通过同一个健康和艺术科学赋予社区权力:在巴西米纳斯吉拉斯州流行地区防治恰加斯病的创新方法。

Public health challenges Pub Date : 2025-02-10 eCollection Date: 2025-03-01 DOI:10.1002/puh2.165
Jonathan Gonçalves-Oliveira, Catarina Macedo Lopes, Teresa C M Gonçalves, Suellen Nunes Sarmento, João Paulo S O Correia, Rute H A de Sousa, Antônia de Castro Ribeiro, Otília Sarquis, Juliana Almeida-Silva, Sarah C Dos S Silva, Ana M Suarez-Fontes, Roberto Rodrigues Ferreira, Thallyta M Vieira, Paulo S D'Andrea, Luciana R Garzoni, Marcos A Vannier-Santos, Tania C Araujo-Jorge
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引用次数: 0

摘要

背景:恰加斯病是一种被忽视的人畜共患病,需要通过“同一个健康”方法进行研究,因为它在传播周期中涉及动物、环境和人类健康的各个方面。这种疾病影响到拉丁美洲20个国家的700万人,在全世界每年造成大约7千人死亡。当地知识对于制定教育战略以减轻疾病传播风险至关重要,特别是在流行地区。目的:在本研究中,我们介绍了在CD上整合五种林分和互补学科的经验,重点关注环境,生物和人类生命因素,以及其无脊椎和脊椎动物宿主。方法:本研究是作为查加斯快车21世纪倡议的一部分进行的,该倡议是一项社会教育技术,被设想为一列由六个主题“车厢”(教育站)组成的与CD相关的想象列车。目前的研究在巴西米纳斯吉拉斯州北部地区进行,重点关注车厢4的活动,涉及两个城市的649名参与者:埃斯皮诺萨和蒙特斯克拉罗斯,这两个城市都是CD的流行地区。参与者的先验知识是通过一系列问题来评估的,在自愿会议期间,教育调解人参与了对话。我们发现,与预防和控制病媒传播有关的关键方面,如宿主和病媒多样性以及家庭风险,在当地教育活动中被忽视,或者对两个城市的人口一无所知。结论:本研究表明,人畜共患病,特别是乳糜病,应纳入基础教育和卫生专业培训课程,采用考虑不同社会环境界面的策略,旨在改善人、动物和环境的生活条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empowering communities through One Health and ArtScience: An innovative approach to combat Chagas disease in endemic areas of Minas Gerais, Brazil.

Background: Chagas disease (CD) is a neglected zoonosis that requires study through the One Health approach, as it involves various aspects of animal, environmental, and human health in its transmission cycle. This disease affects 7 million people in 20 countries in Latin America, resulting in approximately seven thousand deaths annually worldwide. Local knowledge is crucial for developing educational strategies to mitigate the risks of disease transmission, particularly in endemic areas.

Aims: In this study, we present the experience of integrating five stands with complementary subjects on CD, focusing on environmental, biological, and human life factors, as well as its invertebrate and vertebrate hosts.

Methods: This research was conducted as part of the Chagas Express XXI initiative, a social-educational technology conceived as an imaginary train consisting of six thematic "wagons" (education stations) related to CD. The current study took place in the northern region of the state of Minas Gerais, Brazil, focusing on the activities of wagon 4, which involved 649 participants in two municipalities: Espinosa and Montes Claros, both endemic rural and urban areas for CD.

Results: Participants' prior knowledge was assessed through a series of questions, and educational mediators engaged in dialog during voluntary sessions. We found that crucial aspects related to the prevention and control of vector-borne transmissions, such as host and vector diversity, as well as household risks, were neglected in local education activities or unknown to the populations of both municipalities.

Conclusions: This study demonstrates that zoonosis, particularly CD, should be included in basic education and health professional training courses, employing strategies that consider the different socio-environmental interfaces and aim to improve human, animal, and environmental living conditions.

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