GENERAL OUTLINE AND PERSPECTIVES OF CHAGASTIC HEART DISEASE IN THE STATE OF TOCANTINS (Atena Editora)

Abstract

INTRODUCTION: Chagas disease (CD) is an anthropozoonosis caused by Trypanosoma cruzi and transmitted mainly by the kissing bug, vector insect. Nowadays, it has been considered hyperendemic in Tocantins, and must be studied more deeply. OBJECTIVE: To study the manifestations of Chagas heart disease in the state of Tocantins, analyzing its peculiarities in the main foci of the disease. MATERIALS AND METHODS: This research is a retrospective and descriptive cross-sectional study, based on a quantitative and qualitative approach. Bibliographies selected from sites such as Google Scholar, Scielo and PubMed were used, based on criteria such as the objective of the study, year and platform of publication, without the need for submission to the Ethics and Research Committee. RESULTS AND DISCUSSION: In the state of Tocantins, according to the health department - SES/TO - 38 cities are classified as high risk of vector transmission of CD, 69 as intermediate and 32 as low risk. In the territory there is “heredity” of chronic carriers, due to environmental changes that bring the vectors closer to the place of residence, ease of consumption of poorly processed foods in the form of powder and raw pieces or contaminated animals, representing a new epidemic threat. The evolution of CD to the cardiac form occurs in approximately 30% of chronic cases and is the main cause of death due to heart failure. There is no information about the current situation of patients with heart disease, mainly chagasic disease in the state of Tocantins. It is extremely important to fill this gap with future work. FINAL CONSIDERATIONS: From this point of view, it is understood that Chagas disease is a public health problem, which confirms the importance of the present study to encourage the intensification of health surveillance actions, with the purpose of improving the collection of data about it. of the manifestations of the chronic phase of this anthropozoonosis in citizens of Tocantins.