Impact of the COVID-19 pandemic on the actions of the Schistosomiasis Control Program in an endemic area in Northeastern Brazil

Dantas, Neiliane Medeiros; Andrade, Lucas Almeida; Paz, Wandklebson Silva da; Borges, Welde Natan; Barbosa, Vanessa Gabriela Bernardino; Hora, Diego Pereira Gonçalo da; Silva, Carlos Eduardo da; Carmo, Rodrigo Feliciano do; Souza, Carlos Dornels Freire de; Santos, Allan Dantas dos; Wanderley, Flaviana Santos; Negrão-Corrêa, Déborah; Fujiwara, Ricardo Toshio; Santos, Márcio Bezerra; Porto, Wagnner José Nascimento

doi:10.1016/j.actatropica.2023.106859

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…O p-score é uma medida que compara o número de casos notificados em um determinado período com o valor esperado, calculado a partir da média dos cinco anos anteriores à pandemia 15 . Embora o indicador tenha sido originalmente criado como uma medida para permitir comparações entre o excesso de mortalidade pela COVID-19 entre países, também vem sendo utilizado para analisar taxas de morbidade e para medir o impacto da crise sanitária nas estratégias de controle de diversos agravos crônicos e transmissíveis no país, conforme demonstrado em estudos anteriores [16][17][18][19] .…”

Section: Discussionunclassified

Como a pandemia de COVID-19 afetou a notificação de acidentes do trabalho em diferentes atividades econômicas e ocupações no Brasil? Um estudo ecológico usando o p-score

Santos Júnior,

Antunes,

Fischer

2024

Rev. bras. saúde ocup.

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Resumo Objetivo: mensurar o impacto da pandemia de COVID-19 nas notificações de acidentes do trabalho (AT) no Brasil, por atividade econômica e ocupação. Métodos: estudo ecológico que utilizou os casos de AT registrados entre 2015 e 2020 no Anuário Estatístico da Previdência Social. Os AT foram analisados por setor de atividade econômica, ocupação e códigos da 10ª revisão da Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-10). Uma adaptação do p-score foi aplicada para comparar os casos de AT pré-pandemia com os do primeiro ano da pandemia. Resultados: os p-scores variaram de -60,2%, para AT por nexo técnico epidemiológico, a -13,9%, para AT típico. As doenças do trabalho apresentaram p-score de 151,1%. Houve aumento notável nos casos de doenças ocupacionais dos capítulos I e X da CID-10. As notificações de AT diminuíram em todas as categorias de atividades econômicas, exceto nas de saúde humana e serviços sociais (p-score = 8,0%). Na maioria das categorias, os valores foram negativos, exceto nos subgrupos forças de segurança e profissionais de saúde de nível superior, técnico e gestores. Conclusão: houve redução geral na notificação de AT durante a pandemia de COVID-19 no Brasil, que evidenciou desigualdades entre diferentes setores de atividades e ocupações, além de mudança no perfil de adoecimento dos trabalhadores.

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Section: Discussionunclassified

Como a pandemia de COVID-19 afetou a notificação de acidentes do trabalho em diferentes atividades econômicas e ocupações no Brasil? Um estudo ecológico usando o p-score

Santos Júnior,

Antunes,

Fischer

2024

Rev. bras. saúde ocup.

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“…Some studies have demonstrated the impact of the COVID-19 pandemic on the surveillance of infectious diseases worldwide, such as HIV, tuberculosis, and malaria in lowand middle-income countries [16], leprosy [17], tuberculosis [18], hepatitis C [19], and schistosomiasis [20] in Brazil. However, to the best of our knowledge, this is the first study that has investigated the impact of the COVID-19 pandemic on the notification of new cases of VL in Brazil.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, it was not possible to include data from 2021 in our analysis, which could have provided additional insights into ongoing trends. On the other hand, despite the expressed limitations, it is important to highlight that we used an integrated methodological approach involving spatial and spatiotemporal analysis techniques and employed the P-score to estimate the percentage variations in VL notifications, which was the method used in previous studies to analyze the impact of the first year of the COVID-19 pandemic on notifications of leprosy [17], tuberculosis [18], hepatitis C [19], schistosomiasis [20], and meningitis [28]. Taken together, these aspects strengthened the methodological robustness of the study and can be replicated for the analysis of other public health issues.…”

Section: Limitationsmentioning

confidence: 99%

Impact of the COVID-19 Pandemic Surveillance of Visceral Leishmaniasis in Brazil: An Ecological Study

Silveira,

Lima,

dos Santos

et al. 2024

Infectious Disease Reports

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The aim of the study was to assess the impact of the COVID-19 pandemic on the notification of new VL cases in Brazil in 2020. It is an ecological and time-series study (2015–2020) with spatial analysis techniques, whose units of analysis were the 5570 Brazilian municipalities. The study population consisted of all new cases of VL recorded between 2015 and 2020. The P-score was calculated to estimate the percentage variation in new VL cases. Global and local univariate Moran’s Indices and retrospective space–time scan statistics were used in spatial and space–time analyses, respectively. It was expected that there would be 3627 new cases of VL in Brazil in 2020, but 1932 cases were reported (−46.73%). All Brazilian regions presented a negative percentage variation in the registration of new VL cases, with the Southeast (−54.70%), North (−49.97%), and Northeast (−44.22%) standing out. There was spatial dependence of the disease nationwide in both periods, before and during the first year of the COVID-19 pandemic. There was a significant reduction in the incidence of new VL cases in Brazil during the first year of the COVID-19 pandemic. These findings reinforce the need for better preparedness of the health system, especially in situations of new epidemics.

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“…Health authorities have shifted their attention towards COVID-19, which lead to severe disruptions in NTD activities, including the diversion of financial resources, reassignment of personnel, discontinuation of monitoring programs, delays in diagnosis and treatment, and the overall collapse of health systems [ 2 , 4 ]. Among the control programs impacted by the pandemic, the ones aimed at controlling schistosomiasis and leishmaniasis were potentially two of the most severely hindered [ 5 , 6 , 7 , 8 ].…”

Section: Often Forgotten Never Gone: Neglected Tropical Diseasesmentioning

confidence: 99%

Schistosoma and Leishmania: An Untold Story of Coinfection

et al. 2023

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A remarkable characteristic of infectious diseases classified as Neglected Tropical Diseases (NTDs) is the fact that they are mostly transmitted in tropical and subtropical regions with poor conditions of sanitation and low access to healthcare, which makes transmission areas more likely to overlap. Two of the most important NTDs, schistosomiasis and leishmaniasis, despite being caused by very different etiological agents, have their pathogenesis heavily associated with immune-mediated mechanisms, and Schistosoma spp. and Leishmania spp. have been shown to simultaneously infect humans. Still, the consequences of Schistosoma–Leishmania coinfections remain underexplored. As the inflammatory processes elicited by each one of these parasites can influence the other, several changes have been observed due to this coinfection in naturally infected humans, experimental models, and in vitro cell assays, including modifications in susceptibility to infection, pathogenesis, prognostic, and response to treatment. Herein, we review the current knowledge in Schistosoma–Leishmania coinfections in both human populations and experimental models, with special regard to how schistosomiasis affects tegumentary leishmaniasis, discuss future perspectives, and suggest a few steps to further improve our understanding in this model of parasite–host–parasite interaction.

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Impact of the COVID-19 pandemic on the actions of the Schistosomiasis Control Program in an endemic area in Northeastern Brazil

Cited by 7 publications

References 11 publications

Como a pandemia de COVID-19 afetou a notificação de acidentes do trabalho em diferentes atividades econômicas e ocupações no Brasil? Um estudo ecológico usando o p-score

Como a pandemia de COVID-19 afetou a notificação de acidentes do trabalho em diferentes atividades econômicas e ocupações no Brasil? Um estudo ecológico usando o p-score

Impact of the COVID-19 Pandemic Surveillance of Visceral Leishmaniasis in Brazil: An Ecological Study

Schistosoma and Leishmania: An Untold Story of Coinfection

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