Anais do XXV World Congress of Neurology
NEGLECTED TROPICAL DISEASES: PERSPECTIVES, EPIDEMIOLOGY, AND NEUROLOGICAL IMPLICATIONS. Mariane Ferreira1 , Beatriz Marcon2 , Caio Goulart1 , Charles Fernandes2 , Izabele De Araújo1 , Letícia Rigoti1 , Taísa Yamaguchi2 , Carolina Panis1 , Carlos Rodrigues 1 1Universidade Estadual do Oeste do Paraná, Ccs Centro De Ciências Da Saúde, Francisco Beltrao, Brazil, 2Universidade Estadual do Oeste do Paraná, Ccs Centro De Ciências Da Saúde, Francisco Beltrão, Brazil Background and Aims:: Neglected tropical diseases (NTDs) are a set of 20 diseases classified by WHO that affect populations with low access to health services. In 2012, Brazil took part in the “London Declaration on NTDs”, an international partnership to combat 10 NTDs by 2020. All NTDs in Brazil may have neurological manifestations, so it is essential to know about the epidemiology and clinical implications. Methods:: An observational, retrospective and epidemiological study based on available data of the Department of the Unified Health System obtained through the application Health Information. We evaluated the absolute means of incidence in two groups (2007-2013 and 2014-2020), it was organized and analyzed based on statistical methods. The neurological manifestations of NTDs were searched in literature. Results:: These NTDs appeared in the London Declaration: leprosy, trachoma, schistosomiasis, soiltransmitted helminthiasis, Chagas disease, visceral leishmaniasis, and onchocerciasis. Trachoma and onchocerciasis are not mandatory notification diseases, and epidemiological data is scarce in Brazil. Leprosy, schistosomiasis (data until 2017) and helminthiasis had decreased incidences. Chagas disease (data up to 2019) incidence increased by 95,25% in national data - and there is no report in Paraná. Visceral leishmaniasis increased (data up to 2019) in Paraná by 138,81%, and its incidence decreased by 1,82%. The neurological manifestations may be stroke, neurological injury, meningoencephalitis, myelopathy, neuropathy, and death due to neurological damage. Conclusions:: Although incidences of NTDs have fallen, Brazil has not met the deal agreed in 2012, furthermore, it has reduced investments to combat these diseases. The neurological manifestations of NTDs have significant implications for morbidity and mortality.
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