Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/2727
Title: Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs
Authors: Barreto, Mauricio L.
Teixeira, M. Gloria
Bastos, Francisco Inácio Pinkusfeld Monteiro
Ximenes, Ricardo Arraes de Alencar
Barata, Rita de Cássia Barradas
Rodrigues, Laura C.
Affilliation: Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Brown University. Providence, RI, USA.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo, SP, Brasil.
London School of Hygiene and Tropical Medicine. London, UK.
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.
Keywords: Infectious Diseases
Control
Brazil
Chagas Disease
Health Policies
HIV
Aids
Hepatitis A
Hepatitis B
Tuberculosis
Leprosy
Schistosomiasis
Malaria
Dengue
Visceral Leishmaniasis
Cholera
keywords: Doenças Infecciosas
Controle
Brasil
Doença de Chagas
Políticas de Saúde
HIV
SIDA
Hepatite A
Hepatite B
Tuberculose
Lepra
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
DeCS: Doenças Transmissíveis
Controle de Doenças Transmissíveis
Brasil
Doença de Chagas
Política de Saúde
HIV
Síndrome de Imunodeficiência Adquirida
Hepatite A
Tuberculose
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
Issue 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.
DOI: DOI:10.1016/S0140- 6736(11)60202-X
ISSN: 0140-6736
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos

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