Martins Mário Henrique da Mata, Spink Mary Jane Paris
Fundação Getúlio Vargas. Av. 9 de Julho 2029, Edifício John F. Kennedy, Bela Vista. 01313-902, São Paulo, SP, Brasil.
Pontifícia Universidade Católica de São Paulo. São Paulo, SP, Brasil.
Cien Saude Colet. 2020 Mar;25(3):919-928. doi: 10.1590/1413-81232020253.16442018. Epub 2018 Jun 27.
The aim of this article is to analyze discrepancies and informational gaps which produce a doubly neglected version of human leptospirosis in the Brazilian public health policy. To achieve this goal, we compared data on morbidity, mortality, hospital and social costs, population profiles, vector habits, social health determinants and diagnostic practices related to leptospirosis with another disease of higher recognition in Brazil: dengue fever. Our analysis shows that the arbitrariness of criteria for assigning health priorities, the invisibility of the population profile of human leptospirosis in official data and its mimetic character in clinic corroborate the production of a version of human leptospirosis that is invisible and, because of that, doubly neglected by the Brazilian public health policy. We conclude that these discrepancies and informational gaps are related to the fact that human leptospirosis affects a population which the State has no interest in keeping alive.
本文旨在分析巴西公共卫生政策中导致人类钩端螺旋体病被双重忽视的差异和信息空白。为实现这一目标，我们将与钩端螺旋体病相关的发病率、死亡率、医院和社会成本、人群特征、病媒习性、社会健康决定因素以及诊断实践等数据，与巴西另一种认知度更高的疾病：登革热的数据进行了比较。我们的分析表明，确定卫生优先事项标准的随意性、官方数据中人类钩端螺旋体病人群特征的不可见性及其在临床上的模仿特征，都证实了一种无形的人类钩端螺旋体病版本的产生，正因为如此，它被巴西公共卫生政策双重忽视。我们得出结论，这些差异和信息空白与人类钩端螺旋体病影响国家无意维持生存的人群这一事实有关。
