巴西被忽视热带疾病的综合控制:根据世界卫生组织的建议对一项全国运动进行的文件审查。

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rosa Castália Ribeiro Soares, Amanda Gabriela de Carvalho, João Gabriel Guimarães Luz, Ana Luiza Zílio Lucas, Eliane Ignotti
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引用次数: 0

摘要

目的:根据世界卫生组织(世界卫生组织)关于综合预防、控制、消除或根除被忽视热带疾病战略的正式文件,介绍巴西旨在综合控制被忽视热带病的全国运动的成果。方法:对文件进行审查,其中包括2007年至2020年期间发布的世界卫生组织官方文件和从巴西卫生部编制的官方技术报告中提取的运动结果。结果:随着时间的推移,对被忽视的热带疾病的综合控制逐渐纳入世界卫生组织文件。通过大规模给药、强化病例管理和综合病媒管理进行预防性化疗被广泛推荐为综合控制策略。巴西的竞选活动在2013年至2017年间分四次进行。在全国市级公立学校就读的5至14岁儿童成为袭击目标。总之,总共分别检测到1074例和73522例麻风病和沙眼的新病例。对土壤传播的蠕虫病进行了近1800万剂预防性化疗。对700多例血吸虫病进行了诊断和治疗。结论:在整个运动期间,巴西实施的综合战略取得了与世界卫生组织关于控制被忽视的热带疾病的建议一致的成果,特别是关于大规模药物管理、积极发现病例和加强病例管理的建议。因此,必须鼓励利用适当的评估工具继续开展这项运动,将其作为巴西政府议程中的一项持续的公共卫生政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Integrated control of neglected tropical diseases in Brazil: document review of a national campaign in light of WHO recommendations.

Integrated control of neglected tropical diseases in Brazil: document review of a national campaign in light of WHO recommendations.

Objective: To describe the results of a national campaign aimed at the integrated control of neglected tropical diseases in Brazil in light of the World Health Organization (WHO) official documentation related to the integration of strategies for the prevention, control, and elimination or eradication of neglected tropical diseases.

Methods: A document review that included official WHO documents published between 2007 and 2020 and campaign results extracted from the official technical report produced by the Brazilian Ministry of Health.

Results: The integrated control of neglected tropical diseases was gradually incorporated in the WHO documentation over time. Preventive chemotherapy through mass drug administration, intensified case management, and integrated vector management were extensively recommended as strategies for integrated control. The Brazilian campaign was carried out in four iterations between 2013 and 2017. Children aged 5 to 14 years enrolled in municipal public schools nationwide were targeted. In summary, a total of 1 074 and 73 522 new cases of leprosy and trachoma, respectively, were detected. Nearly 18 million doses of preventive chemotherapy for soil-transmitted helminthiasis were administered. More than 700 cases of schistosomiasis were diagnosed and treated.

Conclusions: The integrated strategies implemented in Brazil throughout the campaign generated results aligned with the WHO recommendations for the control of neglected tropical diseases, especially those regarding mass drug administration, active case detection, and intensified case management. Therefore, the continuity of the campaign with adequate evaluation tools must be encouraged as a constant public health policy in the Brazilian government agenda.

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3.80%
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