Malaria in the borders between Brazil and French Guiana: social and environmental health determinants and their influence on the permanence of the disease

This study analyzes the influence of socioenvironmental health determinants on the maintenance of Plasmodium vivax malaria at the borders between French Guiana and Brazil. This study was carried out between 2011 and 2015 in the city of Oiapoque, Amapá, situated in the Brazilian Amazon region. The sa...

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Bibliographic Details
Published in:Saúde e sociedade 2020-01, Vol.29 (2), p.1
Main Authors: Gomes, Margarete do Socorro Mendonça, Menezes, Rubens Alex de Oliveira, Vieira, José Luís Fernandez, Mendes, Anapaula Martins, Silva, Gutemberg de Vilhena, Peiter, Paulo Cesar, Suárez-Mutis, Martha Cecilia, Franco, Vivian da Cruz, Couto, Álvaro A R D'Almeida, Machado, Ricardo Luiz Dantas
Format: Article
Language:eng ; por
Subjects:
Age groups
Borders
Disease
Disease transmission
Gold mines & mining
Health problems
Illnesses
Infections
Influence
Information systems
Malaria
Migrants
Population
Tropical diseases
Vulnerability
Working conditions
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Summary:This study analyzes the influence of socioenvironmental health determinants on the maintenance of Plasmodium vivax malaria at the borders between French Guiana and Brazil. This study was carried out between 2011 and 2015 in the city of Oiapoque, Amapá, situated in the Brazilian Amazon region. The sample included 253 individuals of both sexes aged between 10 and 60 years. The disease was predominant in 63.64% (161/253) adult males. The most affected age group was 20 to 29 years old, with 30% (76/253). About 84.6% did not complete high school, while 29.6% (75/253) of the cases had not finished the first degree. Concerning the environmental aspect, negative correlation was observed between rainfall and the incidence of P. vivax malaria (p=0.0026). In terms of mobility, there was a considerable influx of migrants from the states of Pará and Maranhão, with 55.73% (141/253). Lastly, the data indicated that 31.23% (79/253) of malaria cases were imported from French Guiana. In summary, the transmission of malaria in these particular borders involved ecological, environmental, biological and social factors, which are expressed in the high social vulnerability of the population living and circulating in the border zone, favoring the occurrence of outbreaks and the maintenance of the disease.
ISSN:0104-1290
1984-0470
DOI:10.1590/S0104-12902020181046