Environmental aspects related to tuberculosis and intestinal parasites in a low-income community of the Brazilian Amazon
| Autor: | Ana Caroline Guedes Souza Martins, Antonio Henrique Almeida de Moraes Neto, Fabio de Oliveira Fonseca, Biatriz Araújo Cardoso, Nissa Vilhena da Silva Oliveira, Maria Helena Féres Saad, George Alberto da Silva Dias, Luana Nepomuceno Gondim Costa Lima |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Fatores de Risco Urban Population Sanitation Helminthiasis Brasil / epidemiologia Fatores Socioecon?micos Feces 0302 clinical medicine Prevalence Tuberculose / transmiss?o Medicine Intestinal Diseases Parasitic Child Neglected communities education.field_of_study Transmission (medicine) Sub-Registro General Medicine Middle Aged LTBI Infectious Diseases Child Preschool Female Original Article Enteropatias Parasit?rias / transmiss?o Centros de Sa?de Estudos Transversais / m?todos 0305 other medical science Brazil Adult medicine.medical_specialty Tuberculosis lcsh:Arctic medicine. Tropical medicine Adolescent lcsh:RC955-962 030231 tropical medicine Population Estrat?gia Sa?de da Fam?lia Meio Ambiente Young Adult 03 medical and health sciences Cobertura de Servi?os P?blicos de Sa?de Tuberculosis diagnosis Environmental health Aten??o Prim?ria ? Sa?de Floating population Humans education Poverty Amazon Intestinal parasites Protozoan Infections 030505 public health business.industry Mycobacterium tuberculosis / imunologia Infant Newborn Infant Mycobacterium tuberculosis medicine.disease Surgery Cross-Sectional Studies Enteropatias Parasit?rias / epidemiologia Tuberculose / epidemiologia Latrine Resultado do Tratamento business |
| Zdroj: | Revista do Instituto de Medicina Tropical de São Paulo; Vol. 59 (2017); e57 Revista do Instituto de Medicina Tropical de São Paulo; v. 59 (2017); e57 Revista do Instituto de Medicina Tropical de São Paulo Instituto de Medicina Tropical (IMT) instacron:IMT Revista do Instituto de Medicina Tropical de São Paulo, Vol 59, Iss 0 Revista do Instituto de Medicina Tropical de São Paulo, Volume: 59, Article number: e57, Published: 07 AUG 2017 Repositório Digital do Instituto Evandro Chagas (Patuá) Instituto Evandro Chagas (IEC) instacron:IEC |
| ISSN: | 1678-9946 0036-4665 |
| Popis: | The study was funded by a grant from the Financiadora de Estudos e Projetos (FINEP), Process N? 01.11.0025.00. Funda??o Oswaldo Cruz. Instituto Oswaldo Cruz. Laborat?rio de Microbiologia Celular. Rio de Janeiro, RJ, Brazil / Funda??o Oswaldo Cruz. Instituto Oswaldo Cruz. Laborat?rio de Inova??es em Terapias, Ensino e Bioprodutos. Rio de Janeiro, RJ, Brazil. Funda??o Oswaldo Cruz. Instituto Oswaldo Cruz. Laborat?rio de Inova??es em Terapias, Ensino e Bioprodutos. Rio de Janeiro, RJ, Brazil. Funda??o Oswaldo Cruz. Instituto Oswaldo Cruz. Laborat?rio de Inova??es em Terapias, Ensino e Bioprodutos. Rio de Janeiro, RJ, Brazil. Prefeitura de Benevides. Secretaria Municipal de Sa?de. Vigil?ncia Epidemiol?gica. Benevides, PA, Brazil. Universidade da Amaz?nia. Centro de Ci?ncias Biol?gicas e da Sa?de. Bel?m, PA, Brazil. Minist?rio da Sa?de. Secretaria de Vigil?ncia em Sa?de. Instituto Evandro Chagas. Laborat?rio de Hansen?ase. Ananindeua, PA, Brasil. Universidade do Estado do Par?. Centro de Ci?ncias Biol?gicas e da Sa?de. Bel?m, PA, Brazil. Funda??o Oswaldo Cruz. Instituto Oswaldo Cruz. Laborat?rio de Microbiologia Celular. Rio de Janeiro, RJ, Brazil. We carried out a cross-sectional study from January to December 2015 on 1,425 inhabitants from a floating population in the Brazilian Amazon (Murinin district, Par? State) to describe the population-based prevalence of tuberculosis (TB) from 2011 to 2014, recent TB contacts (rCts) latently infected with Mycobacterium tuberculosis (LTBI), the coverage of the local health network, socio-environmental factors, and frequency of intestinal parasitic infection (IPI). We found that the sanitary structure was inadequate, with latrines being shared with other rooms within the same accommodation; well water was the main source of water, and 48% of families had low incomes. The average rate of TB was 105/100, 000 inhabitants per year; one third of TB patients had been household contacts of infected individuals in the past, and 23% of rCts were LTBI. More than half (65%) of 44% of the stools examined (representing 76% of the housing) had IPIs; the highest prevalence was of fecal-oral transmitted protozoa (40%, Giardia intestinalis), followed by soil-transmitted helminths (23%). TB transmission may be related to insufficient disease control of rCts, frequent relocation, and underreporting. Education, adopting hygienic habits, improving sanitation, provision of a treated water supply and efficient sewage system, further comprehensive epidemiological surveillance of those who enter and leave the community and resources for basic treatment of IPIs are crucial in combating the transmission of these neglected diseases. |
| Databáze: | OpenAIRE |
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