Coura-Filho P
Laboratório de Imunologia Celular e Molecular, Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Av. Augusto de Lima, 1715, C. P. 1743, Belo Horizonte, MG, 30190-002, Brasil.
Cad Saude Publica. 1998;14 Suppl 2:111-22.
This study evaluated the schistosomiasis control program implemented in Taquaraçu de Minas, Minas Gerais, from 1985 to 1995. In 1995, we measured the prevalence and intensity of infection for a retrospective comparison with the data from 1985. The local health team was trained to manage all the program activities. The work involved stool tests (Kato-Katz), selective specific treatment, medical care for patients spontaneously visiting the local health center, definition of measures to be adopted, and popular education focusing on information about the endemic disease. The safe drinking water supply covered 97% of the households in the county seat. Prevalence of infection between 1985 and 1995 was reduced 7.0 fold, from 30.9% to 4.3%. Intensity of infection was also reduced significantly, from 91.2 +/- 6.1 to 30.7 +/- 2.5 by the end of the program. Municipalization of the schistosomiasis control program through the SUS, by using selective treatment, intradomiciliary supply of potable water, medical care for patients spontaneously visiting the local health center, and popular education presented lasting results, indicating this model's feasibility for other endemic areas with similar characteristics.
本研究评估了1985年至1995年在米纳斯吉拉斯州塔夸拉苏·德米纳斯实施的血吸虫病控制项目。1995年，我们测量了感染率和感染强度，以便与1985年的数据进行回顾性比较。当地卫生团队接受了管理所有项目活动的培训。工作包括粪便检测（加藤厚涂片法）、选择性特异性治疗、为自发前往当地卫生中心的患者提供医疗护理、确定应采取的措施以及以地方病信息为重点的大众教育。安全饮用水供应覆盖了县城97%的家庭。1985年至1995年间，感染率降低了7.0倍，从30.9%降至4.3%。到项目结束时，感染强度也显著降低，从91.2±6.1降至30.7±2.5。通过统一卫生系统对血吸虫病控制项目进行市政管理，采用选择性治疗、家庭内供应饮用水、为自发前往当地卫生中心的患者提供医疗护理以及大众教育，取得了持久的成果，表明该模式在其他具有类似特征的流行地区具有可行性。
