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Sustainable Development Goals
03 Saúde e Bem-Estar06 Água potável e saneamento
10 Redução das desigualdades
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ENTEROBIASIS: A NEGLECTED OR FORGOTTEN DISEASE?
Affilliation
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Faculdade de Ciências Médicas. Disciplina de Parasitologia. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Faculdade de Ciências Médicas. Disciplina de Parasitologia. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Faculdade de Ciências Médicas. Disciplina de Parasitologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Faculdade de Ciências Médicas. Disciplina de Parasitologia. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Faculdade de Ciências Médicas. Disciplina de Parasitologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ, Brasil.
Abstract
Intestinal parasitic infections encompass a wide range of diseases caused by intestinal helminths and protozoa that fall under the category of Neglected Tropical Diseases. In April 2023, the federal government of Brazil established the “Interministerial Committee for the Elimination of Tuberculosis and Other Socially Determined Diseases” (In Portuguese, Comitê Interministerial para Eliminação da Tuberculose e Outras Doenças Determinadas Socialmente), which will remain active until 2030. This committee aims to propose intersectoral public policies focused on health equity and the reduction of social inequalities, which are factors directly related to the causes of these diseases. Soil-transmitted helminthiasis (STH) (In Portuguese, geo-helmintíases) are among the “Other Socially Determined Diseases.” Several national surveys and control plans for STH, the most recent in 2018, have been launched in Brazil by the Ministry of Health. Currently, 20 countries endemic for soil-transmitted helminthiasis (Antigua and Barbuda, Argentina, Bolivia, Brazil, Colombia, Cuba, Dominica, El Salvador, Guatemala, Guyana, Haiti, Honduras, Mexico, Nicaragua, Panama, Peru, Saint Vincent and the Grenadines, Paraguay, the Dominican Republic, and Venezuela) participate in meetings to advance key actions to achieve the goal of eliminating by 2030 soil-transmitted helminthiasis as a public health problem in the Americas. The relevance of these public policies is indisputable. However, biohelminths, such as Enterobius vermicularis and intestinal protozoa, remain unaddressed, and their prevalence and distributions are unknown. This is particularly concerning when given mass treatment policies aimed at controlling geohelminths while neglecting other enteroparasites, which are often treated with the same drug but not always at the same dosage. This lack of a comprehensive treatment may lead to the selection of resistant parasite strains, owing to the limited availability of a therapeutic arsenal.
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