Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs

dc.creatorBarreto, Maurício Lima
dc.creatorTeixeira, M. Gloria
dc.creatorBastos, Francisco Inácio Pinkusfeld Monteiro
dc.creatorXimenes, Ricardo Arraes de Alencar
dc.creatorBarata, Rita de Cássia Barradas
dc.creatorRodrigues, Laura C.
dc.date2011-06-20T18:43:03Z
dc.date2011-06-20T18:43:03Z
dc.date2011
dc.date.accessioned2023-09-26T22:47:42Z
dc.date.available2023-09-26T22:47:42Z
dc.identifierBARRETO, Mauricio L. et al. Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs. Lancet, London, v. 377, p. 1877–89, 2011.
dc.identifier0140-6736
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/2727
dc.identifierDOI:10.1016/S0140- 6736(11)60202-X
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8883273
dc.descriptionDespite pronounced reductions in the number of deaths due to infectious diseases over the past six decades, infectious diseases are still a public health problem in Brazil. In this report, we discuss the major successes and failures in the control of infectious diseases in Brazil, and identify research needs and policies to further improve control or interrupt transmission. Control of diseases such as cholera, Chagas disease, and those preventable by vaccination has been successful through effi cient public policies and concerted eff orts from diff erent levels of government and civil society. For these diseases, policies dealt with key determinants (eg, the quality of water and basic sanitation, vector control), provided access to preventive resources (such as vaccines), and successfully integrated health policies with broader social policies. Diseases for which control has failed (such as dengue fever and visceral leishmaniasis) are vector-borne diseases with changing epidemiological profi les and major diffi culties in treatment (in the case of dengue fever, no treatment is available). Diseases for which control has been partly successful have complex transmission patterns related to adverse environmental, social, economic, or unknown determinants; are sometimes transmitted by insect vectors that are diffi cult to control; and are mostly chronic diseases with long infectious periods that require lengthy periods of treatment.
dc.formatapplication/pdf
dc.languageeng
dc.rightsopen access
dc.subjectDoenças Infecciosas
dc.subjectControle
dc.subjectBrasil
dc.subjectDoença de Chagas
dc.subjectPolíticas de Saúde
dc.subjectHIV
dc.subjectSIDA
dc.subjectHepatite A
dc.subjectHepatite B
dc.subjectTuberculose
dc.subjectLepra
dc.subjectEsquistossomose
dc.subjectMalária
dc.subjectDengue
dc.subjectLeishmaniose Visceral
dc.subjectCólera
dc.subjectInfectious Diseases
dc.subjectControl
dc.subjectBrazil
dc.subjectChagas Disease
dc.subjectHealth Policies
dc.subjectHIV
dc.subjectAids
dc.subjectHepatitis A
dc.subjectHepatitis B
dc.subjectTuberculosis
dc.subjectLeprosy
dc.subjectSchistosomiasis
dc.subjectMalaria
dc.subjectDengue
dc.subjectVisceral Leishmaniasis
dc.subjectCholera
dc.subjectDoenças Transmissíveis
dc.subjectControle de Doenças Transmissíveis
dc.subjectBrasil
dc.subjectDoença de Chagas
dc.subjectPolítica de Saúde
dc.subjectHIV
dc.subjectSíndrome de Imunodeficiência Adquirida
dc.subjectHepatite A
dc.subjectTuberculose
dc.subjectEsquistossomose
dc.subjectMalária
dc.subjectDengue
dc.subjectLeishmaniose Visceral
dc.subjectCólera
dc.titleSuccesses and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs
dc.typeArticle


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