WHO global strategy for sexually transmitted infections: situation in Brazil
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.208884Keywords:
World Health Organization, Sexually transmitted infections, Gonorrhea, Syphilis, HPVAbstract
The World Health Organization (WHO) has established goals aligned with the United Nations (UN) objectives for sustainable development by 2030. This study aims to analyze Brazil's progress toward the goal of eliminating sexually transmitted infections. Consultations were conducted using the DATASUS database, the Ministry of Health's Vaccinometer, and the Integrated Health Surveillance Platform (IHSP) to gather data on live births, acquired, congenital, and pregnant syphilis, human papillomavirus (HPV) vaccination, and population projections. Discrepancies in syphilis data across these platforms have impacted the accuracy of the information systems, with DATASUS showing decreased numbers and IHSP showing increased numbers. In 2021, HPV vaccination coverage was 62.03%. Rescue vaccination efforts have proven effective in increasing coverage. However, there is a lack of data on gonococcal infections, and despite increased vaccination coverage, none of the parameters are close to meeting the WHO targets.
Downloads
References
Biermann F, Hickmann T, Sénit CA, Beisheim M, Bernstein S, Chasek P, et al. Scientific evidence on the political impact of the Sustainable Development Goals. Nat Sustain. 2022 Jun 20;5(9):795–800.
Taylor M, Alonso-González M, Gómez B, Korenromp E, Broutet N. WORLD HEALTH ORGANIZATION GLOBAL HEALTH SECTOR STRATEGY ON SEXUALLY TRANSMITTED INFECTIONS: AN EVIDENCE-TO-ACTION SUMMARY FOR COLOMBIA. Rev Colomb Obstet Ginecol. 2017 Jul;68(3):193–201.
de Lima YAR, Turchi MD, Fonseca ZC, Garcia FLB, de Brito e Cardoso FA, da Guarda Reis MN, et al. Sexually transmitted bacterial infections among young women in Central Western Brazil. Int J Infect Dis. 2014 Aug;25:16–21.
Yeganeh N, Kreitchmann R, Leng M, Nielsen-Saines K, Gorbach PM, Klausner J. High Prevalence of Sexually Transmitted Infections in Pregnant Women Living in Southern Brazil. Sex Transm Dis. 2021 Feb 1;48(2):128–33.
Menezes MLB, Giraldo PC, Linhares IM, Boldrini NAT, Aragón MG. [Brazilian Protocol for Sexually Transmitted Infections 2020: pelvic inflammatory disease]. Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020602.
Bazzo ML, Golfetto L, Gaspar PC, Pires AF, Ramos MC, Franchini M, et al. First nationwide antimicrobial susceptibility surveillance for Neisseria gonorrhoeae in Brazil, 2015-16. J Antimicrob Chemother. 2018 Jul 1;73(7):1854–61.
Vincent LR, Jerse AE. Biological feasibility and importance of a gonorrhea vaccine for global public health. Vaccine. 2019 Nov 28;37(50):7419–26.
Miranda AE, Freitas FLS, Passos MRL de, Lopez MAA, Pereira GFM. Public policies on sexually transmitted infections in Brazil. Rev Soc Bras Med Trop. 2021 May 17;54(suppl 1):e2020611.
Bampi JVB, Correa ME, Bet GMDS, Marchioro SB, Simionatto S. Descriptive analysis of syphilis cases reported in Mato Grosso do Sul, Brazil identifies failure in treatment. Rev Soc Bras Med Trop. 2019 Apr 25;52:e20180026.
Moura L de L, Codeço CT, Luz PM. Human papillomavirus (HPV) vaccination coverage in Brazil: spatial and age cohort heterogeneity. Rev Bras Epidemiol. 2020 Dec 18;24:e210001.
Brazil. Ministério da Saúde. Banco de dados do Sistema Único de Saúde-DATASUS. [Internet]. [Cited 2023 Jan 2]. Avaiable from: http://www.datasus.gov.br
Painéis de Monitoramento da Natalidade - Plataforma Integrada de Vigilância em Saúde - Ministério da Saúde [Internet]. plataforma.saude.gov.br. [cited 2023 Jan2]. Available from: http://plataforma.saude.gov.br/natalidade/
Brazil. Ministério da Saúde. Sistema de informação do programa nacional de imunizações - Brasil [internet]. 2023. [cited 2023 Jan 2]. Avaiable from: http://pni.datasus.gov.br/consulta_hpv
Lannoy LH de, Silva RJ de C da, Nahn Júnior EP, Oliveira EC de, Gaspar PC. [Brazilian Protocol for Sexually Transmitted Infections 2020: infections that cause urethral discharge]. Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020633.
Kirkcaldy RD, Weston E, Segurado AC, Hughes G. Epidemiology of gonorrhoea: a global perspective. Sex Health. 2019 Sep;16(5):401–11.
Martín-Sánchez M, Fairley CK, Ong JJ, Maddaford K, Chen MY, Williamson DA, et al. Clinical presentation of asymptomatic and symptomatic women who tested positive for genital gonorrhoea at a sexual health service in Melbourne, Australia. Epidemiol Infect. 2020 Sep 28;148:e240.
Brazil. PORTARIA No 1.553, DE 17 DE JUNHO DE 2020 - DOU - Imprensa Nacional [Internet]. www.in.gov.br. [cited 2023 Jan 2]. Available from: https://www.in.gov.br/en/web/dou/-/portaria-n-1.553-de-17-de-junho-de-2020-262147771
Machado H de M, Martins JM, Schörner MA, Gaspar PC, Bigolin A, Ramos MC, et al. National surveillance of antimicrobial susceptibility and epidemiological data of gonorrhoea patients across Brazil, 2018-20. JAC Antimicrob Resist. 2022 Aug;4(4):dlac076.
de Brito Pinto TK, da Cunha-Oliveira ACGDP, Sales-Moioli AIL, Dantas JF, da Costa RMM, Silva Moura JP, et al. Clinical Protocols and Treatment Guidelines for the Management of Maternal and Congenital Syphilis in Brazil and Portugal: Analysis and Comparisons: A Narrative Review. Int J Environ Res Public Health [Internet]. 2022 Aug 24;19(17). Available from: http://dx.doi.org/10.3390/ijerph191710513
Garbin AJÍ, Martins RJ, Belila N de M, Exaltação SM, Garbin CAS. Reemerging diseases in Brazil: sociodemographic and epidemiological characteristics of syphilis and its under-reporting. Rev Soc Bras Med Trop. 2019 Feb 21;52:e20180226.
Lannoy LH, Santos PC, Coelho R, Dias-Santos AS, Valentim R, Pereira GM, et al. Gestational and congenital syphilis across the international border in Brazil. PLoS One. 2022 Oct 25;17(10):e0275253.
Liu G, Mugo NR, Bayer C, Rao DW, Onono M, Mgodi NM, et al. Impact of catch-up human papillomavirus vaccination on cervical cancer incidence in Kenya: A mathematical modeling evaluation of HPV vaccination strategies in the context of moderate HIV prevalence. EClinicalMedicine. 2022 Mar;45:101306.
Bezerra ML de MB, Fernandes FECV, de Oliveira Nunes JP, de Araújo Baltar SLSM, Randau KP. Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil. Emerging Infectious Disease journal. 2019;25(8):1469.
Santos MAPD, Fernandes FCG de M, Lima KC de, Barbosa IR. [Lack of awareness of the HPV vaccination campaign among Brazilian students: a multilevel analysis]. Cien Saude Colet. 2021 Dec;26(12):6223–34.
Silva I de AG, Sá ACMGN de, Prates EJS, Malta DC, Matozinhos FP, Silva TMR da. Vaccination against human papillomavirus in Brazilian schoolchildren: National Survey of School Health, 2019. Rev Lat Am Enfermagem. 2022 Nov 28;30(spe):e3834.
Frianto D, Setiawan D, Diantini A, Suwantika AA. Economic Evaluations of HPV Vaccination in Targeted Regions of Low- and Middle-Income Countries: A Systematic Review of Modelling Studies. Int J Womens Health. 2022 Sep 12;14:1315–22.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Leila Cristina Soares, Nathália Bezerra da Silva, Laura Campelo dos Santos, Lucas Alcides Barizon Lamin, Adriana do Valle Graça, Jorge Luiz Alves Brollo
This work is licensed under a Creative Commons Attribution 4.0 International License.
