doença de chagas, ambiente, participação e estado chagas disease, environment, participation, and the state

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ID: 238040
2001
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Abstract
Na América Latina, a Doença de Chagas Humana (DCH) afeta 16 milhões de indivíduos e está relacionada a fatores ambientais e sociopolíticos (relações de produção, migrações, vivenda, educação e ação antrópica sobre a natureza). Sua transmissão depende basicamente da domiciliação do vetor originário de ecótopos silvestres ou introduzido na casa por ação humana. De conseqüências graves, a DCH apresenta tratamento difícil, mas boas possibilidades de controle. Como afeta indivíduos e regiões pobres, carece de ação do Estado que envolva educação, participação e políticas públicas de modo a assegurar atenção médica e prevenção. Neste contexto, demanda melhor desempenho político. A política ambiental é fator crítico na prevenção da expansão da DCH para novas áreas de colonização, como a Amazônia. Finalmente, o enfrentamento e controle da DCH na Região pode significar fator de auto-estima e cooperação, entre países, como exercício de novas macropolíticas sociais necessárias ao Terceiro Mundo.
Human Chagas Disease (HCD) affects 16 million Latin Americans and is related to environmental and social questions like education, anthropogenic changes, housing, and migration. HCD requires domiciliation of the vector, which is introduced from sylvatic ecotopes or transported passively by humans. HCD is difficult to treat but possible to prevent. As a disease concentrating among poor individuals and regions, its control requires government intervention, involving education, community participation, and access to medical care. Public policies are required for HCD control, requiring participation by political parties and social control of public agencies to ensure program continuity. A consistent environmental policy is needed to prevent the spread of HCD to new areas such as the Amazon Region. Finally, partnerships among affected countries can help foster HCD control, raising self-esteem and helping promote a new political order in Latin America.
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Authors ;João Carlos Pinto Dias
Journal iberian conference on information systems and technologies, cisti
Year 2001
DOI
10.1590/S0102-311X2001000700026
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2001000700026
Keywords
health policy chagas disease prevention and control política de saúde saúde pública public healthmedicinepublic aspects of medicine

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