Sanitation Gaps, Health Knowledge, and Cultural Resignation: Mapping Parasitic Infections and Diarrhea in a Vulnerable Urban Area of Itacoatiara, Brazilian Amazon
Jussara Alencar Arraes, Maxwel Adriano Abegg
International Journal of Pathogen Research · pp. 49–58 · Published 1 Nov 2025
10.9734/ijpr/2025/v14i6409Abstract
Intestinal parasitic infections and diarrheal diseases remain entrenched public health challenges in socially vulnerable urban areas of the Brazilian Amazon. This mixed-methods study investigated two neighborhoods in Itacoatiara using 373 household surveys, 27 semi- structured interviews, municipal stool-test records (3,654 examinations; 43.76% positive for intestinal parasites), and microscopy of 27 household drinking-water samples (22.2% with parasitic-like forms). Findings reveal structural sanitation deficits, widespread misconceptions, and cultural resignation that undermine preventive behaviors. The results indicate that sustainable control will depend on integrated policies that combine infrastructure, routine school-based deworming, and culturally sensitive health education, in line with national frameworks.
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