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Health

Strengthening primary health care can reduce TB cases

05/03/2012

This article was translated by an automatic translation system, and was therefore not reviewed by people.


 




Focus would be the Rio de Janeiro, which has the largest number of cases in Brazil
 
Reduce the incidence rates of tuberculosis in Rio de Janeiro is essential to change the landscape of the disease in the country, according to an evaluation of the coordinator of the National Tuberculosis Control of the Ministry of Health, Dráurio Barreira. For him, the strengthening of primary care system, as the expansion of family clinics in the state capital, is the main factor that can contribute to it.

Each year, approximately 11.000 reported cases of the disease state, which leads the ranking of national incidence of the disease: more than 70 events per 100 000 inhabitants, almost twice the national average (37.7 cases per 100 000 inhabitants). Brazil has until 2015 to account for 25.8 cases per 100 000 inhabitants, as one of the Millennium Development Goals, established by the United Nations (UN).

- We see this move forward with plenty of strengthening primary care clinics as the expansion of the family, whose close professional know this carrier [the disease], the lifestyle, the house. They have the ability to positively affect the relationship of that person with their health habits.

He said the Rio de Janeiro has both the highest incidence of the disease, such as concentrates, in absolute numbers, the highest number of cases in the country.

- So, if you change the reality of the city and state, which holds half of the cases the state will change the landscape of tuberculosis in the country.

According to the Municipal Health Secretariat of Rio, were opened in the last four years, 56 family clinics, allowing an expansion of coverage of 3.5% to 31.6% in this period, representing about two million people assisted by the strategy.
The superintendent of the Health Units in the City Office, Betina Durovni, explains that the major difference of this project, which includes the Family Health Program (PSF), the federal government, is the proximity of professionals and patients, who can better monitor the continuity treatment.

- The expansion of primary care clinics through the family is a fundamental step for the control of tuberculosis and other diseases. The role of community workers, supervision of treatment and proximity [between professionals and patients] is essential to improve the rates of cure.

For the director of the Reference Center Professor Hélio Fraga, connected to the Oswaldo Cruz Foundation (Fiocruz), the reduction in the rates of the disease depend on a host for efficient health service, which includes easy access and continuity of care, which takes on average six months, but also improving the quality of life of people living mainly in poor communities.

- The clinics help the family because with proper treatment, it is avoided that new people are infected. But it is also necessary for vulnerable populations, such as those living in slums, have improvements in quality of life. The highest incidence rates are located in impoverished populations, street, and Indians, for example.

The commission coordinator of tuberculosis of the Thoracic Society of Rio, Marcos Conde, added that in regions where there are pockets of poverty in the active search for infected patients is crucial.

- In general, these sites are poorly ventilated, there is little input from sunlight and therefore are more prone to tuberculosis cases.
The search for infected patients is important because in a situation of so many social problems, cough, one of the main symptoms of the disease ends up being a minor problem for this portion of the population that ends up taking too long to seek care and the disease will spread.



Source: R7 News

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This article was translated by an automatic translation system, and was therefore not reviewed by people.

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