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Memórias do Instituto Oswaldo Cruz
Fundação Oswaldo Cruz, Fiocruz
ISSN: 1678-8060 EISSN: 1678-8060
Vol. 110, No. 7, 2015, pp. 825-830
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Bioline Code: oc15116
Full paper language: English
Document type: View Point
Document available free of charge
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Memórias do Instituto Oswaldo Cruz, Vol. 110, No. 7, 2015, pp. 825-830
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Surveillance, health promotion and control of Chagas disease in the Amazon Region - Medical attention in the Brazilian Amazon Region: a proposal
Rodrigues Coura, José & Junqueira, Angela C.V.
Abstract
We refer to Oswaldo Cruz’s reports dating from 1913 about the necessities of a healthcare system for the Brazilian
Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would
need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that
epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should
be implemented through continuous monitoring of the human population that lives in the area, their housing, the
environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological
surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare
technicians to identify Trypanosoma cruzi from patients’ samples and T. cruzi infection rates among the triatomines
caught. We recommend health promotion and control of Chagas disease through public health policies, especially
through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system
through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation,
considering the distances to be covered for medical care.
Keywords
surveillance; health promotion; control; Chagas disease; Brazilian Amazon Region
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