The greatest Dengue epidemic in Brazil: Surveillance, Prevention, and Control.

IF 1.8 4区 医学 Q2 PARASITOLOGY
Rodrigo Gurgel-Gonçalves, Wanderson Kleber de Oliveira, Julio Croda
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引用次数: 0

Abstract

In this review, we discuss dengue surveillance, prevention, and control measures in Brazil. Data on dengue epidemics between 2000 and 2024 indicates an increase in the number of dengue cases and deaths. Global climate change is a key driver of this growth. Over the past 25 years, nearly 18 million Brazilians have been infected with the dengue virus, and the highest number of dengue cases in Brazil's history is projected to reach 2024. Dengue mortality in Brazil increased geographically over time. As of June, there were approximately 6 million probable cases and 4,000 confirmed deaths in Brazil, which represents the greatest dengue epidemic to date. Several technologies have been developed to control Aedes aegypti, including the deployment of Wolbachia-infected mosquitoes, indoor residual spraying, sterile insect techniques, and mosquito-disseminated insecticides. The Ministry of Health recommends integrating these technologies into health services. Brazil is the first country to incorporate the Takeda vaccine into its public health system, and the Butantan vaccine is currently undergoing Phase 3 clinical trials. Increasing the vaccination coverage and implementing novel Ae. aegypti control technologies could reduce the number of dengue cases in Brazil in the coming years. Community activities such as home cleaning and elimination of potential mosquito breeding sites, facilitated by social media and health education initiatives, must continue to achieve this reduction. Ultimately, a multisectoral approach encompassing sanitary improvements, mosquito control, vaccination, and community mobilization is crucial in the fight against dengue epidemics.

巴西最严重的登革热疫情:监测、预防和控制。
在本综述中,我们将讨论巴西的登革热监测、预防和控制措施。2000 年至 2024 年的登革热流行病数据表明,登革热病例和死亡人数都在增加。全球气候变化是这一增长的主要驱动力。在过去 25 年中,近 1800 万巴西人感染了登革热病毒,预计 2024 年将达到巴西历史上登革热病例的最高峰。随着时间的推移,巴西的登革热死亡率呈地域性增长。截至 6 月,巴西约有 600 万个可能病例和 4 000 例确诊死亡病例,这是迄今为止登革热疫情最严重的一次。目前已开发出几种控制埃及伊蚊的技术,包括部署沃尔巴奇亚感染蚊子、室内滞留喷洒、昆虫不育技术和蚊虫散播杀虫剂。卫生部建议将这些技术纳入卫生服务。巴西是第一个将武田疫苗纳入公共卫生系统的国家,布坦坦疫苗目前正在进行第三阶段临床试验。提高疫苗接种覆盖率和实施新型埃及蚁控制技术可在未来几年减少巴西登革热病例的数量。为了减少登革热病例,必须继续开展社区活动,如家庭清洁和消除潜在的蚊子滋生地,并通过社会媒体和健康教育活动加以促进。归根结底,包括改善卫生条件、蚊虫控制、疫苗接种和社区动员在内的多部门方法对于防治登革热流行病至关重要。
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
CiteScore
3.40
自引率
10.00%
发文量
195
审稿时长
3-8 weeks
期刊介绍: The Journal of the Brazilian Society of Tropical Medicine (JBSTM) isan official journal of the Brazilian Society of Tropical Medicine) with open access. It is amultidisciplinary journal that publishes original researches related totropical diseases, preventive medicine, public health, infectious diseasesand related matters. Preference for publication will be given to articlesreporting original observations or researches. The journal has a peer-reviewsystem for articles acceptance and its periodicity is bimonthly. The Journalof the Brazilian Society of Tropical Medicine is published in English.The journal invites to publication Major Articles, Editorials, Reviewand Mini-Review Articles, Short Communications, Case Reports, TechnicalReports, Images in Infectious Diseases, Letters, Supplements and Obituaries.
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