Elaine Tomasi, Dario Correia Pereira, Anderson Vaz Dos Santos, Rosália Garcia Neves
{"title":"Adequacy of care for people with arterial hypertension in Brazil: National Health Survey, 2013 and 2019.","authors":"Elaine Tomasi, Dario Correia Pereira, Anderson Vaz Dos Santos, Rosália Garcia Neves","doi":"10.1590/S2237-96222022000200005","DOIUrl":"https://doi.org/10.1590/S2237-96222022000200005","url":null,"abstract":"<p><strong>Objective: </strong>To analyze adequacy of care received by adults and elderly people with arterial hypertension, and its association with region of the country, demographic, socioeconomic and health system characteristics in Brazil in 2013 and 2019.</p><p><strong>Methods: </strong>This was a cross-sectional study using National Health Survey data. People aged ≥18 years with diagnosis of hypertension and medical consultation for this reason in the last three years were included. Adequacy of care was analyzed based on 11 indicators and using Poisson regression.</p><p><strong>Results: </strong>Adequate care was provided to 11,129 people with hypertension (25.3%; 95%CI 24.5;26.1) in 2013 and to 19,107 (18.8%; 95%CI 18.2;19.3) in 2019. Adequate care prevalence was 2.54 (95%CI 2.03;3.17) times higher in 2013, and 3.53 (95%CI 2.94;4.23) times higher in 2019 among individuals belonging to the highest socioeconomic quintile compared to those belonging to the poorest.</p><p><strong>Conclusion: </strong>We identified that care decreased, and economic inequalities intensified in the period 2013-2019.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2021916"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40409147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thank you Brazilian National Health System.","authors":"Leila Posenato Garcia","doi":"10.1590/S1679-49742020000500024","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500024","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020333"},"PeriodicalIF":2.5,"publicationDate":"2020-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38720946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ivan Zimmermann, Mauro Sanchez, Jonas Brant, Domingos Alves
{"title":"Projection of COVID-19 intensive care hospitalizations in the Federal District, Brazil: an analysis of the impact of social distancing measures.","authors":"Ivan Zimmermann, Mauro Sanchez, Jonas Brant, Domingos Alves","doi":"10.1590/S1679-49742020000500022","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500022","url":null,"abstract":"<p><strong>Objective: </strong>To build scenarios and analyze the impact of social distancing policies on the spread of COVID-19 and the need for intensive care unit beds.</p><p><strong>Methods: </strong>Three dissemination scenarios were built according to level of adherence to social distancing measures in the context of Brazil's Federal District, based on a dynamic transition compartmental model and Monte Carlo simulations. The model's parameter values were based on official sources, indexed bibliographic databases and public data repositories.</p><p><strong>Results: </strong>The favorable scenario, with constant 58% adherence to social distancing, estimated a peak of 189 (interquartile range [IQR]: 57 - 394) ICU hospitalizations on March 3rd2021. Absence of social distancing would result in an unfavorable scenario with a peak of 6,214 (IQR: 4,618 - 8,415) ICU hospitalizations probably as soon as July 14th2020.</p><p><strong>Conclusion: </strong>The projections indicate the high impact of social distancing measures and emphasize the applicability of public indicators for COVID-19 monitoring.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020361"},"PeriodicalIF":2.5,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38720521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characterization of notifications of exogenous pesticide poisoning in Rio Grande do Sul, Brazil, 2011-2018.","authors":"Amanda Brito de Freitas, Vanda Garibotti","doi":"10.1590/S1679-49742020000500009","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500009","url":null,"abstract":"<p><strong>Objective: </strong>To describe the profile of exogenous pesticide poisoning notifications in Rio Grande do Sul, Brazil, from 2011 to 2018.</p><p><strong>Methods: </strong>This was a descriptive study of data retrieved from the Notifiable Health Conditions Information System. Sociodemographic, clinical and pesticide-related variables were included and presented in absolute and relative frequencies.</p><p><strong>Results: </strong>3,122 suspected cases of exogenous pesticide poisoning were reported. The main toxic agent was pesticide for agricultural use (60%). Spraying (42%) and dilution (18%) proved to be the activities with greatest pesticide exposure. Most pesticide poisoning occurred at home (59%), and accidental contamination (40%) was the main cause of poisoning. Most poisoning was of the acute single kind (82%) and clinical evaluation (61%) was the criterion most used for diagnosis.</p><p><strong>Conclusion: </strong>Most of records of exogenous pesticide poisoning in Rio Grande do Sul were related to its agricultural production model.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020061"},"PeriodicalIF":2.5,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ursila Manga Aridja, Luciana Guerra Gallo, Ana Flávia de Morais Oliveira, Andressa Wanneska Martins da Silva, Elisabeth Carmen Duarte
{"title":"Tuberculosis cases with post-mortem notification in Brazil, 2014: a descriptive study based on surveillance data.","authors":"Ursila Manga Aridja, Luciana Guerra Gallo, Ana Flávia de Morais Oliveira, Andressa Wanneska Martins da Silva, Elisabeth Carmen Duarte","doi":"10.1590/S1679-49742020000500014","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500014","url":null,"abstract":"<p><strong>Objective: </strong>To characterize tuberculosis cases notified at post-mortem in Brazil in 2014.</p><p><strong>Methods: </strong>This is a descriptive study of tuberculosis cases notified at post-mortem. Data resulted from linkage of the Notifiable Health Conditions Information System-TB (SINAN-TB) and the Mortality Information System (SIM), and were described according to underlying cause of death: tuberculosis, AIDS and other.</p><p><strong>Results: </strong>In the 2,703 tuberculosis cases notified at post-mortem, a higher proportion was found of people of the male sex (73.5%), aged over 39 (80.8%), <8 years of schooling (66.5%), of Black and brown race/skin color (62.8%), with the pulmonary clinical form of tuberculosis (75.2%); there was also a higher proportion of cases notified by the public health service (57.6%) and in municipalities with HDI-M >0.7 (66.6%).</p><p><strong>Conclusion: </strong>The characteristics described of people with post-mortem notification and the magnitude of this outcome suggest weaknesses in tuberculosis care and surveillance services.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020060"},"PeriodicalIF":2.5,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38352917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Matheus Bremm, Augusto César Cardoso-Dos-Santos, Vivyanne Santiago Magalhães, Ana Cláudia Medeiros-de-Souza, Ronaldo Fernandes Santos Alves, Valdelaine Etelvina Miranda de Araujo, Eduardo Marques Macario, Wanderson Kleber de Oliveira, Lavínia Schüler-Faccini, Maria Teresa Vieira Sanseverino, Giovanny Vinícius Araújo de França
{"title":"Congenital anomalies from the health surveillance perspective: compilation of a list based on ICD-10.","authors":"João Matheus Bremm, Augusto César Cardoso-Dos-Santos, Vivyanne Santiago Magalhães, Ana Cláudia Medeiros-de-Souza, Ronaldo Fernandes Santos Alves, Valdelaine Etelvina Miranda de Araujo, Eduardo Marques Macario, Wanderson Kleber de Oliveira, Lavínia Schüler-Faccini, Maria Teresa Vieira Sanseverino, Giovanny Vinícius Araújo de França","doi":"10.1590/S1679-49742020000500015","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500015","url":null,"abstract":"<p><strong>Objective: </strong>To propose a list of congenital anomalies having corresponding codes in the International Statistical Classification of Diseases and Related Health Problems, 10thRevision (ICD-10), with the aim of applying it in health surveillance.</p><p><strong>Methods: </strong>In December 2019, the following data sources were searched: ICD-10; ICD-11; anomalies monitored by three surveillance programs; and a database of rare diseases (Orphanet). Anomalies were retrieved from these data sources, processed to check for correspondence with ICD-10 and reviewed manually to compile the list.</p><p><strong>Results: </strong>898 codes were identified, of which 619 (68.9%) were contained in ICD-10 Chapter XVII. Of the 279 codes contained in other chapters, 19 were exclusive to the ICD-11 search, 72 to the surveillance programs, 79 to Orphanet and 36 to the search for terms in ICD-10.</p><p><strong>Conclusion: </strong>The codes contained in ICD-10 Chapter XVII do not capture the totality of congenital anomalies, indicating the need to adopt an expanded list.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020164"},"PeriodicalIF":2.5,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38352918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernanda Modesto Tolentino Binhardi, Susilene Maria Tonelli Nardi, Flávia Dos Santos Patine, Heloisa da Silveira Paro Pedro, Janaína Olher Martins Montanha, Milena Polotto de Santi, Naiara Cristina Ule Belotti, Vania Del Arco Paschoal
{"title":"Diagnosis of the leprosy laboratory care network in Regional Health Department XV, São José do Rio Preto, São Paulo, Brazil.","authors":"Fernanda Modesto Tolentino Binhardi, Susilene Maria Tonelli Nardi, Flávia Dos Santos Patine, Heloisa da Silveira Paro Pedro, Janaína Olher Martins Montanha, Milena Polotto de Santi, Naiara Cristina Ule Belotti, Vania Del Arco Paschoal","doi":"10.1590/S1679-49742020000500019","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500019","url":null,"abstract":"<p><strong>Objective: </strong>To present the situational diagnosis of the leprosy laboratory reference network in the region of São José do Rio Preto, SP, Brazil.</p><p><strong>Methods: </strong>This was an evaluation study with a descriptive design. The data were collected by means of an online form filled in by those in charge of the leprosy program in 2018.</p><p><strong>Results: </strong>All 102 municipalities that make up the region provided the requested data, 82.4% (84/102) requested slit-skin smear microscopy and of these 68 received training. Of the total, 11.7% sent slit-skin smears to other laboratories outside the reference network. Only 57.8% (59/102) requested a biopsy, of these 47 had a doctor responsible for taking the biopsy sample and 31 did not send biopsy samples for analysis in the reference network. Lack of an adequate room, few trained professionals, absence of material for transportation and absence of printed test requisitions were described as aspects that hinder leprosy case diagnosis in the region.</p><p><strong>Conclusion: </strong>The laboratory network is fragile and needs to be restructured.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020127"},"PeriodicalIF":2.5,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38702276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Paulo Cola, Thiago Nascimento do Prado, Carolina Maia Martins Sales, Ethel Leonor Noia Maciel
{"title":"Family Health Strategy and determinants of directly observed treatment for tuberculosis in Brazil: a cross-sectional study with surveillance system data, 2014-2016.","authors":"João Paulo Cola, Thiago Nascimento do Prado, Carolina Maia Martins Sales, Ethel Leonor Noia Maciel","doi":"10.1590/S1679-49742020000500010","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500010","url":null,"abstract":"<p><strong>Objective: </strong>To assess the association between tuberculosis determinants and performance of directly observed treatment (DOT) under different levels of Family Health Strategy (FHS) coverage in Brazil.</p><p><strong>Methods: </strong>This was a cross-sectional study using data on tuberculosis cases notified between 2014 and 2016 on the Notifiable Health Conditions Information System, as well as data on FHS coverage in the municipality of residence. Logistic regression was used.</p><p><strong>Results: </strong>177,626 individuals were included; being an alcohol user (odds ratio (OR) 1.09 - 95% confidence interval % [95%CI] 1.03;1.16), being deprived of liberty (OR=1.21 - 95%CI 1.12;1.32) and positive sputum smear microscopy (OR=1.15 - 95%CI 1.10;1.21) increased the chances of DOT being performed . When stratified by FHS coverage, these associations became weak in the highest stratum of coverage.</p><p><strong>Conclusion: </strong>DOT being performed was associated with determinants of tuberculosis. However, association was not confirmed among residents in municipalities with higher FHS coverage.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020284"},"PeriodicalIF":2.5,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38702277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clarice Pessoa Almeida, Francisco Roger Aguiar Cavalcante, Jarier de Oliveira Moreno, Caroline Mary Gurgel Dias Florêncio, Kellyn Kessiene de Sousa Cavalcante, Carlos Henrique Alencar
{"title":"Visceral Leishmaniasis: temporal and spatial distribution in Fortaleza, Ceará State, Brazil, 2007-2017.","authors":"Clarice Pessoa Almeida, Francisco Roger Aguiar Cavalcante, Jarier de Oliveira Moreno, Caroline Mary Gurgel Dias Florêncio, Kellyn Kessiene de Sousa Cavalcante, Carlos Henrique Alencar","doi":"10.1590/S1679-49742020000500002","DOIUrl":"https://doi.org/10.1590/S1679-49742020000500002","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend and describe the spatial distribution of Visceral Leishmaniasis (VL) in Fortaleza from 2007 to 2017.</p><p><strong>Methods: </strong>This was an ecological study using segmented temporal regression and thematic mapping.</p><p><strong>Results: </strong>Between 2007-2017, 1,660 new cases and 97 deaths were confirmed. The overall incidence rate showed a rising trend (Annual Percent Change - APC=8.7% - 95%CI -3.3;34.1), while the mortality rate (APC=-25.9 - 95%CI -48.5;-10.6) and lethality (APC=-33.0 - 95%CI -53.7;-17.6) showed a falling trend. From 2010-2015 the incidence rate fell (APC=-15.8 - 95%CI -25.1;-4.0), but mortality (APC=18.7 - 95%CI 9.4;50.6) and lethality (APC=40.1 - 95%CI 22.5;72.0) had an upward trend. In 2015-2017, incidence (APC=-24.6 - 95%CI -36.2;-10.3), and mortality (APC=-44.6 - 95%CI -58.8;-17,6) fell, while lethality remained stable (APC=-13.5 - 95%CI -38.7;3.8). High incidence neighborhoods were clustered in the western region of the city, however, mortality and lethality did not present defined spatial patterns.</p><p><strong>Conclusion: </strong>VL is endemic in Fortaleza, although there was a reduction in the last three years studied.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019422"},"PeriodicalIF":2.5,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38702275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veronika Reichenberger, Maria do Socorro Veloso de Alburquerque, Renata Bernardes David, Vinícius Delgado Ramos, Tereza Maciel Lyra, Christina May Moran de Brito, Luciana Sepúlveda Köptcke, Hannah Kuper
{"title":"The challenge of including people with disabilities in the strategy to address the COVID-19 pandemic in Brazil.","authors":"Veronika Reichenberger, Maria do Socorro Veloso de Alburquerque, Renata Bernardes David, Vinícius Delgado Ramos, Tereza Maciel Lyra, Christina May Moran de Brito, Luciana Sepúlveda Köptcke, Hannah Kuper","doi":"10.1590/S1679-49742020000500023","DOIUrl":"10.1590/S1679-49742020000500023","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020770"},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38674415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}