Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil

Tropical Medicine and Infectious Disease
Liliane da Rocha SirianoFabrício Augusto de Sousa

Abstract

This paper presents the results of the design and implementation process for the policy of compulsory notification of chronic Chagas disease in the Brazilian state of Goiás (Resolution No. 004/2013-GAB/SES-GO). The narrative was based on information provided by key actors that were part of the different stages of the process, built on contextual axes based on participants' reflections about the establishment of the most accurate and coherent notification mechanisms. The notification policy addressed the absence of historical data from patients in the state Chagas program, an increase in cases identified through serology, and weaknesses in vector control. Two key challenges involved human resources capacity and dissemination to public agencies and health care workers. Effective training and communication processes were key ingredients for successful implementation. The lack of public health measures aimed at the epidemiological surveillance of chronic Chagas cases constitutes a significant barrier for patients to access appropriate diagnosis, management and follow-up, and hampers the planning of necessary activities within health systems. The implementation of the notification policy in Goiás allows authorities to determine the ...Continue Reading

References

Dec 13, 2006·Revista Da Sociedade Brasileira De Medicina Tropical·Israel de Lucena Martins Ferreira, Tiago Pessoa Tabosa E Silva
Feb 12, 2013·The Lancet Infectious Diseases·Bruce Y LeePeter J Hotez
Sep 28, 2016·The Lancet Infectious Diseases·Men-Bao Qian, Xiao-Nong Zhou
Jul 6, 2018·MMWR. Morbidity and Mortality Weekly Report·Carolyne BennettSusan P Montgomery
Nov 2, 2018·PLoS Neglected Tropical Diseases·Clareci Silva CardosoEster Cerdeira Sabino

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Citations

Mar 7, 2021·Tropical Medicine and Infectious Disease·Jorg HeukelbachAlberto Novaes Ramos
Jun 8, 2021·Research and Reports in Tropical Medicine·Günter A Schaub

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Software Mentioned

SINAN ( Sistema de Informação de Agravos de Notificação , or I...

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