Neglected tropical diseases in Brazil

Revista do Instituto de Medicina Tropical de Sao Paulo - Tập 51 Số 5 - Trang 247-253 - 2009
José Ângelo Lauletta Lindoso1, Ana Angélica Bulcão Portela Lindoso2
1Sao Paulo, SP, Instituto de Infectologia Emilio Ribas, SES, Brasil, Sao Paulo, Sao Paulo, Universidade de Sao Paulo, FM, HC, Brazil, Sao Paulo, Sao Paulo, Universidade de Sao Paulo, Instituto de Medicina Tropical de Sao Paulo, Laboratorio de Soroepidemiologia e Imunobiologia, Brazil
2Sao Paulo, SP, Instituto de Infectologia Emilio Ribas, SES, Brasil, Sorocaba, Sao Paulo, Pontificia Universidade Catolica de Sao Paulo, Faculdade de Medicina, Brazil, Sao Paulo, SP, SES, Servico de Vigilancia Epidemiologica Alexandre Vranjac, Brasil

Tóm tắt

Poverty is intrinsically related to the incidence of Neglected Tropical Diseases (NTDs). The main countries that have the lowest human development indices (HDI) and the highest burdens of NTDs are located in tropical and subtropical regions of the world. Among these countries is Brazil, which is ranked 70th in HDI. Nine out of the ten NTDs established by the World Health Organization (WHO) are present in Brazil. Leishmaniasis, tuberculosis, dengue fever and leprosy are present over almost the entire Brazilian territory. More than 90% of malaria cases occur in the Northern region of the country, and lymphatic filariasis and onchocerciasis occur in outbreaks in a particular region. The North and Northeast regions of Brazil have the lowest HDIs and the highest rates of NTDs. These diseases are considered neglected because there is not important investment in projects for the development of new drugs and vaccines and existing programs to control these diseases are not sufficient. Another problem related to NTDs is co-infection with HIV, which favors the occurrence of severe clinical manifestations and therapeutic failure. In this article, we describe the status of the main NTDs currently occurring in Brazil and relate them to the HDI and poverty.

Từ khóa


Tài liệu tham khảo

ALVAR J., 2008, The relationship between leishmaniasis and AIDS: the second 10 years, Clin. Microbiol. Rev., 21, 334, 10.1128/CMR.00061-07

AMARAL R.S., 2006, An analysis of the impact of the Schistosomiasis Control Programme in Brazil, Mem. Inst. Oswaldo Cruz, 101, 79, 10.1590/S0074-02762006000900012

BATES I., 2004, Vulnerability to malaria, tuberculosis, and HIV/AIDS infection and disease: Part II: Determinants operating at environmental and institutional level, Lancet infect. Dis., 4, 368, 10.1016/S1473-3099(04)01047-3

BATES I., 2004, Vulnerability to malaria, tuberculosis, and HIV/AIDS infection and disease: Part 1: Determinants operating at individual and household level, Lancet infect. Dis., 4, 267, 10.1016/S1473-3099(04)01002-3

BETHONY J., 2006, Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm, Lancet, 367, 1521, 10.1016/S0140-6736(06)68653-4

2009

BROOKER S., 2004, Human hookworm infection in the 21st century, Advanc. Parasit., 58, 197, 10.1016/S0065-308X(04)58004-1

DA SILVA-NUNES M., 2008, Malaria on the Amazonian frontier: transmission dynamics, risk factors, spatial distribution, and prospects for control, Amer. J. trop. Med. Hyg., 79, 624, 10.4269/ajtmh.2008.79.624

DESJEUX P., 2001, The increase in risk factors for leishmaniasis worldwide, Trans. roy. Soc. trop. Med. Hyg., 95, 239, 10.1016/S0035-9203(01)90223-8

DYE C., 2008, Measuring tuberculosis burden, trends, and the impact of control programmes, Lancet infect. Dis., 8, 233, 10.1016/S1473-3099(07)70291-8

GOULART I.M., 2008, Leprosy: diagnostic and control challenges for a worldwide disease, Arch. Derm. Res., 300, 269, 10.1007/s00403-008-0857-y

HOPKINS D.R., 2008, Dracunculiasis, onchocerciasis, schistosomiasis, and trachoma, Ann. N. Y. Acad. Sci., 1136, 45, 10.1196/annals.1425.015

HOTEZ P., 2008, Hookworm and poverty, Ann. N.Y. Acad. Sci., 1136, 38, 10.1196/annals.1425.000

HOTEZ P.J., 2008, The giant anteater in the room: Brazil's neglected tropical diseases problem, PLoS Negl. trop. Dis., 2, e177, 10.1371/journal.pntd.0000177

HOTEZ P.J., 2008, Neglected infections of poverty in the United States of America, PLoS Negl. trop. Dis., 2, e256, 10.1371/journal.pntd.0000256

HOTEZ P.J., 2008, The neglected tropical diseases of Latin America and the Caribbean: a review of disease burden and distribution and a roadmap for control and elimination, PLoS Negl. trop. Dis., 2, e300, 10.1371/journal.pntd.0000300

HOTEZ P.J., 2009, Neglected tropical disease vaccines, Biologicals, 37, 160, 10.1016/j.biologicals.2009.02.008

HOTEZ P.J, 2009, Rescuing the bottom billion through control of neglected tropical diseases, Lancet, 373, 1570, 10.1016/S0140-6736(09)60233-6

HOTEZ P.J., 2006, The antipoverty vaccines, Vaccine, 24, 5787, 10.1016/j.vaccine.2006.05.008

HOTEZ P.J., 2007, Control of neglected tropical diseases, New Engl. J. Med., 357, 1018, 10.1056/NEJMra064142

HOTEZ P.J., 2006, Incorporating a rapid-impact package for neglected tropical diseases with programs for HIV/AIDS, tuberculosis, and malaria, PLoS Med., 3, e102, 10.1371/journal.pmed.0030102

HOTEZ P.J., 2006, Neglected tropical diseases and HIV/AIDS, Lancet, 368, 1865, 10.1016/S0140-6736(06)69765-1

HOTEZ P.J., 2004, Combating tropical infectious diseases: report of the Disease Control Priorities in Developing Countries Project, Clin. infect. Dis., 38, 871, 10.1086/382077

KALAYANAROOJ S., 2004

KATZ N., 2008, Clinical therapy of schistosomiasis mansoni: the Brazilian contribution, Acta trop., 108, 72, 10.1016/j.actatropica.2008.05.006

LABEAUD A.D., 2008, Why arboviruses can be neglected tropical diseases, PLoS Negl. trop. Dis., 2, e247, 10.1371/journal.pntd.0000247

LINDOSO A.A, 2008, Profile of tuberculosis patients progressing to death, city of Sao Paulo, Brazil, 2002, Rev. Saude públ., 42, 805

LINDOSO J.A., 2009, Unusual manifestations of tegumentary leishmaniasis in AIDS patients from the New World, Brit. J. Derm., 160, 311, 10.1111/j.1365-2133.2008.08908.x

LITTLE M.P., 2004, Incidence of blindness during the onchocerciasis control programme in western Africa, 1971-2002, J. infect. Dis., 189, 1932, 10.1086/383326

MARCHON-SILVA V., 2007, Detection of Onchocerca volvulus (Nematoda: Onchocercidae) infection in vectors from Amazonian Brazil following mass Mectizan distribution, Mem. Inst. Oswaldo Cruz, 102, 197, 10.1590/S0074-02762007005000010

MATHERS C.D., 2007, Measuring the burden of neglected tropical diseases: the global burden of disease framework, PLoS Negl. trop. Dis., 1, e114, 10.1371/journal.pntd.0000114

MATTOS D., 2008, A complexidade do custo sócio-econômico da filariose linfática, Rev. Soc. bras. Med. trop., 41, 399, 10.1590/S0037-86822008000400015

MEDEIROS Z., 2008, The epidemiological delimitation of lymphatic filariasis in an endemic area of Brazil, 41 years after the first recorded case, Ann. trop. Med. Parasit., 102, 509, 10.1179/136485908X311821

MOREL C.M., 2005, Health innovation networks to help developing countries address neglected diseases, Science, 309, 401, 10.1126/science.1115538

NOBREGA A.A., 2009, Oral transmission of Chagas disease by consumption of acai palm fruit, Brazil, Emerg. infect. Dis., 15, 653, 10.3201/eid1504.081450

PANG T., 2003, Vaccines for the prevention of neglected diseases: dengue fever, Curr. Opin. Biotechnol., 14, 332, 10.1016/S0958-1669(03)00061-2

PERERA M., 2007, Neglected patients with a neglected disease?: A qualitative study of lymphatic filariasis, PLoS Negl. trop. Dis., 1, e128, 10.1371/journal.pntd.0000128

POSADA-VERGARA M.P., 2005, Tegumentary leishmaniasis as a manifestation of immune reconstitution inflammatory syndrome in 2 patients with AIDS, J. infect. Dis., 192, 1819, 10.1086/497338

REDDY M., 2007, Oral drug therapy for multiple neglected tropical diseases: a systematic review, J. Amer. med. Ass., 298, 1911, 10.1001/jama.298.16.1911

RENSLO A.R., 2006, Drug discovery and development for neglected parasitic diseases, Nature Chem. Biol., 2, 701, 10.1038/nchembio837

SARTORI A.M., 2007, Manifestations of Chagas disease (American trypanosomiasis) in patients with HIV/AIDS, Ann. trop. Med. Parasit., 101, 31, 10.1179/136485907X154629

SARTORI A.M., 1998, Reactivation of Chagas' disease in a human immunodeficiency virus-infected patient leading to severe heart disease with a late positive direct microscopic examination of the blood, Amer. J. trop. Med. Hyg., 59, 784, 10.4269/ajtmh.1998.59.784

2005, Consenso Brasileiro de Doença de Chagas, Rev. Soc. bras. Med. trop., 38, 1

SHELLEY A.J., 2002, Human onchocerciasis in Brazil: an overview, Cad. Saude públ., 18, 1167, 10.1590/S0102-311X2002000500009

STEINDEL M., 2008, Characterization of Trypanosoma cruzi isolated from humans, vectors, and animal reservoirs following an outbreak of acute human Chagas disease in Santa Catarina State, Brazil, Diagn. Microbiol. infect. Dis., 60, 25, 10.1016/j.diagmicrobio.2007.07.016

STINGL P., 2009, Onchocerciasis: developments in diagnosis, treatment and control, Int. J. Derm., 48, 393, 10.1111/j.1365-4632.2009.03843.x

TELLES M.A., 2005, A population-based study of drug resistance and transmission of tuberculosis in an urban community, Int. J. Tuberc. Lung Dis., 9, 970

VIVAS-MARTINEZ S., 2000, Amazonian onchocerciasis: parasitological profiles by host-age, sex, and endemicity in southern Venezuela, Parasitology, 121, 513, 10.1017/S0031182099006642

2009

YOUNG L.S., 1994, The resurgence of tuberculosis, Scand. J. infect. Dis., 93, 9