All posts by Raquel Corona-Parra

Eliminating Leprosy in Brazil

 

A majority of the NTD disease burden in Latin America and the Caribbean occurs in Brazil. This week, the Brazilian Ministry of Health is launching a public health campaign to diagnose and treat soil-transmitted helminths (or intestinal parasites) and leprosy in school-aged children. Over the next few days, we will be featuring stories related to the fight against NTDs in Brazil.

Cartaz_Menino_46x64Leprosy is possibly one of the oldest diseases known to mankind. It is also one that causes great stigmatization and marginalization of those who are affected by it.

According to the World Health Organization (WHO), pockets of high leprosy rates remain in some areas of Brazil, Indonesia, Philippines, Democratic Republic of Congo, India, Madagascar, Mozambique, Nepal and the United Republic of Tanzania. India has the greatest incidence of leprosy, with 133,717 new cases in 2009; followed by Brazil, with 37,610 new cases in 2009. In Latin America and the Caribbean, leprosy is no longer a public health problem, except for in Brazil. The Brazilian government is working tirelessly to combat leprosy and to empower those who are currently affected. Because of this, Brazil is close to eliminating leprosy as a public health problem, which is defined as less than 1 case per 10,000 people.

Also known as Hansen’s disease, leprosy is caused by the bacillus Mycobacterium leprae and it is transmitted via droplets, from the nose and mouth, through close and frequent contact with untreated cases. Still, it is important to note that it is not highly infectious. Leprosy can cause permanent damage to the skin, nerves, limbs and eyes, if left untreated. The main treatment for leprosy is multidrug therapy (MDT), which includes dapsone, rifampicin and clofazimine. Continue reading

Water and NTDs in Recife, Brazil

 

Most of the NTD disease burden in Latin America and the Caribbean occurs in Brazil, where most of the country’s 40 million people living on less than $2 per day are infected with one or more NTD. This week, the Brazilian Ministry of Health is launching a public health campaign to diagnose and treat soil-transmitted helminths (or intestinal parasites) and leprosy in school-aged children. Over the next few days, we will be featuring stories related to the fight against NTDs in Brazil.

Recife, which is the capital city of the state of Pernambuco, is one of Brazil’s largest metropolitan areas. It is a major port and it is often called the “Venice of Brazil” because of the multiple rivers and waterways that cross the city. Current water and sanitation infrastructure projects in the city are underway to improve the health of its inhabitants and improve access to clean water.

The spread of neglected tropical diseases (NTDs) can be reduced and eventually controlled by providing improved water sources to rural and urban communities at risk of infection, such as those living in the larger Recife metropolitan area. Without a clean water source, NTDs such as soil-transmitted helminths, lymphatic filariasis and schistosomiasis easily infect children while they play in rivers and lakes and adults as they work in agriculture and in the home. Investing in water, sanitation and hygiene (WASH) infrastructure and education, along with mass drug administration campaigns, can and will greatly reduce the burden of disease caused by NTDs. The Brazilian Ministry of Health launched its national campaign to diagnose and treat STHs and leprosy yesterday, from Recife.

 

Brazil Takes Action on Leprosy and Intestinal Parasites

 

Most of the NTD disease burden in Latin America and the Caribbean occurs in Brazil, where most of the country’s 40 million people living on less than $2 per day are infected with one or more NTD. This week, the Brazilian Ministry of Health is launching a public health campaign to diagnose and treat soil-transmitted helminths (or intestinal parasites) and leprosy in school-aged children. Over the next few days, we will be featuring stories related to the fight against NTDs in Brazil.

Poster for Brazil's campaign against neglected tropical diseases.

Poster for Brazil’s campaign against neglected tropical diseases.

The Brazilian Ministry of Health announced that it will launch a campaign to diagnose leprosy and soil-transmitted helminth infections (or intestinal parasites) in children 5 to 14 years of age who are living in areas with high disease burden. From March 18-22, 2013, community health workers from the Family Health Program will evaluate more than 9.2 million public school students from 800 Brazilian municipalities for symptoms of these neglected tropical diseases (NTDs).

The campaign was announced on February 27, 2013 by the Minister of Health, Dr. Alexandre Padilha, during the opening ceremony of the National Movement for the Reintegration of People Affected by Leprosy, held in Rio de Janeiro, Brazil. The campaign aims to increase early diagnosis to ensure treatment and recovery for those affected by the diseases. Those who are diagnosed with either of these diseases will be given treatment to address the infection, and their cases will be reported to the Unified Health System to help with surveillance especially in situations where there was no previous knowledge of disease burden in a specific community. Continue reading