Author | Barreto, Maurício Lima | |
Author | Teixeira, M. Gloria | |
Author | Bastos, Francisco Inácio Pinkusfeld Monteiro | |
Author | Ximenes, Ricardo Arraes de Alencar | |
Author | Barata, Rita de Cássia Barradas | |
Author | Rodrigues, Laura C. | |
Access date | 2011-06-20T18:43:03Z | |
Available date | 2011-06-20T18:43:03Z | |
Document date | 2011 | |
Citation | BARRETO, Mauricio L. et al. Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs. Lancet, London, v. 377, p. 1877–89, 2011. | pt_BR |
ISSN | 0140-6736 | |
URI | https://www.arca.fiocruz.br/handle/icict/2727 | |
Language | eng | pt_BR |
Rights | open access | |
Subject in Portuguese | Doenças Infecciosas | pt_BR |
Subject in Portuguese | Controle | pt_BR |
Subject in Portuguese | Brasil | pt_BR |
Subject in Portuguese | Doença de Chagas | pt_BR |
Subject in Portuguese | Políticas de Saúde | pt_BR |
Subject in Portuguese | HIV | pt_BR |
Subject in Portuguese | SIDA | pt_BR |
Subject in Portuguese | Hepatite A | pt_BR |
Subject in Portuguese | Hepatite B | pt_BR |
Subject in Portuguese | Tuberculose | pt_BR |
Subject in Portuguese | Lepra | pt_BR |
Subject in Portuguese | Esquistossomose | pt_BR |
Subject in Portuguese | Malária | pt_BR |
Subject in Portuguese | Dengue | pt_BR |
Subject in Portuguese | Leishmaniose Visceral | pt_BR |
Subject in Portuguese | Cólera | pt_BR |
Title | Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs | pt_BR |
Type | Article | |
DOI | DOI:10.1016/S0140- 6736(11)60202-X | |
Abstract | Despite pronounced reductions in the number of deaths due to infectious diseases over the past six decades, infectious
diseases are still a public health problem in Brazil. In this report, we discuss the major successes and failures in the
control of infectious diseases in Brazil, and identify research needs and policies to further improve control or interrupt
transmission. Control of diseases such as cholera, Chagas disease, and those preventable by vaccination has been
successful through effi cient public policies and concerted eff orts from diff erent levels of government and civil society. For
these diseases, policies dealt with key determinants (eg, the quality of water and basic sanitation, vector control), provided
access to preventive resources (such as vaccines), and successfully integrated health policies with broader social policies.
Diseases for which control has failed (such as dengue fever and visceral leishmaniasis) are vector-borne diseases with
changing epidemiological profi les and major diffi culties in treatment (in the case of dengue fever, no treatment is
available). Diseases for which control has been partly successful have complex transmission patterns related to adverse
environmental, social, economic, or unknown determinants; are sometimes transmitted by insect vectors that are diffi cult
to control; and are mostly chronic diseases with long infectious periods that require lengthy periods of treatment. | pt_BR |
Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | pt_BR |
Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Brown University. Providence, RI, USA. | pt_BR |
Affilliation | Universidade Federal de Pernambuco. Recife, PE, Brasil. | pt_BR |
Affilliation | Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo, SP, Brasil. | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, UK. | pt_BR |
Subject | Infectious Diseases | pt_BR |
Subject | Control | pt_BR |
Subject | Brazil | pt_BR |
Subject | Chagas Disease | pt_BR |
Subject | Health Policies | pt_BR |
Subject | HIV | pt_BR |
Subject | Aids | pt_BR |
Subject | Hepatitis A | pt_BR |
Subject | Hepatitis B | pt_BR |
Subject | Tuberculosis | pt_BR |
Subject | Leprosy | pt_BR |
Subject | Schistosomiasis | pt_BR |
Subject | Malaria | pt_BR |
Subject | Dengue | pt_BR |
Subject | Visceral Leishmaniasis | pt_BR |
Subject | Cholera | pt_BR |
DeCS | Doenças Transmissíveis | pt_BR |
DeCS | Controle de Doenças Transmissíveis | pt_BR |
DeCS | Brasil | pt_BR |
DeCS | Doença de Chagas | pt_BR |
DeCS | Política de Saúde | pt_BR |
DeCS | HIV | pt_BR |
DeCS | Síndrome de Imunodeficiência Adquirida | pt_BR |
DeCS | Hepatite A | pt_BR |
DeCS | Tuberculose | pt_BR |
DeCS | Esquistossomose | pt_BR |
DeCS | Malária | pt_BR |
DeCS | Dengue | pt_BR |
DeCS | Leishmaniose Visceral | pt_BR |
DeCS | Cólera | pt_BR |