Hermano Gomes Albuquerque, Gerusa Belo Gibson Santos, Alexandre San Pedro Siqueira, Ronan Rocha Coelho, Jefferson Pereira Caldas Dos Santos, Heitor Levi Ferreira Praça, Paulo Cesar Peiter, Leandro Henrique Vouga Pereira, Joseli Oliveira-Ferreira, Martha Cecilia Suárez Mutis
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引用次数: 0
Abstract
Background: The malaria control strategy of the Brazilian Ministry of Health involves the classification of transmission contexts into special areas based on the distinct determinants of malaria in each location.
Objective: To search, find, organise, and map data about special areas using Brazilian databases and show their distribution among the states of the Brazilian Amazon.
Methods: A search related to the socioenvironmental determinants of malaria was conducted in Brazilian databases using the special areas of the Ministry of Health as a reference. Data were compiled by states in the Brazilian Amazon.
Findings: Indigenous areas occupy a significant portion of the Amazon territory and exhibit high incidence rates of malaria. Rural settlements also cover large areas of the Amazon, and in some states, more than 10% of malaria cases are associated with this typology. Legal and illegal mining areas, despite occupying small portions of the Amazon territory, contribute to the malaria caseload. In contrast, urban areas cover smaller regions, with low incidence rates.
Main conclusions: Despite the progress represented by the typological structure of special areas by the Ministry of Health's, our findings reveal limitations related to them because of their complexities and emphasise the need to further substratify these areas to devise control strategies more adapted to them.
期刊介绍：
Memórias do Instituto Oswaldo Cruz is a journal specialized in microbes & their vectors causing human infections. This means that we accept manuscripts covering multidisciplinary approaches and findings in the basic aspects of infectious diseases, e.g. basic in research in prokariotes, eukaryotes, and/or virus. Articles must clearly show what is the main question to be answered, the hypothesis raised, and the contribution given by the study.
Priority is given to manuscripts reporting novel mechanisms and general findings concerning the biology of human infectious prokariotes, eukariotes or virus. Papers reporting innovative methods for diagnostics or that advance the basic research with these infectious agents are also welcome.
It is important to mention what we do not publish: veterinary infectious agents research, taxonomic analysis and re-description of species, epidemiological studies or surveys or case reports and data re-analysis. Manuscripts that fall in these cases or that are considered of low priority by the journal editorial board, will be returned to the author(s) for submission to another journal.
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