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- IOC - Artigos de Periódicos [12791]
- PE - IAM - Artigos de Periódicos [1096]
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ASSESSMENT OF SCHISTOSOMIASIS, THROUGH SCHOOL SURVEYS, IN THE FOREST ZONE OF PERNAMBUCO, BRAZIL
Autor(es)
Afiliação
Fundação Oswaldo Cruz. Centro de Pesquisas Aggeu Magalhães. Laboratório de Esquistossomose. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Eco-epidemiologia e Controle da Esquitossomose e Geohelmentoses. Rio de Janeiro, RJ, Brasil.
Laboratório de Endemias da Secretaria de Saúde de Pernambuco. Recife, PE, Brasil.
Promata. Secretaria de Planejamento de Pernambuco, Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Eco-epidemiologia e Controle da Esquitossomose e Geohelmentoses. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Eco-epidemiologia e Controle da Esquitossomose e Geohelmentoses. Rio de Janeiro, RJ, Brasil.
Laboratório de Endemias da Secretaria de Saúde de Pernambuco. Recife, PE, Brasil.
Promata. Secretaria de Planejamento de Pernambuco, Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Eco-epidemiologia e Controle da Esquitossomose e Geohelmentoses. Rio de Janeiro, RJ, Brasil.
Resumo em Inglês
This work had the objective of assessing the present epidemiological situation regarding schistosomiasis through
performing Kato-Katz coproscopic tests on representative samples of schoolchildren from each of the 43 municipality
of endemic area of the state of Pernambuco, Brazil. The methodology is recommended by the World Health
Organization to conduct sampled surveys among children at elementary school levels, ideal target group for baseline
surveys: (i) schools are accessible; (ii) the greatest prevalence of schistosomiasis is found within this group; (iii) the
data gathered from this age group can be used for intervention within the community as a whole. The following
infection indicators were utilized: positivity (percentage of individuals examined with eggs of Schistosoma mansoni
in the feces) and severity (geometric mean number of eggs per gram of feces, epg). These indicators allowed the area
in general and the municipalities in particular to be categorized into prevalence and severity classes for S. mansoni.
The prevalence classes were: low (<10%), medium (≥ 10 and < 50%), and high (≥ 50%); the severity classes were:
low (1-99 epg), moderate (100-399 epg), and severe (≥ 400 epg). For the geohelminthic diseases, the following
indicators were used: positivity for each geohelminth (percentage of individuals examined with eggs of geohelminths),
and cumulative positivity (percentage of individuals examined with eggs of at least one geohelminth). The municipalities
were categorized by means of their cumulative positivity into the following geohelminth prevalence classes
(WHO 2002): low (< 50%), medium (≥ 50 and < 70%), and high (≥ 70%). The study covered 271 schools in 179
different localities, thus giving a total of 11,234 examinations performed. The overall positivity for S. mansoni was
14.4% and the egg count for this parasite in the feces gave a geometric mean of 67.9 epg which suggests a low
general state of infection. These results allow this mesoregion to be categorized as presenting medium prevalence
and low severity of schistosomiasis. The overall positivity rates for the geohelminths, Ascaris lumbricoides,
Ancylostomidae, and Trichuris trichiura were, respectively, 30.4, 10.1, and 27.8%; the cumulative positivity was
45.4%. These results allow this mesoregion to be categorized as presenting low prevalence of geohelminthic diseases.
The data show some municipalities in Pernambuco with prevalence greater than 20%, while others presented
parasite loads greater than 100 epg. These indicators attest to the significant morbidity due to schistosomiasis
regarding to the severity of infections established in young populations.
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