ReviewTropical medicine and health2016
Decentralized control of human visceral leishmaniasis in endemic urban areas of Brazil: a literature review.
Review in Tropical medicine and health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of decentralisation on health systems: a systematic review of reviews.BMJ global health · 2023Pooled it
- Factors associated with human visceral leishmaniasis cases during urban epidemics in Brazil: a systematic review.Parasitology · 2021Pooled it
- A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil.Tropical medicine and infectious disease · 2024Article
- Patterns and drivers of Human Visceral Leishmaniasis in Pernambuco (Brazil) from 2007 to 2018.PLoS neglected tropical diseases · 2023Article
- Visceral Leishmaniasis and Land Use and Cover in the Carajás Integration Region, Eastern Amazon, Brazil.Tropical medicine and infectious disease · 2022Article
- Decentralizing healthcare in Norway to improve patient-centered outpatient clinic management of rheumatoid arthritis - a conceptual model.BMC rheumatology · 2021Review
- Temporal Validation of a Predictive Score for Death in Children with Visceral Leishmaniasis.Journal of tropical medicine · 2021Article
- Epidemiological aspects and spatial patterns of human visceral leishmaniasis in Brazil.Parasitology · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesHuman migration and concomitant HIV infections are likely to bring about major changes in the epidemiology of some parasitic infections in Brazil. Human visceral leishmaniasis (HVL) control is particularly fraught with intricacies. It is against a backdrop of decentralized health care that the complex HVL control initiatives are brought to bear. This comprehensive review aims to explore the obstacles facing decentralized HVL control in urban endemic areas in Brazil.
methodA literature search was carried out in December 2015 by means of three databases: MEDLINE, Google Scholar, and Web of Science.
resultsAlthough there have been many strides that have been made in elucidating the eco-epidemiology of Leishmania infantum, which forms the underpinnings of the national control program, transmission risk factors for HVL are still insufficiently elucidated in urban settings. Decentralized HVL epidemiological surveillance and control for animal reservoirs and vectors may compromise sustainability. In addition, it may hamper timely human HVL case management. With the burgeoning of the HIV-HVL co-infection, the potential human transmission may be underestimated.
conclusionHVL is a disease with focal transmission at a critical juncture, which warrants that the bottlenecks facing the control program within contexts of decentralized healthcare systems be taken into account. In addition, HIV-driven HVL epidemics may substantially increase the transmission potential of the human reservoir. Calculating the basic reproductive number to fine-tune interventions will have to take into consideration the specific socio-economic development context.
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