The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil.

IF 2.1 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-21 DOI:10.1080/17441692.2025.2490720

Flora Cornish, Brenda Sabaine, Letícia Soares, Barbara Caldas, Margareth Crisóstomo Portela, Aylene Bousquat, Emma-Louise Aveling

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引用次数: 0

Abstract

Evidence is emerging that long COVID is at least as prevalent in the Global South as the Global North, but literature on long COVID healthcare in the Global South is in its infancy. Brazil is seeing significant levels of debility due to long COVID but a limited national evidence-base. long COVID shares symptomatology and appropriate care with a wider category of infection-associated chronic conditions (IACCs). This article reviews literature published between 2000 and 2023 addressing healthcare for long COVID and IACCs in Brazil, in the interest of exploring challenges and opportunities for the SUS (Brazil's universal health system) to offer appropriate long COVID healthcare. We find that long COVID and IACCs collectively are subject to erasure from Brazilian healthcare knowledge, through lack of expertise, a resource-limited health system prioritising urgent care, and the concentration of poor health in marginalised populations with limited decision-making power. A nascent intellectual will to address long COVID, and a tradition of social participation in healthcare governance present potential opportunities. We call for ignition of a global step-change in tackling healthcare for long COVID and IACCs. Global equity in long COVID healthcare requires the development and sharing of expertise regarding its universal and context-specific features.

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消除感染相关慢性疾病：对巴西长期COVID和相关疾病医疗保健文献的重要解释性综合。

越来越多的证据表明，长期COVID在全球南方至少与全球北方一样普遍，但关于全球南方长期COVID医疗保健的文献还处于起步阶段。由于长期的COVID，巴西出现了严重的衰弱，但国家证据基础有限。COVID与更广泛类别的感染相关慢性疾病（IACCs）具有相同的症状和适当的护理。本文回顾了2000年至2023年间发表的关于巴西长期COVID和IACCs医疗保健的文献，旨在探索SUS（巴西全民卫生系统）提供适当的长期COVID医疗保健的挑战和机遇。我们发现，由于缺乏专业知识，资源有限的卫生系统优先考虑紧急护理，以及健康状况不佳的人群集中在决策权有限的边缘人群中，长期COVID和IACCs都可能从巴西的医疗保健知识中被抹去。应对长期COVID的新兴知识分子意愿以及社会参与医疗保健治理的传统提供了潜在的机会。我们呼吁在应对长期COVID和iacc的医疗保健方面启动全球变革。要实现COVID - 19长期医疗保健的全球公平，就需要开发和分享有关其普遍性和特定环境特征的专业知识。

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

Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

3.00%

发文量

120

期刊介绍： Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.