Understanding social inequalities in Zika infection and its consequences

A model of pathways and policy entry-points

Datos Bibliográficos

ID15540936
AutoresF Diderichsen (0000-0002-9998-4972, Fundação Oswaldo Cruz, autor de correspondencia), Lia Giraldo Da Silva Augusto (0000-0002-9322-6863, Fundação Oswaldo Cruz), Bernadete Perez (Universidade Federal de Pernambuco)
Año2018
Volumen14
Número5
Páginas675-683
Fecha de publicación2018-10-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaGlobal Public Health (JOURNAL)
Identificadores de la revistaISSN: 1744-1692 • E-ISSN: 1744-1706
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2018.1532528
PMID30301438
OpenAlexW2897085246
IdiomaEN
Citas recibidas10
Referencias citadas34

The health consequences of arbovirus infections such as dengue fever (DENV), Chikungunya (CHIKV) and Zika (ZIKV) has in recent years become a public health challenge, due to failure of prevention followed by increased incidence and pronounced social inequality in occurrence and consequences. This motivates a more systematic analysis of the potential mechanisms and pathways that generate these inequalities. We present in the paper a model that delineates five possible mechanisms driving the inequality of ZIKV and congenital Zika syndrome (CZS). They include differential exposure to bad housing and sanitary conditions, differential exposure to vector density and virus, differential vulnerability to the health effects of exposure to virus, differential intrauterine susceptibility to the teratogenic effects of ZIKV infection and differential social consequences of caring for a disabled child. For each mechanism, we present empirical evidence or need for more research as well as a discussion about policy implications

Arbovirus · Arbovirus Infections · Chikungunya · Computer security · Dengue fever · Environmental health · Inequality · Pathology · Public health · Social inequality · Virus · Vulnerability (computing · Zika virus · Child Nutrition and Water Access · COVID-19 epidemiological studies · Medicine · Mosquito-borne diseases and control · Virology