Meire da Silva Pereira Rodrigues, Maria da Conceição N Costa, Florisneide R Barreto, Rafael Brustulin, Enny S Paixão, Maria Gloria Teixeira
{"title":"Repercussions of Zika virus emergency on the health of the population of Tocantins state, Brazil, 2015 and 2016: a descriptive study.","authors":"Meire da Silva Pereira Rodrigues, Maria da Conceição N Costa, Florisneide R Barreto, Rafael Brustulin, Enny S Paixão, Maria Gloria Teixeira","doi":"10.5123/s16/79-49742020000400008","DOIUrl":"https://doi.org/10.5123/s16/79-49742020000400008","url":null,"abstract":"<p><p>Objective To describe the occurrence of Zika virus disease and its complications in the state of Tocantins and in its capital, the city of Palmas. Methods This was a descriptive study using data from health information systems. Results Incidence of reported Zika virus disease cases in 2015 and 2016 was 295.2/100,000 inhabitants and 411.1/100,000 inhab. in the general population, and 5.9/1,000 and 27.8/1,000 live births, respectively. Higher risks occurred in women, the 20-39 year age group, municipalities in the central and northwestern regions of the state and in hotter months (February and March). Incidence of Zika-related microcephaly during pregnancy was 0.06/1,000 live births. One case of Guillain-Barré Syndrome resulting from Zika virus infection was confirmed. Conclusion Zika virus disease hit Tocantins intensely, although its adverse outcomes were less frequent than in other states.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020096"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38233006","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}
Juliane Maria Alves Siqueira Malta, Walter Massa Ramalho
{"title":"Increase in Guillain-Barré syndrome hospitalizations in Brazil: an ecological study.","authors":"Juliane Maria Alves Siqueira Malta, Walter Massa Ramalho","doi":"10.5123/s1679-49742020000400020","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400020","url":null,"abstract":"<p><p>Objective to describe the demographic characteristics and the spatio-temporal dynamics of Guillain-Barré syndrome (GBS) hospitalizations in Brazil between 2008 and 2017. Methods this is an ecological study using data from the Hospital Information System of the Brazilian National Health System (SIH/SUS); GBS hospitalization rates were calculated and a control diagram was built; natural break ranges were used in the spatial analysis. Results 15,512 GBS hospitalizations were recorded during the study period; between 2008-2014 there were 1,344 hospitalizations per year on average, in the following year (2015), 1,953 hospitalizations were registered, representing an increase of 45% in relation to the average of previous years; GBS hospitalizations reached an epidemic level in the Northeast region in 2015 and 2016. Conclusion GBS hospitalizations increased with effect from 2015, following the introduction of chikungunya virus and the rapid spread of Zika virus in Brazil.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020056"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5123/s1679-49742020000400020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38308740","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}
Anne Karin da Mota Borges, Jeniffer Dantas Ferreira, Sérgio Koifman, Rosalina Jorge Koifman
{"title":"Thyroid cancer in Brazil: a descriptive study of cases held on hospital-based cancer registries, 2000-2016.","authors":"Anne Karin da Mota Borges, Jeniffer Dantas Ferreira, Sérgio Koifman, Rosalina Jorge Koifman","doi":"10.5123/s1679-49742020000400012","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400012","url":null,"abstract":"<p><p>Objective To describe the clinical and epidemiological profile of primary thyroid cancer hospital cases in Brazil. Methods This is a descriptive study of cases held on hospital cancer records who had their first consultation for treatment in the period 2000-2016 and who were monitored by the hospitals providing those records. Results Of the 52,912 cases, 83.4% were female and 96.9% were differentiated carcinoma cases. The median time to diagnosis was shorter for anaplastic cases (11 days) and for those living in Brazil's Southern region (5 days). Treatment was initiated within 60 days in 88.8% of cases that arrived at the hospitals without diagnosis and in 34.9% of those who arrived with diagnosis. Conclusion The findings are consistent with thyroid cancer epidemiology, with a predominance of female cases and differentiated carcinomas. Analysis of time-to-treatment suggests access difficulties for those who already had diagnosis when they arrived at the hospitals.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019503"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38405101","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}
Denise Catarina Andrioli, Maria Assunta Busato, Junir Antonio Lutinski
{"title":"Characteristics of the dengue epidemic in Pinhalzinho, Santa Catarina, Brazil, 2015-2016.","authors":"Denise Catarina Andrioli, Maria Assunta Busato, Junir Antonio Lutinski","doi":"10.5123/s1679-49742020000400007","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400007","url":null,"abstract":"<p><p>Objective To describe the characteristics of the dengue epidemic in Pinhalzinho, Santa Catarina, Brazil, and to investigate the effects of climate variables on Aedes aegypti mosquito infestation. Methods This was an ecological study using data on dengue cases, hospitalizations and deaths in 2015 and 2016; in addition to climate variables and Aedes aegypti breeding grounds from 2015 to 2018. Results In the 2015-2016 epidemic, the dengue incidence rate was 12,695.2/100,000 inhabitants. Higher incidence was registered in the female sex (13,926.4/100,000 inhabitants) and in the 50 years and over age group (17,162.0/100,000 inhabitants). Average temperature and relative humidity showed a positive relationship with increase in Aedes aegypti breeding grounds. Conclusion Dengue incidence during the epidemic was the highest ever recorded in the country. Climate conditions must be considered when planning vector control and dengue prevention actions.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020057"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38405102","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}
Augusto César Cardoso-Dos-Santos, Vivyanne Santiago Magalhães, Ana Cláudia Medeiros-de-Souza, João Matheus Bremm, Ronaldo Fernandes Santos Alves, Valdelaine Etelvina Miranda de Araujo, Eduardo Marques Macario, Wanderson Kleber de Oliveira, Giovanny Vinícius Araújo de França
{"title":"International collaboration networks for the surveillance of congenital anomalies: a narrative review.","authors":"Augusto César Cardoso-Dos-Santos, Vivyanne Santiago Magalhães, Ana Cláudia Medeiros-de-Souza, João Matheus Bremm, Ronaldo Fernandes Santos Alves, Valdelaine Etelvina Miranda de Araujo, Eduardo Marques Macario, Wanderson Kleber de Oliveira, Giovanny Vinícius Araújo de França","doi":"10.5123/s1679-49742020000400003","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400003","url":null,"abstract":"<p><p>Objective to identify international congenital anomaly surveillance collaboration networks, to list the programs that compose them and to compare their main characteristics. Methods this was a narrative literature review by means of a MEDLINE database search (via PubMed) and searches involving websites, reports and official documents. Results six international congenital anomaly surveillance collaboration networks were identified (ECLAMC, ICBDSR, EUROCAT, BINOCAR, SEAR-NBBD and ReLAMC), comprised of 98 programs present in 58 different countries on all continents, except Africa; the main characteristics regarding type of surveillance, coverage and location were discussed in a comparative manner. Conclusion international collaborative networks are important players for congenital anomaly surveillance, contributing to the understanding of the global epidemiological scenario of these conditions, in addition to acting both to strengthen individual existing programs and also to create surveillance initiatives in unassisted regions.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020093"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38230510","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}
Taís Freire Galvão, Gustavo Magno Baldin Tiguman, Douglas Borges da Costa Filho, Marcus Tolentino Silva
{"title":"Waiting time and medical consultation length in the Manaus metropolitan region, Brazil: a cross-sectional, population-based study, 2015.","authors":"Taís Freire Galvão, Gustavo Magno Baldin Tiguman, Douglas Borges da Costa Filho, Marcus Tolentino Silva","doi":"10.5123/s1679-49742020000400014","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400014","url":null,"abstract":"<p><p>Objective . To assess waiting times and length of medical consultations in the Manaus metropolitan region, Brazil. Methods . This was a cross-sectional study conducted with adults living in the region in 2015. Waiting time for consultation and length of consultation in minutes were reported by the participants. Analysis was performed using Tobit regression and weighted by the sample design. Results . 4,001 individuals were interviewed. Average waiting time was 125.4 minutes (95%CI 120.2;130.5), while consultations lasted an average of 52.5 minutes (95%CI 48.0;57.0). Women, poor people, people with less education, indigenous people, people resident in the state interior, people without health insurance, and individuals seen by gynecologists waited longer for their consultation (p <0.05). Consultation time was shorter for non-White people, those with poor health status and those who had health insurance (p <0.05). Conclusion . On average length of medical consultations was half the waiting time. Social inequalities were observed in these lengths of time.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020026"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38265094","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}
Karoline Sampaio Barros, Isabel Oliveira Bierhals, Maria Cecília Formoso Assunção
{"title":"Vegetarianism among first-year students at a public university in Southern Brazil, 2018.","authors":"Karoline Sampaio Barros, Isabel Oliveira Bierhals, Maria Cecília Formoso Assunção","doi":"10.5123/s1679-49742020000400009","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400009","url":null,"abstract":"<p><p>Objective To identify vegetarianism prevalence and associated factors among students at a public university in Southern Brazil. Methods This was a cross-sectional study carried out in 2017-2018 with first-year university students. A questionnaire was administered to assess diet type (omnivorous or vegetarian). Logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (95%CI). Results Of 2,706 eligible individuals, 1,841 formed part of the sample. The predominant type of diet was omnivorous (93.6%), followed by lacto-ovo vegetarian (5.4%), strict vegetarian (0.7%), ovo vegetarian (0.2%) and lacto vegetarian (0.1%). Females (OR=0.58 - 95%CI 0.38;0.89), students reporting harmful use of alcohol (OR=2.02 - 95%CI 1.34;3.04) and students enrolled in Linguistics, Modern Languages and Arts courses - compared to those enrolled in Applied Social Sciences and Humanities courses (OR=2.59 - 95%CI 1.42;4.71) - were more likely to be vegetarians. Conclusion Vegetarian diet was associated with the female sex, alcohol use, and taking linguistics, modern language and arts courses.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019378"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38405100","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}
Carolina Maia Martins Sales, Adriana Ilha da Silva, Ethel Leonor Noia Maciel
{"title":"COVID-19 health surveillance in Brazil: investigation of contacts by primary health care as a community protection strategy.","authors":"Carolina Maia Martins Sales, Adriana Ilha da Silva, Ethel Leonor Noia Maciel","doi":"10.5123/s1679-49742020000400011","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400011","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"2020373"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38230507","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}
Juliana Herrero da Silva, Elaine Cristina de Oliveira, Thalise Yuri Hattori, Elba Regina Sampaio de Lemos, Ana Cláudia Pereira Terças-Trettel
{"title":"Description of COVID-19 cluster: isolation and testing in asymptomatic individuals as strategies to prevent local dissemination in Mato Grosso state, Brazil, 2020.","authors":"Juliana Herrero da Silva, Elaine Cristina de Oliveira, Thalise Yuri Hattori, Elba Regina Sampaio de Lemos, Ana Cláudia Pereira Terças-Trettel","doi":"10.5123/s1679-49742020000400005","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400005","url":null,"abstract":"<p><strong>Objective: </strong>to describe a COVID-19 cluster and the strategies used to contain the virus, in a municipality in the interior region of Mato Grosso state, Brazil.</p><p><strong>Methods: </strong>this is a descriptive study of documental records of an epidemiological investigation conducted in April 2020.</p><p><strong>Results: </strong>introduction of SARS-CoV-2 in the municipality was identified through a cluster comprised of five people, 4 were symptomatic and 1 was asymptomatic, after the virus was imported by index cases C01 and C02; in addition to household transmission (C03, C04), a physiotherapist (C05) was infected through contact with C02; with the exception of C04, all had an influenza-like symptoms and C02 required hospitalization; as for laboratory tests, all were seroreactive and C01 was RT-PCR positive.</p><p><strong>Conclusion: </strong>dissemination of COVID-19 was contained by effective home isolation, an important instrument that should be adopted early by unaffected municipalities to contain virus dissemination, as well as by serological testing that detected infection in asymptomatic patients.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020264"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5123/s1679-49742020000400005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38203923","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 female sex workers in Brazilian state capitals, 2016.","authors":"Letícia Penna Braga, Célia Landmann Szwarcwald, Giseli Nogueira Damacena","doi":"10.5123/s1679-49742020000400002","DOIUrl":"https://doi.org/10.5123/s1679-49742020000400002","url":null,"abstract":"<p><p>Objective To describe the characteristics of female sex workers (FSW) in 12 Brazilian cities. Methods This was a cross-sectional biological and behavioral surveillance study with FSW recruited by respondent-driven sampling (RDS) in 2016. HIV prevalence, sociodemographic, behavioral and sex work profession variables were estimated by city. The chi-square test was used to compare these distributions. Results Among 4,328 FSW, HIV prevalence was 5.3% (95%CI 4.5;6.3), ranging from 0.2% (95% CI 0.0;1.2), in Campo Grande, to 18.2 (95%CI 13.2;24.7) in Salvador. In half of the cities, HIV prevalence in the samples was >5.0%, while Campo Grande, Brasília and Belo Horizonte had prevalence rates <1.0%. Significant differences between cities were found in distributions according to educational level, income, workplace, age sex work started, and illicit drug use. Conclusion The characteristics of the samples in each city were distinct and have influenced local HIV prevalence.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2020111"},"PeriodicalIF":2.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38230506","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}