Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/50984
Title: Geographical accessibility to the supply of antiophidic sera in Brazil: Timely access possibilities
Authors: Oliveira, Ricardo Antunes Dantas de
Silva, Diego Ricardo Xavier
Silva, Maurício Gonçalves e
Affilliation: Oswaldo Cruz Foundation. Institute of Communication and Scientific and Technological Information in Health. Health Information Laboratory. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Institute of Communication and Scientific and Technological Information in Health. Health Information Laboratory. Rio de Janeiro, RJ, Brazil.
Brazilian Institute of Geography and Statistics. Rio de Janeiro, RJ, Brazil.
Abstract: Snakebite accidents are considered category A neglected tropical diseases. Brazil stands out for snakebite accidents, mainly in the Amazon region. The best possible care after snakebite accidents is to obtain antiophidic sera on time. And the maximum ideal time to reach it is about 2 hours after an accident. Based on public health information and using a tool to analyze geographical accessibility, we evaluate the possibility of reaching Brazilian serum-providing health facilities from the relationship between population distribution and commuting time. In this exploratory descriptive study, the geographic accessibility of Brazilian population to health facilities that supply antiophidic serum is evaluated through a methodology that articulates several issues that influence the commuting time to health units (ACCESSMOD): population and facilities' distribution, transportation network and means, relief and land use, which were obtained in Brazilian and international sources. The relative importance of the population without the possibility of reaching a facility in two hours is highlighted for Macro-Regions, States and municipalities. About nine million people live in locations more than two hours away from serum-providing facilities, with relevant variations between regions, states, and municipalities. States like Mato Grosso, Pará and Maranhão had the most important participation of population with reaching time problems to those units. The most significant gaps are found in areas with a dispersed population and sometimes characterized by a high incidence of snakebites, such as in the North of the country, especially in the Northeastern Pará state. Even using a 2010 population distribution information, because of the 2020 Census postponement, the tendencies and characteristics analyzed reveal challenging situations over the country. The growing availability of serum-providing health facilities, the enhanced possibilities of transporting accident victims, and even the availability of sera in other types of establishments are actions that would allow expanding the possibilities of access to serum supply.
Keywords: Neglected tropical diseases
Public health
Geographical accessibility
Supply antiophidic serum
ACCESSMOD
Brazil
Issue Date: 2022
Publisher: Public Library of Science
Citation: OLIVEIRA, Ricardo Antunes Dantas de; SILVA, Diego Ricardo Xavier; SILVA, Maurício Gonçalves e Silva. Geographical accessibility to the supply of antiophidic sera in Brazil: Timely access possibilities. Plos ONE, v. 17, n. 1, e0260326, p. 1-14, Jan. 13, 2022.
DOI: 10.1371/journal.pone.0260326
ISSN: 1932-6203
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos
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