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Public Health"],"abstract":"<jats:p>Brazil has been promoting essential improvements in health indicators by implementing free-access health programs, which successfully reduced the prevalence of neglected zoonosis in urban areas, such as rabies. Despite constant efforts from the authorities to monitor and control the disease, sylvatic rabies is a current issue in Amazon's communities. The inequalities among Amazon areas challenge the expansion of high-tech services and limit the implementation of active laboratory surveillance to effectively avoid outbreaks in human and non-human hosts, which also reproduces a panorama of vulnerability in risk communities. Because rabies is a preventable disease, the prevalence in the particular context of the Amazon area highlights the failure of surveillance strategies to predict spillovers and indicates the need to adapt the public policies to a \u201cOne Health\u201d approach. Therefore, this work assesses the distribution of free care resources and facilities among Par\u00e1's regions in the oriental Amazon; and discusses the challenges of implanting One Health in the particular context of the territory. We indicate a much-needed strengthening of the sylvatic and urban surveillance networks to achieve the \u201cZero by 30\u201d goal, which is inextricable from multilateral efforts to combat the progressive biome's degradation.<\/jats:p>","DOI":"10.3389\/fpubh.2021.624574","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T06:47:15Z","timestamp":1624603635000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Challenges of Rabies Surveillance in the Eastern Amazon: The Need of a One Health Approach to Predict Rabies Spillover"],"prefix":"10.3389","volume":"9","author":[{"given":"Victor","family":"Bastos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Mota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mylenna","family":"Guimar\u00e3es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Richard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Luis","family":"Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Casseb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyovanna Corr\u00eaa","family":"Barata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livia Medeiros Neves","family":"Casseb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,6,25]]},"reference":[{"key":"B1","unstructured":"CasaCivil\n          L80801990"},{"key":"B2","unstructured":"BrasilCN\n            deS\n            deS\n          Legisla\u00e7\u00e3o do SUS2003"},{"key":"B3","unstructured":"PORTARIA N2019"},{"key":"B4","unstructured":"Vigil\u00e2ncia em Sa\u00fade no Brasil 2003|20192019"},{"key":"B5","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica IBGE | Brasil em s\u00edntese | territ\u00f3rio2020"},{"key":"B6","unstructured":"Legisla\u00e7\u00e3o da Amaz\u00f4nia2020"},{"key":"B7","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1590\/S0103-63512009000100007","article-title":"Desigualdade e heterogeneidade no desenvolvimento da Amaz\u00f4nia no s\u00e9culo XXI","volume":"19","author":"De Lira","year":"2009","journal-title":"Nov Econ."},{"key":"B8","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1590\/S0103-49792012000100004","article-title":"Expans\u00e3o da fronteira, megaprojetos de infraestrutura e integra\u00e7\u00e3o sul-americana","volume":"25","author":"Castro","year":"2012","journal-title":"Cad CRH."},{"key":"B9","unstructured":"Boletim Amaz\u00f4nia - Indicadores Socioecon\u00f4mico-Ambientais e An\u00e1lise Conjuntural da Amaz\u00f4nia Legal2016"},{"key":"B10","unstructured":"PRODU\u00c7\u00c3O MINERAL NO ESTADO DO PAR\u00c1 E REFLEXOS NA (RE)PRODU\u00c7\u00c3O DA MIS\u00c9RIA Barcarena, Marab\u00e1 e Parauapebas15767\n            LealAL\n            de S\u00e1MER\n            NascimentoNSF\n            de Sousa CardosoW\n          Rev Polit P\u00fablicas162012"},{"key":"B11","unstructured":"LiraSRB de\n          Do Aviamento \u00e0 Globaliza\u00e7\u00e3o, Facetas do (sub) Desenvolvimento da Economia Paraense. 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