Banca de QUALIFICAÇÃO: DANIELLE VIVIANE FERNANDES BEZERRA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANIELLE VIVIANE FERNANDES BEZERRA
DATA : 29/10/2018
HORA: 14:00
LOCAL: Sala de reuniões do Instituto de Medicina Tropical
TÍTULO:

FACTORS ASSOCIATED WITH SCHISTOSOMA MANSONI INFECTION IN A BRAZILIAN ENDEMIC AREA

PALAVRAS-CHAVES:

Observational comparative study, water supply, water-contact behavior, household food insecurity.

PÁGINAS: 21
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Introduction: In Brazil, the schistosomiasis is caused by the Schistosoma mansoni (SM) species. Our study area, Pureza, is located in a SM endemic area of Rio Grande do Norte. The aim of this study was to identify factors associated with SM infection as a way of assessing the spread of endemic post-massive control actions. Methods: were accessed demographic, socioeconomic, environmental, behavioral, nutritional and clinical factors. Participants were divided into groups with the following characteristics: 1) Cases (n= 44): composed of individuals positive for SM with diagnosis in the last five years; 2) Household contacts (n= 36): individuals residing in the same household of the cases, but negative for SM in the last five years; 3) Neighborhood contacts (n= 200): individuals residing in the same locality, but negative for SM in this same period; 4) Controls (n= 38): individuals living in a locality far from the area with notified cases, far from water collections and negative for SM infection. Results: Male sex, water supplying by well, rudimentary cesspit as sanitary wastewater canalization and water collections contact for fishing and irrigation were associated with SM (likelihood ratio, p < 0.05). We found a better hematological status in cases group (Tukey’s HSD, p < 0.001) and a high chance of them to have been treated more than five years ago to the infection (odds ratio: 16.7; 95% confidence interval: 3.8-73.2; p < 0.001). Conclusion: Schistosoma mansoni infection has a focal dispersion and custom control programs are required for its control and elimination. This study pointed factors known to be associated with SM in endemic areas, which demonstrate the need for a review of control programs since they indicate that the current measures have not been effective to control the endemic disease. Long-term evaluation of subclinical infections is required.

MEMBROS DA BANCA:
Externo ao Programa - 1164160 - IARA MARQUES DE MEDEIROS
Externo ao Programa - 1346630 - LARA DE MELO BARBOSA ANDRADE
Presidente - 350647 - SELMA MARIA BEZERRA JERONIMO