Abstract
ABSTRACTIn this article, we comment on the main features of infectious diseases in Brazil in the last 50 years, highlighting how much of this path Revista de Saúde Pública could portray. From 1967 to 2016, 1,335 articles focusing on infectious diseases were published in Revista de Saúde Pública. Although the proportion of articles on the topic have decreased from about 50.0% to 15.0%, its notability remained and reflected the growing complexity of the research required for its control. It is noteworthy that studies design and analysis strategies progressively became more sophisticated, following the great development of epidemiology in Brazil in the recent decades. Thus, the journal has followed the success of public health interventions that permitted to control or eliminate numerous infectious diseases – which were responsible, in the past, for high rates of morbidity and mortality –, and also followed the reemergence of diseases already controlled and the emergence of until then unknown diseases, with a strong impact on the Brazilian population, establishing a little predictable and very challenging path.
Highlights
The social, economic, and demographic transformations that took place in the last 50 years have been determining factors of significant changes in the morbidity and mortality patterns around the globe
In the context of such transformations, the expansion of sanitation coverage, improvement of housing conditions, and introduction of new health technologies, vaccines and antibiotics, were decisive for the rapid decline in the magnitude of infectious diseases[25,99]. This new scenario has led, in the 1960s and 1970s, to the optimistic perception that this group of diseases would lose relevance in public health as economic development and access to better living conditions could be widely achieved by most countries[57]. The facts contradicted such expectations and what we saw was the acceleration of the emergence and reemergence process of infectious diseases from the end of the 20th century on, keeping them on the list of priorities of the Public Health Global Agenda[58]
Celebrating the 50 years of Revista de Saúde Pública (RSP), we developed this study with the objective of describing and commenting on the main features of infectious diseases in Brazil, from 1967 to 2016, highlighting those that have attained greater relevance in the public health agenda and pointing out the most striking aspects recorded in the articles published on the topic by RSP
Summary
The social, economic, and demographic transformations that took place in the last 50 years have been determining factors of significant changes in the morbidity and mortality patterns around the globe. Articles published by RSP in its half century of existence allow monitoring the epidemiological transition in the Country, and feeling the consolidation of the multidisciplinary quality of public health During this period, the proportion of articles focusing on infectious diseases decreases from about 50.0% to 15.0%, without, losing its prominence. The proportion of articles focusing on infectious diseases decreases from about 50.0% to 15.0%, without, losing its prominence Such texts reflect the increased complexity of public health in the Country and the decentralization of research in this field of knowledge, which is consolidated in all regions of Brazil, along with dissemination of the graduate programs in Public Health. This characteristic allows a single infectious disease presenting, at different times in the same population, profiles of distinctive behaviors, which often bring great challenges to society and, especially, to health professionals and researchers, professionals whose mission is to protect and promote the population’s health
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