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Article

Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil

1
State Coordination of Zoonoses, Epidemiological Surveillance Management (GVE), Health Surveillance Superintendence (SUVISA), Goiás State Health Secretary (SES), Goiânia 74093-250, Brazil
2
Access Project and Operational Research Platform for Chagas, Drugs for Neglected Diseases initiative (DNDi), Rio de Janeiro 20010-903, Brazil
3
Brazilian Medical Unit-BRAMU, Doctors without Borders (MSF), Rio de Janeiro 20040-006, Brazil
*
Authors to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2020, 5(2), 92; https://doi.org/10.3390/tropicalmed5020092
Received: 9 April 2020 / Revised: 29 May 2020 / Accepted: 1 June 2020 / Published: 5 June 2020
(This article belongs to the Special Issue Chagas Disease)
Objectives: This paper presents the results of the design and implementation process for the policy of compulsory notification of chronic Chagas disease in the Brazilian state of Goiás (Resolution No. 004/2013-GAB/SES-GO). Methods: The narrative was based on information provided by key actors that were part of the different stages of the process, built on contextual axes based on participants’ reflections about the establishment of the most accurate and coherent notification mechanisms. Results: The notification policy addressed the absence of historical data from patients in the state Chagas program, an increase in cases identified through serology, and weaknesses in vector control. Two key challenges involved human resources capacity and dissemination to public agencies and health care workers. Effective training and communication processes were key ingredients for successful implementation. Conclusions: The lack of public health measures aimed at the epidemiological surveillance of chronic Chagas cases constitutes a significant barrier for patients to access appropriate diagnosis, management and follow-up, and hampers the planning of necessary activities within health systems. The implementation of the notification policy in Goiás allows authorities to determine the real magnitude of Chagas disease in the population, so that an appropriate public health response can be mounted to meet the needs of affected people, thereby ending the epidemiological silence of Chagas disease. View Full-Text
Keywords: Chagas disease; disease notification; public policy; neglected topical diseases; healthcare access Chagas disease; disease notification; public policy; neglected topical diseases; healthcare access
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MDPI and ACS Style

da Rocha Siriano, L.; Marchiol, A.; Pereira Certo, M.; Cubides, J.-C.; Forsyth, C.; Augusto de Sousa, F. Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil. Trop. Med. Infect. Dis. 2020, 5, 92. https://doi.org/10.3390/tropicalmed5020092

AMA Style

da Rocha Siriano L, Marchiol A, Pereira Certo M, Cubides J-C, Forsyth C, Augusto de Sousa F. Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil. Tropical Medicine and Infectious Disease. 2020; 5(2):92. https://doi.org/10.3390/tropicalmed5020092

Chicago/Turabian Style

da Rocha Siriano, Liliane, Andrea Marchiol, Marina Pereira Certo, Juan-Carlos Cubides, Colin Forsyth, and Fabrício Augusto de Sousa. 2020. "Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil" Tropical Medicine and Infectious Disease 5, no. 2: 92. https://doi.org/10.3390/tropicalmed5020092

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