了空间分布图：巴西全国的调查人口在 2020 年（-65.38%）和 2021 年（-37.94%）有所减少。卡托-卡茨检测的数量成比例减少（2020 年，-67.48%；2021 年，-40.52%），阳性病例的百分比下降（2020 年，-71.16%；2021 年，-40.5%），治疗病例的百分比下降（2020 年，-72.09%；2021 年，-41.67%）。时间趋势分析表明，大多数 PCE 变量呈下降趋势：巴西的 PCE 活动受到了 COVID-19 大流行的影响，必须立即对 PCE 战略进行审查，重点关注对所有流行地区的投资。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.00

自引率

9.10%

发文量

115

审稿时长

4-8 weeks

期刊介绍： Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.