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Determination and control of schistosomiasis
1Departamento de Endemias Samuel Pessoa, Escola Nacional de Saúde Pública, FIOCRUZ, Rio de Janeiro, Brasil.
Memorias Do Instituto Oswaldo Cruz
|March 1, 1995
Summary
Schistosomiasis control requires a new social perspective, not just new strategies. This approach integrates community knowledge for effective disease management, challenging traditional methods.
Area of Science:
- Public Health
- Tropical Medicine
- Social Sciences
Background:
- Schistosomiasis control efforts over 71 years show limited results despite technological advances.
- Traditional control strategies often overlook the complex interplay of social, economic, and biological factors.
Purpose of the Study:
- To analyze the limitations of classical schistosomiasis control models.
- To propose an alternative, socially-informed control model integrating community participation and knowledge.
Main Methods:
- Historical review of schistosomiasis control activities.
- Analysis of control strategies, including macro/micro level interactions and risk factors.
- Examination of social determinants and population's living conditions.
Main Results:
- Classical control models have yielded insufficient results.
- Disease endemicity is closely linked to population's way of life and spatial segregation.
- An alternative model emphasizing social perspective and shared knowledge is under investigation.
Conclusions:
- New strategies are not needed; a paradigm shift in the control model is essential.
- The proposed model integrates community knowledge and social perspectives for effective schistosomiasis control.