Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?

Introduction: Implementation of prevention and control measures for communicable diseases in border regions can be challenging and lead to inefficient attempts to control them. We describe evidences on the strengths, weaknesses, opportunities and challenges regarding implementation of health interv...

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Main Authors: Filipa Mendes Oliveira, Ricardo Arcêncio, Marcos Augusto Moraes Arcoverde, Inês Fronteira
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2022-03-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/13613
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author Filipa Mendes Oliveira
Ricardo Arcêncio
Marcos Augusto Moraes Arcoverde
Inês Fronteira
author_facet Filipa Mendes Oliveira
Ricardo Arcêncio
Marcos Augusto Moraes Arcoverde
Inês Fronteira
author_sort Filipa Mendes Oliveira
collection DOAJ
description Introduction: Implementation of prevention and control measures for communicable diseases in border regions can be challenging and lead to inefficient attempts to control them. We describe evidences on the strengths, weaknesses, opportunities and challenges regarding implementation of health interventions for control, prevention and treatment of selected neglected tropical diseases (NTD), a group of transmissible diseases typically prevalent in tropical countries and vulnerable populations, in the tri-border between Brazil, Argentina, and Paraguay. Methodology: A systematic literature review of observational and experimental studies was conducted, using PubMed and Bireme databases. Eligibility criteria were location (tri-border area) and subject (health interventions). Results: Of a total of 595 references identified, 34 studies were included (18 pertaining to leishmaniasis, 11 to dengue, 2 to leprosy, 2 to soil-transmitted helminthiases and 1 to Chagas’ disease), with an inclusion rate of 6.4%. The main strengths were the similarity of health interventions between countries and easiness of mobility and communication flows. The main weaknesses were access to rural areas and discrepancies in the number of studies between countries. As for opportunities, we identified increased tourism, economic development and recent increasing research in this field. The main challenges were the absence of studies regarding other prevalent NTD in the region and movement of goods, animals and people across borders. Conclusions: Although epidemiological studies are still needed to better understand and assess the prevalence of NTD in the area, mainly in Paraguay, these findings can inform decision-makers and health managers to plan a common strategy to address NTD.
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spelling doaj-art-797f051490834c4e990a4e02e5d96f642025-08-20T02:57:24ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802022-03-01160310.3855/jidc.13613Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?Filipa Mendes Oliveira0Ricardo Arcêncio1Marcos Augusto Moraes Arcoverde2Inês Fronteira3Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, Universidade NOVA de Lisboa, Lisbon, PortugalCollege of Nursing at Ribeirão Preto, University of São Paulo, Ribeirão Preto, BrazilWestern Paraná State University, Campus of Foz do Iguaçu, Paraná, Foz do Iguaçu, BrazilGlobal Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, Universidade NOVA de Lisboa, Lisbon, Portugal Introduction: Implementation of prevention and control measures for communicable diseases in border regions can be challenging and lead to inefficient attempts to control them. We describe evidences on the strengths, weaknesses, opportunities and challenges regarding implementation of health interventions for control, prevention and treatment of selected neglected tropical diseases (NTD), a group of transmissible diseases typically prevalent in tropical countries and vulnerable populations, in the tri-border between Brazil, Argentina, and Paraguay. Methodology: A systematic literature review of observational and experimental studies was conducted, using PubMed and Bireme databases. Eligibility criteria were location (tri-border area) and subject (health interventions). Results: Of a total of 595 references identified, 34 studies were included (18 pertaining to leishmaniasis, 11 to dengue, 2 to leprosy, 2 to soil-transmitted helminthiases and 1 to Chagas’ disease), with an inclusion rate of 6.4%. The main strengths were the similarity of health interventions between countries and easiness of mobility and communication flows. The main weaknesses were access to rural areas and discrepancies in the number of studies between countries. As for opportunities, we identified increased tourism, economic development and recent increasing research in this field. The main challenges were the absence of studies regarding other prevalent NTD in the region and movement of goods, animals and people across borders. Conclusions: Although epidemiological studies are still needed to better understand and assess the prevalence of NTD in the area, mainly in Paraguay, these findings can inform decision-makers and health managers to plan a common strategy to address NTD. https://jidc.org/index.php/journal/article/view/13613Triple BorderBrazilArgentinaParaguayNeglected Tropical DiseasesBorder areas
spellingShingle Filipa Mendes Oliveira
Ricardo Arcêncio
Marcos Augusto Moraes Arcoverde
Inês Fronteira
Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
Journal of Infection in Developing Countries
Triple Border
Brazil
Argentina
Paraguay
Neglected Tropical Diseases
Border areas
title Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
title_full Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
title_fullStr Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
title_full_unstemmed Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
title_short Are the neglected tropical diseases under control in the tri-border region between Brazil, Argentina, and Paraguay?
title_sort are the neglected tropical diseases under control in the tri border region between brazil argentina and paraguay
topic Triple Border
Brazil
Argentina
Paraguay
Neglected Tropical Diseases
Border areas
url https://jidc.org/index.php/journal/article/view/13613
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