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SUCCESSES AND FAILURES IN THE CONTROL OF INFECTIOUS DISEASES IN BRAZIL: SOCIAL AND ENVIRONMENTAL CONTEXT, POLICIES, INTERVENTIONS, AND RESEARCH NEEDS
Controle
Brasil
Doença de Chagas
Políticas de Saúde
HIV
SIDA
Hepatite A
Hepatite B
Tuberculose
Lepra
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
Control
Brazil
Chagas Disease
Health Policies
HIV
Aids
Hepatitis A
Hepatitis B
Tuberculosis
Leprosy
Schistosomiasis
Malaria
Dengue
Visceral Leishmaniasis
Cholera
Controle de Doenças Transmissíveis
Brasil
Doença de Chagas
Política de Saúde
HIV
Síndrome de Imunodeficiência Adquirida
Hepatite A
Tuberculose
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
Autor
Afiliación
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Brown University. Providence, RI, USA.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo, SP, Brasil.
London School of Hygiene and Tropical Medicine. London, UK.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Brown University. Providence, RI, USA.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo, SP, Brasil.
London School of Hygiene and Tropical Medicine. London, UK.
Resumen en ingles
Despite 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.
Palabras clave en portugues
Doenças InfecciosasControle
Brasil
Doença de Chagas
Políticas de Saúde
HIV
SIDA
Hepatite A
Hepatite B
Tuberculose
Lepra
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
Palabras clave en ingles
Infectious DiseasesControl
Brazil
Chagas Disease
Health Policies
HIV
Aids
Hepatitis A
Hepatitis B
Tuberculosis
Leprosy
Schistosomiasis
Malaria
Dengue
Visceral Leishmaniasis
Cholera
DeCS
Doenças TransmissíveisControle de Doenças Transmissíveis
Brasil
Doença de Chagas
Política de Saúde
HIV
Síndrome de Imunodeficiência Adquirida
Hepatite A
Tuberculose
Esquistossomose
Malária
Dengue
Leishmaniose Visceral
Cólera
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