Epidemiologia e Servicos de Saude最新文献

{"title":"Investigation of an outbreak of disease compatible with scurvy in a male penitentiary in the state of Ceará, Brazil, 2019-2020: a case-control study.","authors":"Leonardo José Alves de Freitas,&nbsp;Fernanda Sindeaux Camelo,&nbsp;Maria Júlia Araújo Borges,&nbsp;Ricristhi Gonçalves de Aguiar Gomes,&nbsp;Magda Moura de Almeida,&nbsp;Danniely Carolinne Soares da Silva,&nbsp;Márcio Henrique de Oliveira Garcia,&nbsp;Elizabeth David Dos Santos","doi":"10.1590/S2237-96222023000200020","DOIUrl":"https://doi.org/10.1590/S2237-96222023000200020","url":null,"abstract":"<p><strong>Main results: </strong>An outbreak of illness compatible with scurvy occurred among male prison inmates; most frequent signs/symptoms were edema and pain in lower limbs, difficulty in walking and hematoma/ecchymosis; the associated factor was age > 40 years.</p><p><strong>Implications for services: </strong>The results can contribute to the identification and description of scurvy outbreaks in other contexts and territories. Epidemiological studies of events like this enhance the practice of field epidemiology in health services.</p><p><strong>Perspectives: </strong>It is expected that the prevention of hypovitaminosis, such as scurvy, will be based on public policies aimed at the population deprived of liberty; and that the capabilities of health services to detect and respond to cases of the disease will be improved.</p><p><strong>Objective: </strong>to identify the occurrence of an outbreak compatible with scurvy and exposure factors associated with typical signs/symptoms of hypovitaminosis that occurred in a male penitentiary in Ceará, Brazil between 2019-2020.</p><p><strong>Methods: </strong>this was a population-based case-control study; we used clinical records and interviews with compatible cases - based on sign/symptom onset during the study period - and with controls; we carried out multivariate analysis.</p><p><strong>Results: </strong>out of 62 cases, mean age was 40.6 years (SD = 10.8); main signs/symptoms were edema and pain in the lower limbs (100.0%), difficulty in walking (91.9%), hematoma/ecchymosis in the lower limbs (90.3%) and fever (88.7%); we identified being over 40 years old as an associated factor (aOR = 1.10; 95%CI 1.05;1.17; p-value = 0.001); and as protective factors: working (aOR = 0.11; 95%CI 0.03;0.36; p-value < 0.001) and taking part in classes (aOR = 0.21; 95%CI 0.08;0.59; p-value = 0.003) in the prison.</p><p><strong>Conclusion: </strong>we considered the penitentiary outbreak to be compatible with scurvy due to characteristic signs/symptoms, associated with the identified factors; we recommended regular provision of a diet rich in vitamin C to all male inmates and clinical follow-up of cases.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022258"},"PeriodicalIF":2.5,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy eating markers among adolescents from the municipal school system in Pelotas, Rio Grande do Sul, Brazil, 2019: a cross-sectional study.","authors":"Jéssica Gularte Domingues,&nbsp;Francine Silva Dos Santos,&nbsp;Cristina Corrêa Kaufmann,&nbsp;Ludmila Correa Muniz,&nbsp;Renata Moraes Bielemann,&nbsp;Gicele Costa Mintem","doi":"10.1590/S2237-96222023000200019","DOIUrl":"10.1590/S2237-96222023000200019","url":null,"abstract":"<p><strong>Main results: </strong>Around 3% of the students regularly consumed the five healthy eating markers, with beans being the most frequently consumed; strong association was found between healthy eating markers and behavioral variables. Implications for services: The results obtained can contribute for interventions, programs and actions, particularly in the school environment, aimed at promoting an adequate and healthy diet.</p><p><strong>Perspectives: </strong>Better targeting of interventions, programs and actions developed in the school environment, seeking to increase consumption of fresh and minimally processed food, along with the adoption of healthy behaviors.</p><p><strong>Objective: </strong>to analyze the consumption of healthy eating markers among adolescent students in Pelotas, Rio Grande do Sul, Brazil, in 2019.</p><p><strong>Methods: </strong>this was a cross-sectional study carried out in schools taking part in the Health at School Program. Consumption of the five markers (beans, milk, fruit, cooked vegetables and raw salads) within five days prior to the study, obtained through a self-administered questionnaire, was defined as regular. Association between demographic, socioeconomic and behavioral variables and the outcomes was analyzed using Poisson regression.</p><p><strong>Results: </strong>among the 797 respondents, 2.8% (95%CI 1.8;4.1) reported regular consumption. Beans were the most regularly consumed food (48.3%); fruit, cooked vegetables and raw salads were consumed regularly by less than 30% of the students. Doing physical activities, having breakfast and having meals with the family were associated with regular consumption of the foods assessed.</p><p><strong>Conclusion: </strong>regular consumption of healthy foods was low in this population, and was associated with behavioral factors.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022964"},"PeriodicalIF":2.5,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10206614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Information Systems: how much progress are we making?","authors":"Barbara Reis-Santos","doi":"10.1590/S2237-96222023000200001","DOIUrl":"10.1590/S2237-96222023000200001","url":null,"abstract":"The development and consolidation of the Brazilian National Health System ( Sistema Único de Saúde - SUS) are at the heart of the establishment of Health Information Systems (HIS) nationwide. Although some records predate the SUS, it was based on its structuring that the legal and operational framework for the systematic collection of data evolved, both for administrative purposes and for monitoring diseases and health conditons. 1 In programmatic terms, HIS data can be the basis for structuring public health actions and planning and evaluating programs; in the academic context","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022433"},"PeriodicalIF":2.5,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1590/S1679-49742023000200027","DOIUrl":"https://doi.org/10.1590/S1679-49742023000200027","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/S2237-96222023000200004].</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2023525"},"PeriodicalIF":2.5,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the mosquito the problem? Aedes aegypti and urban arboviruses - contradictions and reflections.","authors":"Denise Valle,&nbsp;Raquel Aguiar","doi":"10.1590/S2237-96222023000200024","DOIUrl":"10.1590/S2237-96222023000200024","url":null,"abstract":"With the end of the COVID-19 pandemic, the Aedes aegypti vector has returned to the scene, as have the arboviruses it transmits, and along with them we frequently hear the complaint “Why do we still have to live with this mosquito?” Several aspects contribute to making diagnosis of this situation – and, therefore, overcoming it – confusing, difficult or even unattainable. With the aim of understanding the entirety of this context, we have listed ten points, some either partially overlapping or with contradictory narratives. These points have been perceived over more than two decades of work with vector surveillance and control, from the perspective of biology, and in interaction with health workers and managers, researchers, communicators and other professionals committed to the subject.","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2023538"},"PeriodicalIF":2.5,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technology transfer during the COVID-19 pandemic: report on the first face-to-face practical training course in Brazil.","authors":"Fernanda Khouri Barreto,&nbsp;Luciane Amorim Santos,&nbsp;Marta Giovanetti,&nbsp;Vagner Fonseca,&nbsp;Flavia Aburjaile,&nbsp;Joscelio Aguiar Silva,&nbsp;Carla Freitas,&nbsp;Cassio Roberto Leonel Peterka,&nbsp;Jairo Mendez Rico,&nbsp;Maria Almiron,&nbsp;Carlos Frederico Campelo de Albuquerque E Melo,&nbsp;Luiz Carlos Júnior Alcântara","doi":"10.1590/S2237-96222023000200017","DOIUrl":"10.1590/S2237-96222023000200017","url":null,"abstract":"<p><strong>Main results: </strong>Technology transfer can take place at large events, as long as safety protocols are strictly enforced. It is important to disseminate, at these events, the concepts of the Responsible Research and Innovation (RRI). Implications for services: Face-to-face training course is fundamental for training public health professionals. Technology transfer between research institutions and health services results in updating and improving health system performance.</p><p><strong>Perspectives: </strong>Based on the success of the reported technology transfer, a new module will be incorporated into the next edition of VEME (Panama 2022), entitled Virus Evolution to Public Health Policy Makers. The objective of this report was to describe the first face-to-face course aimed at training public health professionals in performing real-time genomic surveillance during the pandemic period. Experience report on a theoretical-practical course focusing on genomic research and surveillance, including mobile sequencing technologies, bioinformatics, phylogenetics and epidemiological modeling. There were 162 participants in the event and it was the first major face-to-face training course conducted during the COVID-19 epidemic in Brazil. No cases of SARS-CoV-2 infection was detected among the participants at the end of the event, suggesting the safety and effectiveness of all safety measures adopted. The results of this experience suggest that it is possible to conduct professional training safely during pandemics, as long as all safety protocols are followed.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022614"},"PeriodicalIF":2.5,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile of leisure-time physical activity and sedentary behavior in adults in Brazil: a nationwide survey, 2019.","authors":"Arão Belitardo de Oliveira, Peter T Katzmarzyk, Wagner Silva Dantas, Isabela Judith Martins Benseñor, Alessandra de Carvalho Goulart, Ulf Ekelund","doi":"10.1590/S2237-96222023000200016","DOIUrl":"10.1590/S2237-96222023000200016","url":null,"abstract":"<p><strong>Objectives: </strong>to estimate the prevalence of leisure-time physical activity and sedentary behavior in adults in Brazil.</p><p><strong>Methods: </strong>this was a cross-sectional, population-based study carried out in a sample of 88,531 Brazilians, using data from the 2019 National Health Survey; leisure-time physical activity (overall and aerobic exercise) was measured according to the World Health Organization guidelines; the weighted prevalence and respective 95% confidence intervals (95%CI) of physical activity, physical inactivity and sedentary behavior were estimated.</p><p><strong>Results: </strong>according to the selected sample, 26.4% (95%CI 25.9;27.1) of Brazilian adults were physically active, 14.0% (95%CI 13.5;14.4) were insufficiently physically active and 59.5% (95%CI 58.8;60.2) were physically inactive; sedentary behavior ≥ 6 hours was reported by 30.1% (95%CI 29.5;30.8) of the population; only 8.6% (95%CI 8.2;8.9) met the recommendations for muscle-strengthening activities.</p><p><strong>Conclusion: </strong>most Brazilian adults were physically inactive and did not meet international recommendations for leisure-time physical activity and reduction in sedentary behavior.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2023168"},"PeriodicalIF":2.5,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution and spatial autocorrelation of viral hepatitis B and C in Paraná, Brazil: an ecological study, 2011-2019.","authors":"Gabriel Pavinati,&nbsp;Lucas Vinícius de Lima,&nbsp;Isadora Gabriella Silva Palmieri,&nbsp;Gabriela Tavares Magnabosco","doi":"10.1590/S2237-96222023000200015","DOIUrl":"10.1590/S2237-96222023000200015","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the distribution and spatial autocorrelation of hepatitis B and C detection rates in the state of Paraná, Brazil.</p><p><strong>Methods: </strong>this was an ecological study of hepatitis B and C notifications held on the Notifiable Health Conditions Information System, between 2011 and 2019. Percentage change in detection rates between the first and last three-year periods was estimated. Spatial autocorrelation was analyzed using Moran's index.</p><p><strong>Results: </strong>there were 16,699 notifications of hepatitis B, with a greater reduction in detection in the North (-30.0%) and Northwest (-25.9%) macro-regions. There were clusters of high occurrence in the Foz do Iguaçu, Francisco Beltrão and Cascavel regions between 2011 and 2019. There were 10,920 notifications of hepatitis C, with a greater reduction in detection in the Northwest macro-region (-18.9%) and an increase in the West (51.1%). The Paranaguá region recorded a high detection cluster between 2011 and 2016.</p><p><strong>Conclusion: </strong>hepatitis B and C showed heterogeneous distribution between health regions.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022888"},"PeriodicalIF":2.5,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10408250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10349451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agreement between measured weight, height and BMI and Web-based self-reported data in participants of the 1993 Pelotas Birth Cohort, Brazil: a cross-sectional validation study.","authors":"Vivian Hernandez Botelho,&nbsp;Aluísio J D Barros,&nbsp;Renata Gonçalves de Oliveira,&nbsp;Rafaela Costa Martins,&nbsp;Helen Gonçalves,&nbsp;Ana M B Menezes,&nbsp;Cauane Blumenberg","doi":"10.1590/S2237-96222023000200013","DOIUrl":"10.1590/S2237-96222023000200013","url":null,"abstract":"<p><strong>Objective: </strong>to evaluate the agreement between measured height, weight, and body mass index (BMI) during the 22-year follow-up of the 1993 Pelotas Birth Cohort, state of Rio Grande do Sul, Brazil, and self-reported data during the online follow-up of the coortesnaweb.</p><p><strong>Methods: </strong>this was a cross-sectional validation study; agreement was assessed by means of Lin's concordance correlation coefficient for continuous measures and weighted Kappa for nutritional status; Spearman's rank correlation coefficient was used to estimate the correlation between measurements.</p><p><strong>Results: </strong>a total of 783 participants were included; it could be seen high correlation and high agreement between the measured height (r = 0.966; ρ = 0.966), weight (r = 0.934; ρ = 0.928), and BMI (r = 0.903; ρ = 0.910) and Web-based self-reported data; there was no correlation between mean difference and the time interval between measurements.</p><p><strong>Conclusion: </strong>using the Internet to collect self-reported anthropometric measurements is as valid as the traditional method.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022590"},"PeriodicalIF":2.5,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of incompleteness of Mortality Information System records on deaths from external causes in the state of Rio Grande do Sul, Brazil, 2000-2019.","authors":"Juliane de Souza Barbosa, Luiza Tartaro, Lucas da Rosa Vasconcelos, Marcela Nedel, Jéssica Ferri Serafini, Suely Garcia Suslik Svirski, Leandra Soares de Souza, Marilyn Agranonik","doi":"10.1590/S2237-96222023000200006","DOIUrl":"10.1590/S2237-96222023000200006","url":null,"abstract":"<p><strong>Objective: </strong>to evaluate the incompleteness of Mortality Information System (Sistema de Informações sobre Mortalidade - SIM) data on deaths from external causes (ECs) in the state of Rio Grande do Sul, Brazil, 2000-2019.</p><p><strong>Methods: </strong>This was an ecological study, using SIM data on all deaths from external causes and, specifically, from transport accident, homicides, suicides and falls; the analysis of the trend of incompleteness was performed by means of Prais-Winsten regression, with a 5% significance level.</p><p><strong>Results: </strong>A total of 146,882 deaths were evaluated; sex (0.1%), place of death (0.1%) and age (0.4%) showed the lowest incompleteness in 2019; the proportion of incompleteness showed a decreasing trend for the place of death and schooling, an increasing trend for marital status and a stable trend for age and race/skin color, among all types of death evaluated.</p><p><strong>Conclusion: </strong>the variables analyzed reached a high degree of completion; with the exception of marital status and schooling, for which unsatisfactory scores persisted for deaths from ECs, both total and by subgroups.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"32 2","pages":"e2022301"},"PeriodicalIF":2.5,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}