Challenges to Schistosomiasis Control Program in Brazil: setbacks in the control program and critical analysis of the disease notification

In 1970, Brazil implemented the Schistosomiasis Control Program (PCE, Portuguese acronym for Programa de Controle da Esquistossomose) was implemented in Brazil, where, through successive treatment interventions, the epidemiology and transmission of schistosomiasis have changed significantly over tim...

Full description

Saved in:
Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical 2024-01, Vol.57, p.e00409
Main Authors: Cardoso, Diogo Tavares, Magalhães, Fernanda do Carmo, Enk, Martin Johannes, Geiger, Stefan Michael, Barbosa, David Soeiro
Format: Article
Language:English
Subjects:
Brazil
Brazil - epidemiology
Disease Notification
Epidemiology
Humans
Major
Program Evaluation
Public Health
Schistosoma mansoni
Schistosomiasis - epidemiology
Schistosomiasis - prevention & control
Schistosomiasis - transmission
Schistosomiasis Surveillance and Control Program
TROPICAL MEDICINE
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In 1970, Brazil implemented the Schistosomiasis Control Program (PCE, Portuguese acronym for Programa de Controle da Esquistossomose) was implemented in Brazil, where, through successive treatment interventions, the epidemiology and transmission of schistosomiasis have changed significantly over time. This study aimed to evaluate the PCE's effectiveness by critically analyzing the disease notification system. An ecological study was conducted using data on reported schistosomiasis cases in Brazil between 2007 and 2020. The highest number of municipalities actively participating in the PCE was 750, recorded in 2007. Conversely, participation reached its lowest point in 2020, with only 259 municipalities involved. Over the past decade, there has been a drastic decline in the number of municipalities with active schistosomiasis control programs. During the same period, there was an observed increase in the number of deaths caused by schistosomiasis, while the number of reported cases decreased. This suggests an inverse correlation. The present data suggest that schistosomiasis cases are not correctly diagnosed or reported, reflecting a twisted image of the magnitude of this public health problem in Brazil.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0598-2023