CATastrophe: Response to the challenges of zoonotic sporotrichosis in southern Brazil

• Published in: Mycoses 2022-01, Vol.65 (1), p.30-34
• Main Authors: Poester, Vanice Rodrigues, Stevens, David A., Basso, Rossana Patricia, Munhoz, Lívia Silveira, Zanchi, Mariza, Benelli, Jéssica Louise, Klafke, Gabriel Baracy, Cardone, Shirley, Xavier, Melissa Orzechowski
• Format: Article
• Language: English
• Subjects: Animals; Brazil - epidemiology; Cat Diseases - microbiology; Cats; Diagnosis; Disease Outbreaks; epidemics; Epidemiology; felines; Health care; Humans; Public Health; Reference services; Sporothrix; Sporotrichosis; Sporotrichosis - diagnosis; Sporotrichosis - drug therapy; Sporotrichosis - epidemiology; subcutaneous mycosis; Zoonoses; Zoonoses - epidemiology; Zoonoses - microbiology; zoonosis
• ISSN: 0933-7407; 1439-0507
• DOI: 10.1111/myc.13363

Background In Brazil, zoonotic sporotrichosis became a national public health problem, with thousands of cases in the last decade in several regions of the country. In this context, health education activities are critical, especially in promoting early diagnosis and access to proper health care in sporotrichosis hyperendemic areas. Therefore, we report the implementation of a public specialised reference service (SRS) for diagnosis and treatment of sporotrichosis in southern Brazil. We evaluated the impact of the SRS on diagnostic confirmation and speed of diagnosis. Methods The SRS was implemented in Rio Grande City. We implemented a public service to promote the correct diagnosis, treatment and follow‐up of human sporotrichosis cases. To study the impact of implementing SRS, the annual number of cases and the period between the appearance of lesions until diagnosis were compared, using prior data and that post‐implementation. Results The implementation of the SRS directly benefited almost 50 patients in only four years, with the collaboration of almost 50% of the local health groups, together with an increase of more than 200% in diagnosis confirmation and speed of diagnosis, showing the reach, impact and importance of the SRS. Conclusion The impact on the individual and collective health of the local population highlights the value of this public health approach in facing the epidemiological threat of zoonotic sporotrichosis.