A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil.
BACKGROUND: Since its beginning in 1999, the Schistosomiasis Control Program within the Unified Health System (PCE-SUS) has registered a cumulative coverage of just 20% of the population from the Rainforest Zone of Pernambuco (ZMP), northeast Brazil. This jeopardizes the accomplishment of the minimu...
Published in: | PLoS Neglected Tropical Diseases |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Public Library of Science (PLoS)
2009
|
Subjects: | |
Online Access: | https://doi.org/10.1371/journal.pntd.0000395 https://doaj.org/article/30fbd9ca625b4a40934e5043be5355b9 |
id |
ftdoajarticles:oai:doaj.org/article:30fbd9ca625b4a40934e5043be5355b9 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:30fbd9ca625b4a40934e5043be5355b9 2023-05-15T15:17:25+02:00 A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. Tereza C Favre Ana P B Pereira Aline F Galvão Luciana C Zani Constança S Barbosa Otávio S Pieri 2009-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0000395 https://doaj.org/article/30fbd9ca625b4a40934e5043be5355b9 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC2653226?pdf=render https://doaj.org/toc/1935-2735 1935-2735 doi:10.1371/journal.pntd.0000395 https://doaj.org/article/30fbd9ca625b4a40934e5043be5355b9 PLoS Neglected Tropical Diseases, Vol 3, Iss 3, p e395 (2009) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2009 ftdoajarticles https://doi.org/10.1371/journal.pntd.0000395 2022-12-31T15:58:43Z BACKGROUND: Since its beginning in 1999, the Schistosomiasis Control Program within the Unified Health System (PCE-SUS) has registered a cumulative coverage of just 20% of the population from the Rainforest Zone of Pernambuco (ZMP), northeast Brazil. This jeopardizes the accomplishment of the minimum goal of the Fifty-Fourth World Health Assembly, resolution WHA54.19, of providing treatment for schistosomiasis and soil-transmitted helminthiases (STH) to 75% of school-aged children at risk, which requires attending at least 166,000 residents in the 7-14 age range by year 2010 in that important endemic area. In the present study, secondary demographic and parasitological data from a representative municipality of the ZMP are analyzed to provide evidence that the current, community-based approach to control schistosomiasis and STH is unlikely to attain the WHA-54.19 minimum goal and to suggest that school-based control actions are also needed. METHODOLOGY/PRINCIPAL FINDINGS: Data available on the PCE-SUS activities related to diagnosis and treatment of the population from the study municipality were obtained from the State Secretary of Health of Pernambuco (SES/PE) for 2002-2006, complemented by the Municipal Secretary of Health (SMS) for 2003-2004. Data from a school-based stool survey carried out by the Schistosomiasis Reference Service of the Oswaldo Cruz Foundation (SRE/Fiocruz) in 2004 were used to provide information on infection status variation among school-aged children (7-14 years). According to the SES, from 2004 to 2006, only 2,977 (19.5%) of the estimated 15,288 residents of all ages were examined, of which 396 (13.3%) were positive for Schistosoma mansoni. Among these, only 180 (45.5%) were treated. According to the SMS, of the 1,766 examined in the 2003-2004 population stool survey 570 (32.3%) were children aged 7-14 years. One year later, the SRE/Fiocruz school survey revealed that the infection status among those children remained unchanged at 14%-15% prevalence. By 2006, the school-aged population ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 3 3 e395 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Tereza C Favre Ana P B Pereira Aline F Galvão Luciana C Zani Constança S Barbosa Otávio S Pieri A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND: Since its beginning in 1999, the Schistosomiasis Control Program within the Unified Health System (PCE-SUS) has registered a cumulative coverage of just 20% of the population from the Rainforest Zone of Pernambuco (ZMP), northeast Brazil. This jeopardizes the accomplishment of the minimum goal of the Fifty-Fourth World Health Assembly, resolution WHA54.19, of providing treatment for schistosomiasis and soil-transmitted helminthiases (STH) to 75% of school-aged children at risk, which requires attending at least 166,000 residents in the 7-14 age range by year 2010 in that important endemic area. In the present study, secondary demographic and parasitological data from a representative municipality of the ZMP are analyzed to provide evidence that the current, community-based approach to control schistosomiasis and STH is unlikely to attain the WHA-54.19 minimum goal and to suggest that school-based control actions are also needed. METHODOLOGY/PRINCIPAL FINDINGS: Data available on the PCE-SUS activities related to diagnosis and treatment of the population from the study municipality were obtained from the State Secretary of Health of Pernambuco (SES/PE) for 2002-2006, complemented by the Municipal Secretary of Health (SMS) for 2003-2004. Data from a school-based stool survey carried out by the Schistosomiasis Reference Service of the Oswaldo Cruz Foundation (SRE/Fiocruz) in 2004 were used to provide information on infection status variation among school-aged children (7-14 years). According to the SES, from 2004 to 2006, only 2,977 (19.5%) of the estimated 15,288 residents of all ages were examined, of which 396 (13.3%) were positive for Schistosoma mansoni. Among these, only 180 (45.5%) were treated. According to the SMS, of the 1,766 examined in the 2003-2004 population stool survey 570 (32.3%) were children aged 7-14 years. One year later, the SRE/Fiocruz school survey revealed that the infection status among those children remained unchanged at 14%-15% prevalence. By 2006, the school-aged population ... |
format |
Article in Journal/Newspaper |
author |
Tereza C Favre Ana P B Pereira Aline F Galvão Luciana C Zani Constança S Barbosa Otávio S Pieri |
author_facet |
Tereza C Favre Ana P B Pereira Aline F Galvão Luciana C Zani Constança S Barbosa Otávio S Pieri |
author_sort |
Tereza C Favre |
title |
A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
title_short |
A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
title_full |
A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
title_fullStr |
A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
title_full_unstemmed |
A rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, Brazil. |
title_sort |
rationale for schistosomiasis control in elementary schools of the rainforest zone of pernambuco, brazil. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2009 |
url |
https://doi.org/10.1371/journal.pntd.0000395 https://doaj.org/article/30fbd9ca625b4a40934e5043be5355b9 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 3, Iss 3, p e395 (2009) |
op_relation |
http://europepmc.org/articles/PMC2653226?pdf=render https://doaj.org/toc/1935-2735 1935-2735 doi:10.1371/journal.pntd.0000395 https://doaj.org/article/30fbd9ca625b4a40934e5043be5355b9 |
op_doi |
https://doi.org/10.1371/journal.pntd.0000395 |
container_title |
PLoS Neglected Tropical Diseases |
container_volume |
3 |
container_issue |
3 |
container_start_page |
e395 |
_version_ |
1766347666992660480 |