<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232020000100021</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202000567</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Retrocesso do Programa de Controle da Esquistossomose no estado de maior prevalência da doença no Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Setback of the Schistosomiasis Control Program in the Brazilian state with the highest prevalence of the disease]]></article-title>
<article-title xml:lang="es"><![CDATA[Retroceso del Programa de Control de la Esquistosomiasis en el estado con más prevalencia de la enfermedad en Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[José Icaro Nunes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[Gabriela de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corte]]></surname>
<given-names><![CDATA[Roseli La]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Sergipe Centro de Ciências Biológicas e da Saúde Departamento de Medicina]]></institution>
<addr-line><![CDATA[Aracaju Sergipe]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal de Sergipe Centro de Ciências Biológicas e da Saúde Departamento de Morfologia]]></institution>
<addr-line><![CDATA[Aracaju Sergipe]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232020000100021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232020000100021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232020000100021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO: Descrever o quadro epidemiológico da esquistossomose no contexto do Programa de Controle da Esquistossomose (PCE) no estado de Sergipe, Brasil.  MATERIAIS E MÉTODOS: Foi desenvolvido um estudo ecológico de séries temporais, baseado em dados secundários do Sistema de Informação do Programa de Controle da Esquistossomose da Secretária Estadual de Saúde de Sergipe, de 2008 a 2017. As informações extraídas foram analisadas com os programas TabWin, Joinpoint Regression e BioEstat.  RESULTADOS: Em média, 36,7 ± 5,6 municípios participaram do PCE no período, com o total de 677.841 exames realizados, dos quais 59.996 foram positivos (média anual de 8,6% ± 1,2%); 4.566 dos casos positivos apresentaram alta carga parasitária (média de 7,9% ± 2,1%). De todos os casos positivos, 42.779 foram tratados (média de 68,7% ± 9,5%). O percentual de casos com alta carga parasitária apresentou tendência crescente estatisticamente significante (5,7% ao ano). Apresentaram tendência decrescente estatisticamente significante a adesão de municípios ao PCE (4,0% por ano) e o número de exames realizados (9,6% por ano). Em relação à distribuição espacial da esquistossomose, em 2011, ano de maior adesão de municípios ao PCE, cinco, 30 e 10 municípios foram, respectivamente, considerados de alta, média e baixa endemicidade. Em 2017, Siriri foi considerado como de alta endemicidade, 20 municípios foram de média endemicidade e cinco de baixa endemicidade.  CONCLUSÃO: As ações do PCE diminuíram em Sergipe, o que somado à aparente subnotificação e ao aumento de casos com alta carga parasitária, compromete os ganhos obtidos no controle da doença.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE: To describe the epidemiological picture of schistosomiasis in the context of the Schistosomiasis Control Program (SCP) in Sergipe State, Brazil.  MATERIALS AND METHODS: An ecological time series study was conducted based on secondary data from the Information System of the Schistosomiasis Control Program of the State Secretary of Health of Sergipe, 2008-2017. Data were analyzed using TabWin, Joinpoint Regression, and BioEstat.  RESULTS: On average, 36.7 ± 5.6 municipalities participated in the SCP, with 677,841 exams performed, of which 59,996 were positive (annual average of 8.6% ± 1.2%); 4,566 of the positive cases had a high parasitic burden (7.9% ± 2.1%). Of all positive cases, 42,779 were treated (68.7% ± 9.5%). The percentage of cases with a high parasitic load showed a statistically significant increasing trend (5.7% per year). There was a statistically significant downward trend in the number of municipalities joining the SCP (4.0% per year) and the number of tests performed (9.6% per year). Regarding the spatial distribution of schistosomiasis, in 2011, the year with the highest number of municipalities adhering to the SCP, five, 30, and 10 municipalities were considered, respectively, of high, medium, and low endemicity. In 2017, Siriri was considered to be highly endemic, 20 municipalities were of medium endemicity, and five of low endemicity.  CONCLUSION: The actions of the SCP decreased in Sergipe, in addition to the apparent underreporting of cases and the increase in cases with a high parasitic burden, compromising the gains obtained in the control of the disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVO: Describir el cuadro epidemiológico de la esquistosomiasis en el contexto del Programa de Control de la Esquistosomiasis (PCE) en el Estado de Sergipe, Brasil.  MATERIALES Y MÉTODOS: Se desarrolló un estudio ecológico de series temporales, basado en datos secundarios del Sistema de Información del Programa de Control de la Esquistosomiasis de la Secretaría Estadual de Salud de Sergipe, de 2008 a 2017. Las informaciones extraídas se analizaron con los programas TabWin, Joinpoint Regression y BioEstat.  RESULTADOS: En media, 36,7 ± 5,6 municipios participaron del PCE en el período, con un total de 677.841 exámenes realizados, de los cuales 59.996 fueron positivos (media anual de 8,6% ± 1,2%); 4.566 de los casos positivos presentaron alta carga parasitaria (media de 7,9% ± 2,1%). De todos los casos positivos, 42.779 fueron tratados (media de 68,7% ± 9,5%). El porcentual de casos con alta carga parasitaria presentó una tendencia creciente estadísticamente significante (5,7% al año). Presentaron tendencia decreciente estadísticamente significante, la adhesión de municipios al PCE (4,0% por año) y el número de exámenes realizados (9,6% por año). En relación a la distribución espacial de la esquistosomiasis, en 2011, año de mayor adhesión de municipios al PCE, cinco, 30 y 10 municipios fueron, respectivamente, considerados de alta, media y baja endemicidad. En 2017, Siriri fue considerado como de alta endemicidad, 20 municipios fueron de media endemicidad y cinco de baja endemicidad.  CONCLUSIÓN: Las acciones del PCE disminuyeron en Sergipe, lo que sumado a la aparente subnotificación y al aumento de casos con alta carga parasitaria, compromete lo ganado en el control de la enfermedad.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Esquistossomose]]></kwd>
<kwd lng="pt"><![CDATA[Schistosoma mansoni]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Pública]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Negligenciadas]]></kwd>
<kwd lng="en"><![CDATA[Schistosomiasis]]></kwd>
<kwd lng="en"><![CDATA[Schistosoma mansoni]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Neglected Diseases]]></kwd>
<kwd lng="es"><![CDATA[Esquistosomiasis]]></kwd>
<kwd lng="es"><![CDATA[Schistosoma mansoni]]></kwd>
<kwd lng="es"><![CDATA[Salud Pública]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades descuidadas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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