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      Prevalência e carga parasitária da esquistossomose mansônica antes e depois do tratamento coletivo em Jaboatão dos Guararapes, Pernambuco Translated title: Prevalencia y carga parasitaria de Esquistosomiasis mansónica antes y después del tratamiento colectivo en Jaboatão dos Guararapes, Pernambuco, Brasil Translated title: Prevalence and worm burden of Schistosomiasis mansoni before and after collective treatment in Jaboatão dos Guararapes, Pernambuco, Brazil

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          Abstract

          Resumo OBJETIVO: avaliar a efetividade do tratamento coletivo para esquistossomose mansônica em duas localidades endêmicas do município de Jaboatão dos Guararapes-PE. MÉTODOS: foram descritas a prevalência de esquistossomose e a carga média parasitária antes e após tratamento coletivo, no período 2011-2013; foram utilizados dados do Sistema de Informações da Esquistossomose e de relatórios de conclusão dos inquéritos amostrais. RESULTADOS: observou-se redução no percentual de positividade de 8,9% para 2,3% em Barra de Jangada e de 15,7% para 3,5% em Novo Horizonte; ocorreu diminuição da carga média parasitária em Novo Horizonte (de 67,0 para 52,7 ovos/grama de fezes) e incremento em Barra de Jangada (de 23,8 para 91,7 ovos/grama de fezes). CONCLUSÃO: o tratamento coletivo contribuiu para a redução do percentual de positividade nas áreas endêmicas.

          Translated abstract

          Resumen OBJETIVO: evaluar la efectividad del tratamiento colectivo para Esquistosomiasis mansónica en dos localidades endémicas del municipio de Jaboatão dos Guararapes-PE. MÉTODOS: describimos la prevalencia de Esquistosomiasis mansónica y la carga parasitaria antes y después del tratamiento colectivo en el período 2011-2013; se utilizaron los datos del Sistema de Información de la esquistosomiasis y la finalización de los informes de encuestas por muestreo. RESULTADOS: observamos una reducción de 8.9% para 2,3% en la tasa de positividad en Barra de Jangada y de 15,7% para 3,5% en Novo Horizonte; hubo una disminución del promedio de carga parasitaria en Nuevo Horizonte (de 67,0 para 52,7 huevos/gramo de heces) y un aumento en Barra de Jangada (de 23,8 a 91,7 huevos/gramo de heces). CONCLUSIÓN: el tratamiento colectivo ayudó a reducir la tasa de positividad en las zonas endémicas.

          Translated abstract

          Abstract OBJECTIVE: to evaluate the effectiveness of collective treatment for Schistosomiasis mansoni in two endemic localities in Jaboatão dos Guararapes-PE. METHODS: we described the prevalence of Schistosomiasis mansoni and the average parasite load before and after collective treatment in the period 2011-2013; data from the Schistosomiasis mansoni Information System and completion of sample surveys reports were used. RESULTS: there is a reduction in 8.9% positivity rate to 2.3% in Barra de Jangada and from 15.7% to 3.5% in Novo Horizonte; there was a decrease of the parasitic load average in Novo Horizonte (67.0 to 52.7 eggs/gram of feces) and increase in Barra de Jangada (23.8 to 91.7 eggs/gram of feces). CONCLUSION: the collective treatment contributed to reducing the rate of positivity in endemic areas.

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              Morbidity Control of Schistosomiasis by Mass Drug Administration: How Can We Do It Best and What Will It Take to Move on to Elimination?

              The World Health Organization (WHO) has, for some time, encouraged countries endemic for schistosomiasis to control morbidity from this disease through mass drug administration (MDA) of the well-tolerated drug, praziquantel (PZQ). With the London Declaration in January 2012 and the promise by Merck Serono to eventually donate 250 million PZQ tablets per year, most endemic countries in sub-Saharan Africa have now developed national plans to do MDA for schistosomiasis morbidity control. More recently, based on two World Health Assembly (WHA) resolutions (WHA 54.19 & WHA 65.21) on schistosomiasis, countries are further encouraged to eliminate schistosomiasis, where feasible. The fight against schistosomiasis is therefore in a critical period of tremendous opportunities and equal challenges. How do we do the most effective job of MDA? What tools do we need to do this job better? How will we know when to move from morbidity control to elimination? What combinations of interventions, beyond MDA, are needed to eliminate transmission? The Schistosomiasis Consortium for Operational Research and Evaluation (SCORE) has its Secretariat at the University of Georgia and with programs in more than 26 institutions in 19 countries it is trying to answer these very practical questions through multiple large field-based studies and the evaluation or development of better diagnostics for schistosomiasis. This presentation will summarize the current status of morbidity control and elimination programs and the operational research by SCORE that we hope will provide much-needed answers for national program managers so they can most effectively pursue these critical public health programs.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                ress
                Epidemiologia e Serviços de Saúde
                Epidemiol. Serv. Saúde
                Secretaria de Vigilância em Saúde - Ministério da Saúde do Brasil
                2237-9622
                June 2016
                : 25
                : 2
                : 243-250
                Affiliations
                [1 ] Universidade de Pernambuco Brazil
                [2 ] Prefeitura do Jaboatão dos Guararapes Brasil
                Article
                S2237-96222016000200243
                10.5123/s1679-49742016000200003
                fb5bb49d-81cf-4e0d-be6b-5c4a0a84a371

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=2237-9622&lng=en
                Categories
                Health Care Sciences & Services
                Health Policy & Services

                Health & Social care,Public health
                Esquistossomose,Esquistossomose mansoni,Efetividade,Resultado do Tratamento,Esquistosomiasis,Esquistosomiasis mansoni,Efectividad,Resultado del Tratamiento,Schistosomiasis,Schistosomiasis mansoni,Effectiveness,Treatment Outcome

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