Evaluation of a 25-Year-Program for the Control of Schistosomiasis Mansoni in an Endemic Area in Brazil
2011

Control of Schistosomiasis in Brazil

Sample size: 1474 publication 10 minutes Evidence: high

Author Information

Author(s): Sarvel Ana K., Oliveira Áureo A., Silva Alexandre R., Lima Anna C. L., Katz Naftale

Primary Institution: Laboratory of Schistosomiasis, Research Center René Rachou/FIOCRUZ, Belo Horizonte, Minas Gerais, Brazil

Hypothesis

Can a combination of treatment and improved living conditions effectively reduce schistosomiasis transmission in an endemic area?

Conclusion

The study found a significant reduction in schistosomiasis prevalence and morbidity in Comercinho, Brazil, due to combined treatment and socioeconomic improvements.

Supporting Evidence

  • The prevalence of schistosomiasis decreased from 70.4% in 1981 to 1.7% in 2005.
  • Improvements in housing and sanitation were noted alongside the reduction in disease prevalence.
  • Clinical forms of the disease shifted from severe to mild cases over the study period.

Takeaway

This study shows that treating people for schistosomiasis and improving their living conditions can make a big difference in reducing the disease.

Methodology

The study involved socioeconomic surveys, stool examinations, and clinical evaluations conducted in 1981 and 2005.

Potential Biases

Potential selection bias due to the inability to contact all original participants.

Limitations

Only 358 individuals from the original 1474 were re-examined in 2005, as many had moved or refused to participate.

Participant Demographics

The study focused on residents of Comercinho, Minas Gerais, Brazil, with a population of approximately 10,181 in 2005.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pntd.0000990

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