Challenges of Rabies Surveillance in the Eastern Amazon: The Need of a One Health Approach to Predict Rabies Spillover.
Challenges of Rabies Surveillance in the Eastern Amazon: The Need of a One Health Approach to Predict Rabies Spillover.
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DOI：
10.3389/fpubh.2021.624574
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发表时间：
2021
影响因子：
5.2
通讯作者：
Casseb LMN
中科院分区：
文献类型：
--
作者：
Bastos V;Mota R;Guimarães M;Richard Y;Lima AL;Casseb A;Barata GC;Andrade J;Casseb LMN
巴西一直在通过实施免费保健方案促进卫生指标的根本改善，成功地减少了城市地区被忽视的人畜共患病的流行，如狂犬病。尽管当局不断努力监测和控制狂犬病，但在亚马逊的社区中，小狂犬病仍然是一个当前的问题。亚马逊地区之间的不平等对高科技服务的扩展提出了挑战，并限制了实施积极的实验室监测，以有效避免在人类和非人类宿主中爆发疫情，这也再现了风险社区的脆弱性全景。由于狂犬病是一种可预防的疾病，亚马逊地区这一特殊情况下的流行凸显了监测战略未能预测溢出效应，并表明需要调整公共政策以适应“一个健康”的方针。因此，这项工作评估了在亚马逊东部的帕拉·S地区之间免费护理资源和设施的分布；并讨论了在该地区的特定背景下植入One Health的挑战。我们指出，迫切需要加强地区和城市监测网络，以实现“到30年前实现零”的目标，这与打击逐渐退化的生物群的多边努力是分不开的。
Brazil has been promoting essential improvements in health indicators by implementing free-access health programs, which successfully reduced the prevalence of neglected zoonosis in urban areas, such as rabies. Despite constant efforts from the authorities to monitor and control the disease, sylvatic rabies is a current issue in Amazon's communities. The inequalities among Amazon areas challenge the expansion of high-tech services and limit the implementation of active laboratory surveillance to effectively avoid outbreaks in human and non-human hosts, which also reproduces a panorama of vulnerability in risk communities. Because rabies is a preventable disease, the prevalence in the particular context of the Amazon area highlights the failure of surveillance strategies to predict spillovers and indicates the need to adapt the public policies to a “One Health” approach. Therefore, this work assesses the distribution of free care resources and facilities among Pará's regions in the oriental Amazon; and discusses the challenges of implanting One Health in the particular context of the territory. We indicate a much-needed strengthening of the sylvatic and urban surveillance networks to achieve the “Zero by 30” goal, which is inextricable from multilateral efforts to combat the progressive biome's degradation.
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影响因子：
3.7
作者：
de Andrade FA;Gomes MN;Uieda W;Begot AL;Ramos Ode S;Fernandes ME
通讯作者：
Fernandes ME
影响因子：
11.8
作者：
da Rosa, Elizabeth S. T.;Kotait, Ivanete;Vasconcelos, Pedro F. C.
通讯作者：
Vasconcelos, Pedro F. C.
影响因子：
3.8
作者：
da Costa LJ;Fernandes ME
通讯作者：
Fernandes ME
DOI：
10.1590/1413-81232017224.31382016
发表时间：
2017-04-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
Oliveira, Ana Paula Cavalcante de;Gabriel, Mariana;Dussault, Gilles
通讯作者：
Dussault, Gilles
影响因子：
3.4
作者：
Fernandes, Marcus Emanuel Barroncas;Costa, Lanna Jamile Corrêa da;Silva, Lucila Pereira
通讯作者：
Silva, Lucila Pereira