Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control

Schistosomiasis low transmission areas as Venezuela, can be defined as those where the vector exists, the prevalence of active cases is under 25%, individuals with mild intensity of infection predominate and are mostly asymptomatic. These areas are the consequence of effective control programs, howe...

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Main Authors: Belkisyolé Alarcón de Noya, Raiza Ruiz Guevara, Cecilia Colmenares, Sandra Losada, Oscar Noya
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2006-10-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000900006
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author Belkisyolé Alarcón de Noya
Raiza Ruiz Guevara
Cecilia Colmenares
Sandra Losada
Oscar Noya
author_facet Belkisyolé Alarcón de Noya
Raiza Ruiz Guevara
Cecilia Colmenares
Sandra Losada
Oscar Noya
author_sort Belkisyolé Alarcón de Noya
collection DOAJ
description Schistosomiasis low transmission areas as Venezuela, can be defined as those where the vector exists, the prevalence of active cases is under 25%, individuals with mild intensity of infection predominate and are mostly asymptomatic. These areas are the consequence of effective control programs, however, "silent" epidemiological places are difficult to trace, avoiding the opportune diagnosis and treatment of infected persons. Clinic and abdominal ultrasound have not shown to discriminate infected from uninfected persons in areas where besides Schistosoma mansoni, intestinal parasites are the rule. Under these conditions, serology remains as a very valuable diagnostic tool, since it gives a closer approximation to the true prevalence. In this sense, circumoval precipitin test, ELISA-SEA with sodium metaperiodate, and alkaline phosphatase immunoassay joined to coprology allow the identification of the "schistosomiasis cases". In relation to public health, schistosomiasis has been underestimated by the sanitary authorities and the investment on its control is being transferred to other diseases of major social and political relevance neglecting sanitary efforts and allowing growth of snail population. Some strategies of diagnosis and control should be done before schistosomiasis reemergence occurs in low transmission areas.
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spelling doaj.art-9ac023603d07450da3a1bd959a3b71ec2023-08-02T09:25:57ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602006-10-01101293510.1590/S0074-02762006000900006Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and controlBelkisyolé Alarcón de NoyaRaiza Ruiz GuevaraCecilia ColmenaresSandra LosadaOscar NoyaSchistosomiasis low transmission areas as Venezuela, can be defined as those where the vector exists, the prevalence of active cases is under 25%, individuals with mild intensity of infection predominate and are mostly asymptomatic. These areas are the consequence of effective control programs, however, "silent" epidemiological places are difficult to trace, avoiding the opportune diagnosis and treatment of infected persons. Clinic and abdominal ultrasound have not shown to discriminate infected from uninfected persons in areas where besides Schistosoma mansoni, intestinal parasites are the rule. Under these conditions, serology remains as a very valuable diagnostic tool, since it gives a closer approximation to the true prevalence. In this sense, circumoval precipitin test, ELISA-SEA with sodium metaperiodate, and alkaline phosphatase immunoassay joined to coprology allow the identification of the "schistosomiasis cases". In relation to public health, schistosomiasis has been underestimated by the sanitary authorities and the investment on its control is being transferred to other diseases of major social and political relevance neglecting sanitary efforts and allowing growth of snail population. Some strategies of diagnosis and control should be done before schistosomiasis reemergence occurs in low transmission areas.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000900006low transmission areadiagnosisschistosomiasisVenezuela
spellingShingle Belkisyolé Alarcón de Noya
Raiza Ruiz Guevara
Cecilia Colmenares
Sandra Losada
Oscar Noya
Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
Memorias do Instituto Oswaldo Cruz
low transmission area
diagnosis
schistosomiasis
Venezuela
title Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
title_full Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
title_fullStr Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
title_full_unstemmed Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
title_short Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control
title_sort low transmission areas of schistosomiasis in venezuela consequences on the diagnosis treatment and control
topic low transmission area
diagnosis
schistosomiasis
Venezuela
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000900006
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