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1. Geography and public health: analysis of the epidemiological dynamics of meningitis in Brazil, between 2010 and 2019

Author

Luis Roberto da Silva, Laís Eduarda Silva de Arruda, Isabel de Jesus Brandão Barreto, João Victor Rodrigues de Aragão, Maria Luiza Ferreira Imburana da Silva, Guilherme Lira, Camila Maria Barros Teixeira, and Emília Carolle Azevedo de Oliveira

Subjects
Meningitis, Vaccine-preventable diseases, Public health, Epidemiologic factors, Time series studies, Spatial analysis, Public aspects of medicine, RA1-1270
Abstract

ABSTRACT Objective: To analyze the spatiotemporal epidemiological dynamics of meningitis in Brazil, between 2010 and 2019. Methods: Descriptive ecological study with cases and deaths due to meningitis in Brazil (2010-2019) in the National Notifiable Diseases Information System (Sistema de Informações de Agravos de Notificação – SINAN). The following analyses were performed: (I) frequency analyses of cases and deaths, prevalence rates, mortality, lethality, Fisher's exact test, and chi-square test; (II) Prais-Winstein regression; and (III) Global, Local Moran's index, and Kernel density. Results: 182,126 cases of meningitis were reported in Brazil, of which 16,866 (9.26%) resulted in death, with prevalence rates of 9.03/100,000 inhabitants, mortality of 0.84/100,000 inhabitants, and lethality of 9.26%. There was a noted trend of decreasing prevalence rates (−9.5%, 95% confidence interval — 95%CI −13.92; −4.96, p

Published
2024
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2. Infant mortality in a Brazilian Northeast State between 2009 and 2018: a temporal space approach

Author

Aline Vanessa da Silva, Emília Carolle Azevedo de Oliveira, Amanda Patrícia da Silva, and Amanda Priscila de Santana Cabral Silva

Subjects
Infant mortality, Epidemiological surveillance, Vital statistics, Spatial analysis, Linear regression, Gynecology and obstetrics, RG1-991
Abstract

Abstract Objective: to present the epidemiological profile of infant mortality and neonatal and post neonatal components, in addition to the temporal dynamics of these events in Pernambuco State between 2009 and 2018. Methods: descriptive, ecological, temporal space study of infant mortality in Pernambuco between 2009 and 2018. Epidemiological and temporal space characteristics were described using the Sistema de Informação sobre Mortalidade (Mortality Information System) and the Sistema de Informação sobre Nascidos vivos.(Information System on Live Births) as data sources. Results: there were 19,436 infant deaths in the period; 13,546 (69.7%) in the neonatal period and 5,890 (30.3%) in the post neonatal period. Male (55.4%), non-white children (74.7%) with low birth weight (63.5%) predominated; mothers were aged between 20 and 29 years (46.6%), with 8-11 years of schooling (43.9%) and preterm pregnancy (65.2%). Although the infant mortality rate decreased during the analyzed decade, high rates persisted in cities in the Sertão (backwoods) and Vale do São Francisco and Araripe macroregions of health services. Conclusions: even though infant mortality declined over the years studied, it is necessary to achieve better rates and confront inequalities and other obstacles that perpetuate the event in Pernambuco State.

Published
2023
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3. Spatial patterns of new leprosy cases in a northeastern state of Brazil, 2011–2021

Author

Maria Luiza Ferreira Imburana da Silva, Shirlley Jackllanny Martins de Farias, Amanda Priscila de Santana Cabral Silva, Maria Olívia Soares Rodrigues, and Emília Carolle Azevedo de Oliveira

Subjects
Leprosy, Spatial analysis, Neglected diseases, Epidemiology, Public aspects of medicine, RA1-1270
Abstract

ABSTRACT Objective: To analyze the spatial patterns of leprosy in Pernambuco from 2011 to 2021. Methods: This is an ecological epidemiological study, carried out with data from the Notifiable Diseases Information System, based on new cases of leprosy among inhabitants of Pernambuco, between 2011–2021. An empirical Bayesian analysis of local and spatial dependence was performed with the global and local Moran indices. Results: 25,008 new cases of leprosy were registered with an annual case detection rate in the general population of 16.51 cases/100,000 inhabitants — which is considered high. Among those younger than 15 years of age, there were 5.16 cases/100,000 inhabitants (high) and 0.89/100,000 inhabitants with degree II of physical disability (low); there were also many high-risk cases with an overall Moran index of 0.33 (p

Published
2023
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4. Fatores associados às formas graves e aos óbitos por esquistossomose e aplicação do linkage probabilístico nas bases de dados, Pernambuco, 2007–2017

Author

Maria Isabelle Barbosa da Silva Brito, Emília Carolle Azevedo de Oliveira, Constança Simões Barbosa, and Elainne Christine de Souza Gomes

Subjects
Esquistossomose, Mortalidade, Sistemas de informação em saúde, Distribuição temporal, Public aspects of medicine, RA1-1270
Abstract

RESUMO Objetivo: Verificar a concordância dos dados relacionados às formas graves e aos óbitos por esquistossomose registrados no Sistema de Informação de Agravos de Notificação e no Sistema de Informação Sobre Mortalidade, as variáveis sociodemográficas com a ocorrência das formas graves e óbitos e a tendência temporal da doença em Pernambuco. Métodos: Trata-se de um estudo ecológico, descritivo, de série temporal com dados referentes às formas graves e aos óbitos por esquistossomose em Pernambuco, de 2007 a 2017. Para o linkage entre as bases de dados, foi desenvolvida uma função em linguagem python de programação, utilizando o método soundex. Para identificar fatores sociodemográficos e sanitários que se correlacionaram com as variáveis dependentes, foi aplicado o teste de correlação de Pearson. Para a análise de tendência, aplicou-se a regressão linear. Resultados: Identificaram-se 9.085 casos graves, 1.956 óbitos e 186 casos no linkage. A correlação entre a taxa média de positividade com o abastecimento hídrico rede geral e coleta de lixo foi 0,22 e 0,26 respectivamente. Houve correlação da taxa média de mortalidade acumulada com abastecimento hídrico por poço ou nascente (r=0,27), abastecimento hídrico por rede geral (r=0,3), coleta de lixo (r=0,42), urbanização das vias (r=0,29). Ocorreram 3.153 formas graves em 2007, com tendência a redução, e 205 óbitos em 2010, sem um padrão de tendência. Conclusão: Há necessidade de maiores investimentos no controle da doença e na qualidade da informação, especialmente no registro das formas graves, pois, dada a fisiopatologia da doença, o óbito só ocorre quando o indivíduo desenvolve a forma crônica, sendo imperativo sua notificação no Sistema de Informação de Agravos de Notificação.

Published
2023
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5. Mapping the risk for transmission of urban schistosomiasis in the Brazilian Northeast

Author

Emília Carolle Azevedo de Oliveira, Iris Edna Pereira da Silva, Ricardo José Ferreira, Ricardo José de Paula Souza e Guimarães, Elainne Christine de Souza Gomes, and Constança Simões Barbosa

Subjects
Schistosomiasis, spatial analysis, risk map, epidemiology, Brazil., Geography (General), G1-922
Abstract

This is an analysis of the risk of schistosomiasis transmission in the city of Recife in the Northeast of Brazil based on the number of schistosomiasis cases (Schistosoma mansoni) registered for the period 2007-2017 together with data resulting from active search of breeding sites of the Biomphalaria snail intermediate host. The analyses were performed using Kernel Density Estimation (KDE), SaTScan and Map Algebra methodology using human socio-demographic data and biotic and abiotic data from the snail breeding sites. Investigating 44 breeding sites resulted in a total of 3.800 snails, 31.8% of which were positive for S. mansoni DNA. These data were considered in relation to total of 652 schistosomiasis cases. The KDE showed two high-risk and two medium-risk clusters, while three significant clusters were identified by SaTScan. Combining these data with the Map Algebra methodology showed that all high-risk neighbourhoods had breeding sites with snails positive for S. mansoni. It was concluded that schistosomiasis transmission cannot be controlled without basic sanitation and sewage management in the presence of Biomphalaria snails. The technique of Map Algebra was found to be fundamental for the analysis and demonstration of areas with a high probability of schistosomiasis transmission.

Published
2020
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6. Investigação sobre os casos e óbitos por esquistossomose na cidade do Recife, Pernambuco, Brasil, 2005-2013

Author

Emília Carolle Azevedo de Oliveira, Thúlio José Ferreira Pimentel, João Paulo Maciel de Araujo, Luiz Claudio de Souza Oliveira, Virgínia Conceição Nascimento Fernando, Rodrigo Moraes Loyo, Elainne Christine de Souza Gomes, Rafael da Silveira Moreira, and Constança Simões Barbosa

Subjects
Schistosomiasis, Health Information Systems, Death, Epidemiology, Descriptive, Medicine, Public aspects of medicine, RA1-1270
Abstract

Resumo Objetivo: descrever os casos e óbitos por esquistossomose em residentes na cidade de Recife, Pernambuco, Brasil, no período 2005-2013. Métodos: estudo epidemiológico descritivo com dados do Sistema de Informações sobre Mortalidade (SIM) (2005-2013) e do Sistema de Informação de Agravos de Notificação (Sinan) (2007-2013); realizou-se a busca ativa dos familiares dos óbitos e o relacionamento probabilístico das bases de dados (2007-2013) pelo aplicativo Reclink. Resultados: no SIM, registraram-se 297 óbitos por esquistossomose no período estudado; pela busca ativa, 130 familiares foram contatados, identificando-se 20,8% de autoctonia; no Sinan, 388 casos foram registrados para residentes no Recife; pelo relacionamento probabilístico, identificaram-se 23 registros pareados entre SIM e Sinan. Conclusão: a investigação dos óbitos demonstrou que alguns indivíduos nunca viajaram para fora do Recife e evoluíram para a fase crônica da doença; 23,8% dos casos notificados no Sinan tiveram como município de infecção o Recife.

Published
2018
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9. Illness and death by schistosomiasis: paths and ways

Author

Virgínia Conceição Nascimento Fernando, Emília Carolle Azevedo de Oliveira, Thúlio José Ferreira Pimentel, João Paulo Maciel de Araujo, Elainne Christine de Souza Gomes, Rafael da Silveira Moreira, Constança Simões Barbosa, and Islândia Maria Carvalho de Sousa

Published
2022

10. Analysis of the time series of pertussis in Brazil from 2010 to 2019

Author

Luís Roberto da Silva, Ricardo José Ferreira, Laís Eduarda Silva de Arruda, Alan Dias de Vasconcelos, Marcelo Victor de Arruda Freitas, Isadora Sabrina Ferreira dos Santos, José Thiago de Lima Silva, Maria Graziele Gonçalves Silva, Camila Maria Barros Teixeira, Guilherme Lira, and Emília Carolle Azevedo de Oliveira

Subjects
Whooping cough, Vaccine-preventable diseases, Pediatrics, Perinatology and Child Health, Spatial analysis, Public Health, Environmental and Occupational Health, Obstetrics and Gynecology
Abstract

Objectives: to analyze a decade of spatio-temporal behavior of pertussis in Brazil and its epidemiological characteristics. Methods: ecological time series study of pertussis cases and deaths from the Notifable Diseases Information System in Brazil (2010-2019). The method of generalized linear analysis of Prais-Winsten and the Kernel analysis were used. Results: 32,849 cases were reported, of which 466 (1.42%) evolved to death, with a prevalence of 1.63/100,000 inhabitants and a mortality rate of 0.023/100,000 inhabitants. In the temporal analysis, the cyclical behavior of pertussis was evidenced, with trend variations in the period in 2014. Most cases occurred in children under 1 year of age (60.16%, p

Published
2022

11. Padrões espaciais dos casos novos de hanseníase em um estado nordestino do Brasil, 2011–2021

Author

Maria Luiza Ferreira Imburana da Silva, Shirlley Jackllanny Martins de Farias, Amanda Priscila de Santana Cabral Silva, Maria Olívia Soares Rodrigues, and Emília Carolle Azevedo de Oliveira

Subjects
Neglected diseases, Hanseníase, Análise espacial, Epidemiology, Leprosy, Public Health, Environmental and Occupational Health, Spatial analysis, Doenças negligenciadas, General Medicine, Epidemiologia
Abstract

Objective: To analyze the spatial patterns of leprosy in Pernambuco from 2011 to 2021. Methods: This is an ecological epidemiological study, carried out with data from the Notifiable Diseases Information System, based on new cases of leprosy among inhabitants of Pernambuco, between 2011–2021. An empirical Bayesian analysis of local and spatial dependence was performed with the global and local Moran indices. Results: 25,008 new cases of leprosy were registered with an annual case detection rate in the general population of 16.51 cases/100,000 inhabitants — which is considered high. Among those younger than 15 years of age, there were 5.16 cases/100,000 inhabitants (high) and 0.89/100,000 inhabitants with degree II of physical disability (low); there were also many high-risk cases with an overall Moran index of 0.33 (p

Published
2023

12. Mortalidade infantil em um estado do Nordeste Brasileiro entre os anos de 2009 e 2018: uma abordagem espaço temporal

Author

Aline Vanessa da Silva, Emília Carolle Azevedo de Oliveira, Amanda Patrícia da Silva, and Amanda Priscila de Santana Cabral Silva

Subjects
Pediatrics, Perinatology and Child Health, Public Health, Environmental and Occupational Health, Obstetrics and Gynecology
Abstract

Resumo Objetivos: apresentar o perfil epidemiológico da mortalidade infantil e dos componentes neonatal e pós-neonatal, além da dinâmica espaço temporal desses eventos em Pernambuco, entre os anos de 2009 e 2018. Métodos: estudo descritivo e ecológico, de abordagem espaço temporal, da mortalidade infantil de Pernambuco entre 2009 e 2018. Foram descritas características epidemiológicas e espaço temporais, tendo como fonte de dados o Sistema de Informação sobre Mortalidade e o Sistema de Informação sobre Nascidos vivos. Resultados: ocorreram 19.436 óbitos infantis no período, sendo 13.546 (69,7%) no período neonatal e 5.890 (30,3%) no período pós neonatal. Predominaram crianças do sexo masculino (55,4%), não brancas (74,7%), com baixo peso ao nascer (63,5%), sendo as mães com idade entre 20 e 29 anos (46,6%), com escolaridade entre oito e 11 anos (43,9%) e com gestação pré-termo (65,2%). Houve decréscimo da taxa de mortalidade infantil durante a década analisada, entretanto elevadas taxas persistiram em municípios das Macrorregiões de saúde Sertão e Vale do São Francisco e Araripe. Conclusões: a mortalidade infantil apresentou cenário de queda ao longo dos anos estudados, todavia é necessário o alcance de melhores taxas, o enfrentamento às desigualdades e a outros entraves que perpetuam o evento no estado de Pernambuco.

Published
2023

13. Factors associated with severe forms and deaths from schistosomiasis and application of probabilistic linkage in databases, state of Pernambuco, Brazil, 2007–2017

Author

Maria Isabelle Barbosa da Silva Brito, Emília Carolle Azevedo de Oliveira, Constança Simões Barbosa, and Elainne Christine de Souza Gomes

Subjects
Epidemiology, Public Health, Environmental and Occupational Health, General Medicine
Abstract

Objective: To verify the agreement of data on severe forms and deaths from schistosomiasis recorded in the Brazilian Notifiable Diseases Information System and the Mortality Information System, sociodemographic variables with the occurrence of severe forms and deaths, and the temporal trend of the disease in the state of Pernambuco, Brazil. Methods: This is an ecological, descriptive, time series study with data on severe forms and deaths from schistosomiasis in Pernambuco, from 2007 to 2017. For the linkage between databases, a function was developed in python programming language, using the Soundex method. To identify sociodemographic and health factors that correlated with the dependent variables, Pearson’s correlation test was applied. For trend analysis, linear regression was applied. Results: We identified 9,085 severe cases, 1,956 deaths, and 186 cases in the linkage. The correlation between the average positivity rate with the general water supply and waste collection was 0.22 and 0.26 respectively. We verified a correlation of the average cumulative mortality rate with water supply by well or spring (r=0.27), water supply by the general network (r=0.3), waste collection (r=0.42), and road urbanization (r=0.29). We found 3,153 severe forms in 2007 with a decrease trend and 205 deaths in 2010, without a trend pattern. Conclusion: There is a need for greater investments in disease control and in the quality of information, especially in the record of severe forms, considering that, due to the pathophysiology of the disease, death only occurs when the individual develops the chronic form, and its notification on the Notifiable Diseases Information System is imperative.

Published
2023

16. De mãe para filho (a): os impactos da sífilis gestacional e congênita na saúde pública do Brasil / From mother to child: the impacts of gestational and congenital syphilis on public health in Brazil

Author

Emília Carolle Azevedo de Oliveira, Luís Roberto da Silva, Jonathan Willams do Nascimento, Thiago da Silva Freitas, José Thiago de Lima Silva, Ricardo José Ferreira, Isadora Sabrina Ferreira dos Santos, Laís Eduarda Silva de Arruda, and Marcelo Victor de Arruda Freitas

Subjects
Sífilis Congênita, Mother to child transmission, Sífilis Congênita, Saúde Pública, Cuidado Pré-Natal, business.industry, Medicine, Cuidado Pré-Natal, General Medicine, Saúde Pública, business, Humanities
Abstract

No Brasil a sífilis ainda é um grave problema de saúde pública com diversas repercussões, dentre seus tipos, a gestacional e a congênita são infecções que refletem a situação de saúde de um lugar e a qualidade da atenção. Este trabalho objetivou analisar a distribuição dos casos de sífilis materna e congênita nas cinco regiões brasileiras no período de 2015-2018 e discutir seus impactos na saúde pública. Os dados foram obtidos através do Sistema de Informação de Agravos de Notificação e no site do Departamento de Condições Crônicas e Infecções Sexualmente Transmissíveis (DCCI), em seguida foram processados em planilhas do Excel 2016®, para elaboração das análises e criação de gráficos e tabelas. Dentre os resultados encontrados, notou-se que a região Sudeste se destacou em todos os anos, por ser a região com maior quantidade de casos notificados de sífilis congênita e gestacional. Além disso, outro achado importante foi o de que a maioria das mães que tiveram filhos com sífilis congênita realizaram consultas de pré-natal, porém muitas só tiveram o diagnóstico durante o parto. Outros pontos relevantes foram o elevado percentual de parceiros sexuais das mães com sífilis que não realizaram o tratamento e os óbitos infantis que tiveram como causa a sífilis congênita. Dessa forma, ficou evidente como as ações na atenção básica ainda são frágeis na identificação dos casos e torna-se imprescindível o fortalecimento e a qualificação destes serviços em saúde, para que esses possam identificar precocemente a sífilis em gestantes e iniciar o tratamento desta e de seu parceiro sexual imediatamente, visto que possui as tecnologias necessárias para isto. Também é necessário, o fortalecimento das ações de educação em saúde visando a conscientização sobre os riscos do não uso de preservativo nas relações sexuais e dos mecanismos de controle da sífilis congênita.

Published
2021

17. NEGLIGÊNCIA E DESAFIOS NA SAÚDE COLETIVA: ANÁLISE EPIDEMIOLÓGICA DOS CASOS DE DOENÇA DE CHAGAS AGUDA NO BRASIL, NO PERÍODO DE 2009 A 2018

Author

Luís Roberto da Silva, Ailton Clemente da Silva, Ricardo José Ferreira, Guilherme Lira, Emília Carolle Azevedo de Oliveira, Camila M. Teixeira, and Laís Eduarda Silva de Arruda

Subjects
Marketing, Pharmacology, Organizational Behavior and Human Resource Management, Strategy and Management, Drug Discovery, Pharmaceutical Science
Published
2020

19. Incompletude dos óbitos por esquistossomose no sistema de informação sobre mortalidade em Pernambuco, 2000-2014

Author

Ricardo José Ferreira, Iris Edna Pereira da Silva, Emília Carolle Azevedo de Oliveira, and Constança Simões Barbosa

Subjects
Medical knowledge, business.industry, General Earth and Planetary Sciences, Medicine, Death certificate, business, General Environmental Science, Demography
Abstract

Este estudo objetivou avaliar a incompletude dos registros de óbitos por esquistossomose no Sistema de Informações sobre Mortalidade (SIM) em Pernambuco, no período 2000-2014, e analisar o conhecimento médico sobre o preenchimento da declaração de óbito (DO). Os dados secundários foram obtidos por meio do SIM, e os primários pela avaliação dos médicos em hospitais públicos de Pernambuco. Foram avaliados os escores de incompletude e as variações percentuais (2000-2007, 2008-2014); e as frequências relativas do conhecimento médico sobre a DO. Em 2000-2014, ocorreram 2636 óbitos por esquistossomose em PE. Em 2000-2007, ‘endereço de residência’ obteve a maior incompletude. Em 2008-2014, ‘naturalidade’ demonstrou a pior incompletude. Dos 32 médicos, 71,9% referiram o não preenchimento de variáveis devido à ausência de informação sobre o paciente, 62,5% não participaram de curso sobre preenchimento da DO, 80,6% achavam o curso necessário. Obteve-se associação entre as causas de não preenchimento da DO e o desejo de capacitação. No período de estudo, ocorreu a redução da incompletude de variáveis importantes, mas houve um aumento expressivo da incompletude ‘naturalidade’, o que desvirtua as informações sobre a autoctonia do local onde ocorreu o caso. A justificativa dos médicos – falta informação para preencher a variável da DO – é inconsistente, por serem eles os responsáveis por captar as informações. Tais lacunas prejudicam o planejamento de ações e políticas públicas direcionadas ao controle da doença.

Published
2019

20. POTENCIALIDADES DAS AÇÕES DA VIGILÂNCIA SANITÁRIA NO ENFRENTAMENTO DA PANDEMIA POR COVID-19 NO ESTADO DE PERNAMBUCO NO CONTEXTO ESCOLAR

Author

Maria Luiza Ferreira Imburana da Silva, Shirlley Jackllanny Martins de Farias, Luís Roberto da Silva, Matheus Felipe Medeiros de Lira, Ilma Cristina Silva do Nascimento, Alexandra Coutinho Cavalcanti, Alcinda de Queiroz Medeiros, Ana Maria Bezerra de Oliveira Cabral, Áurea Maria da Cunha Silva, Raíssa Ivna Alquete de Arreguy Baptista, and Emília Carolle Azevedo de Oliveira

Published
2021

24. POTENCIALIDADES DAS INTERVENÇÕES DE VIGILÂNCIA AMBIENTAL FRENTE AO CENÁRIO PANDÊMICO POR COVID-19 NO BRASIL

Author

Jurandir Alves de Almeida Júnior, Maria Luiza Ferreira Imburana da Silva, Emília Carolle Azevedo de Oliveira, Davi dos Santos Rodrigues, Luana Olegário da Silva, Luís Roberto da Silva, M. G. Siqueira, Rosalva Raimundo da Silva, Nathália Alves Castro do Amaral, Shirlley Jackllanny Martins de Farias, Matheus Felipe Medeiros de Lira, and Ellyda Vanessa Gomes da Silva

Published
2021

25. EPIDEMIOLOGIA: ESTUDOS CLÍNICOS E REVISÕES BIBLIOGRÁFICAS

Author

Lívia Santana Barbosa, Dafnin Lima de Souza Ramos, Viviane Correa Silva Coimbra, Leila Keury Costa Lima, Bianca Neris Gonzaga, Neywlon Luan Lopes de Oliveira, Fernanda Leal Dantas Pimental, Danilo Cutrim Bezerra, Amanda de Oliveira Toledo, Flávia Karina Lima Anceles Goulart, João Lucas Pereira, Ana Caroline Freitas de Almeida, Érika Joeliny Ferreira Santos, Priscilla Mayara Estrela Barbosa, Simone Lopes de Almeida, Samuel Barbosa Macedo, Ângela Nascimento Carvalho, Carine Ferreira Lopes, Yrio Ricardo de Souza Lemos, Christina César Praça Brasil, Thays Peres Brandão, Túlio Máximo Salomé, Pollyanna Roberta Campelo Görgens, Lídia Fernandes Felix, Natália Maria Vieira Pereira Caldeira, Guilherme Augusto Barroso de Aguiar, Hamilton Pereira Santos, Milena Cristina Couto Guedes, José Aurélio Rodrigues da Silva, Júnia Eustáquio Marins, Laiane Sousa dos Anjos, Giane Elis de Carvalho Sanino, Thamara Rodrigues Bazilio, Cláudia Janaina Torres Müller, Clebson Pantoja Pimentel, Emerson Gomes De Oliveira, Mariana Machado dos Santos Pereira, Aline Candido Prado Aguiar, Gabriel Nascimento Santos, Izaías Polary Bezerra, Silmara Elaine Malaguti Toffano, Carlos Eduardo Rocha da Costa, Isabella Alcantara de Oliveira, Leticia Lopes da Silva Santos, Ingryd Rodrigues Xavier Docusse, Antonia Tasmyn Mesquita de Melo, Juliana Sobreira da Cruz, Maria Aparecida Rodrigues de Holanda, Darlen Cardoso de Carvalho, Allan Quadros Garcês Filho, Maria Luiza Ferreira Imburana da Silva, Hallysson Douglas Andrade de Araujo, Ícaro Natan da Silva Moraes, Eduardo Vinicius Grego Uemura, Herbert Leopoldo de Freitas Goes, Filipe Santiago de Sousa, Adonis de Melo Lima, Priscila Brandão, Rivaldave Rodrigues de Holanda Cavalcante, Rosenilda Alves Valentim, Eder Ferreira de Arruda, Adria Natasha Ferreira da Silva, Juliana Damião Farias, Douglas Morrisson Dias Couceiro, Margarida Paula Carreira de Sá Prazeres, Odilon Azevedo Calian, Érica Dapont de Moura, Giovana Karina Lima Rolim, Hevelyn dos Santos da Rocha, José Guedes da Silva Júnior, Ticiana Mesquita de Oliveira Fontenele, Gleiciane Santiago Batista, Roberto Carlos Negreiros de Arruda, Alessandra Rizzi Loriato, Talita Lopes Garçon, Simon Ching Lam, Arnon Cunha Reis, Fernanda Garcia Bezerra Góes, Maithê de Carvalho e Lemos Goulart, Maria Leticia de Almeida Lança, Isaias Sena Moraes de Souza, Acleverson José dos Santos, Luana da Paixão Silva, Laura Akemi Storer Makita, Moisés Andrade dos Santos de Queiroz, Fernanda Vieira Lobato, Yuri Damasceno da Rocha, Eliseth Costa Oliveira de Matos, Maíra de Oliveira Viana Rela, Shirlley Jackllanny Martins de Farias, Juliana Silva dos Santos, Píthya Melinna Cavalcante de Souza Ferreira, Wellington Maciel Melo, Alexandre Sá Pinto da Nóbrega Lucena, Isabella Lourenço Balla, Herla Maria Furtado Jorge, Emília Carolle Azevedo de Oliveira, Débora Evelyn Ferreira Silva, Odinéa Alves Ferraz Souza Rodrigues, Juliana Barros Freire, Amanda Rocha de Oliveira Sousa, Sabrina Goursand de Freitas, Arthur Lima Garcês, Laura Maria de Araújo Pereira, Heliamar Vieira Bino, Ellen Roberta Lima Bessa, Alailson Cabanelas Alves, Leonardo Lima Aleixo, Isabel de Oliveira Monteiro, Jean Francisco Maziero Peres, Letícia Silveira Goulart, Camila Pereira, Giulia Elena Tessaro, Debora da Silva Fraga, Ismari Perini Furlaneto, Anna Kharolina de Mendonça Nunes, Amanda Karoliny Meneses Resende, Matheus Felipe Medeiros de Lira, João Victor Teixeira Braga, Rogério de Moraes Franco Júnior, Márcia Mayanne Almeida Bezerra, Susana Arruda Alcântara, Renata de Oliveira, Rauni Jandé Roama Alves, Nancyleni Pinto Chaves Bezerra, Ana Bessa Muniz, Débora Aparecida da Silva Santos, Frankllin Ramon da Silva, Humberto Henrique Machado dos Santos, Simone Pereira Barbosa Lima, Raimunda Deusilene Barreira Porto, Ana Heloisa Feitosa de Macêdo Pereira, Andréa Cintia Laurindo Porto, Andressa Aya Ohta, Magnania Cristiane Pereira da Costa, Blenda Gonçalves Cabral, Thaís Barbosa de Oliveira, Ana Gabriela Liberato Ribeiro Damasceno, Kétly Sabrina Silva de Souza, Luana Rossato, Blennda Fabíola de Carvalho Belém, Talyta Valéria Siqueira do Monte, Janiny Pinheiro da Silva Félix, Fernanda Maria Vieira Pereira-Ávila, Marília Maria Alves Gomes, Alexandre Ribeiro de Oliveira, Arthur Antunes Coimbra Pinheiro Pacífico, Thalia de Souza Bezerra, Letícia Castelo Branco de Oliveira, and Sarah Lays Barros Pereira

Published
2021

27. PESQUISAS E RELATOS SOBRE CIÊNCIAS DA SAÚDE NO BRASIL

Author

Glauber Mendonça Moreira, Ana Lúcia Moreno Amor, Jayanne do Nascimento Santana Costa, Sideli Biazzi, Sandra Helena de Carvalho Albuquerque, Lucas Saboya Amora, Joyce Carvalho Costa, Renata Cruz da Silva, Ticiana Mesquita de Oliveira Fontenele, Lucélia da Cunha Castro, Sueli de Santana Reis Melo, Plínio Pereira Gomes Júnior, Thayane Ribeiro Mendes da Silva, Guida Graziela Santos Cardoso, Brenda Cardoso Arruda Ferreira, Mikaely dos Santos Ribeiro, Ana Paula de Magalhães Barbosa, Juliete Machado Aguiar Bandeira, Gabrielle da Silva Fernandes, Vanderson Garcia da Silva, Yasmim Souza Rodrigues, João Pedro Teixeira de Souza Lameira, Acleverson José dos Santos, Maria Alissia Costa Carvalho, Érica Souza dos Santos, Luiz Henrique Oliveira dos Santos, Laís Amorim Queiroga Carneiro da Cunha, Raquel Santos de Oliveira, Fátima Helena do Espirito Santo, Camila Cristine Tavares Abreu, Felipe Vinicius Costa Cardoso, Francisco Thiago Carneiro Sena, Tamires Feitosa de Lima, Thaís Araújo Vianna, Nataly da Cruz Brito, Janayra Kaline Barbosa Oliveira, Juliana Sobreira da Cruz, Lídia Fernandes Felix, Kayron Rodrigo Ferreira Cunha, Ana Paula Vasconcellos Abdon, Maria Luiza Ferreira Imburana da Silva, Tayane Costa Morais, Maria Samara da Silva, Cleuton Júnior Souto Miranda, Manuel Morgado Rezende, Almir Campos Pimenta, Heliamar Vieira Bino, Nanielle Silva Barbosa, Daiane da Silva Azevedo, Marizângela Lissandra de Oliveira Santiago, Esteliana de Souza Matos, Kerolayne De Castro Fontenele, Josie Haydée Lima Ferreira, Michelle Freitas de Souza, William Judah de Vasconcelos França, Gisana Cruz de Assis, Júnia Eustáquio Marins, Luzia Cleia da Silva, Sandra Conceição Ribeiro Chícharo, André Luis Canuto Duarte Melo, Aline Yane da Silva Bacelar, Glauber Andrade dos Santos, Everton Vinicius Souza do Nascimento, Aline Vargas Fontes, Juliana Damião Farias, Daniela Reis Joaquim de Freitas, Carlla Larissa Batista de Lima, Joilson da Silva Andrade, Amanda Karoliny Meneses Resende, Renata Adele Lima Nunes, Daniela Gardano Bucharles Mont’Alverne, Patrícia Cavalcante de Sá Florêncio, Felipe Matheus Vulcão da Rocha, Ana Claudia da Silva Santiago, Cristiano dos Santos Almeida, Thays Peres Brandão, Josué Tadeu Lima de Barros Dias, Welles Luiz dos Santos Almeida, Eduardo Alexandre Abbate Miranda, João Gabriel de Oliveira e Sousa, Camila Ketilly dos Santos Santana, Fernanda Ferreira dos Santos, Mariana Machado dos Santos Pereira, Mariana Keller Campos Lima, Raimunda Hermelinda Maia Macena, Rogério de Moraes Franco Júnior, Fabio Ricardo Dutra Lamego, Emília Carolle Azevedo de Oliveira, Juliana Dayse Silva Carvalho, Allana Rhamayana Bonifácio Fontenele, Carine Ferreira Lopes, Juliana Mercês Oliveira e Oliveira, Luana da Paixão Silva, Daline da Silva Azevedo, Deborah Gurgel Smith, Paulo de Tassio Costa de Abreu, Thais Nogueira Falcão, Monike Couras Del Vecchio Barros, Raniella Borges da Silva, Layce Bianca Pereira da Silva, Jhon Douglas da Silva Freitas, Livia Santana Barbosa, Iely Jaqueline de Oliveira Bueno, Magda Helena Peixoto, Wanda de Albuquerque Nogueira, Simone Santos Souza, Alex Coelho da Silva Duarte, Hélio Maciel Neto, Renata de Oliveira, Danielle Rachel Coelho Bezerra, Yarla Maria Santana Ribeiro, Emerson Gomes De Oliveira, Francisco Valter Miranda Silva, Maria do Rosário Conceição Moura Nunes, Iaggo Henrique de Sousa Figueiredo, Joanne Ribeiro Rodrigues, Emily Oliveira Damasceno, Rodrigo Moura Mascarenhas, Natália Cardoso Soares, Chiara Lubich Medeiros de Figueiredo, and Rafaelle Vasconcelos Dias

Published
2021

29. Mapping the risk for transmission of urban schistosomiasis in the Brazilian Northeast

Author

Iris Edna Pereira da Silva, Constança Simões Barbosa, Ricardo José Ferreira, Elainne Christine de Souza Gomes, Ricardo José de Paula Souza e Guimarães, and Emília Carolle Azevedo de Oliveira

Subjects
Veterinary medicine, risk map, Health (social science), spatial analysis, Recife (PE), Geography, Planning and Development, Mapeamento Geogr?fico, lcsh:G1-922, Medicine (miscellaneous), Biomphalaria, Schistosomiasis, Snail, Disease Vectors, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, biology.animal, parasitic diseases, medicine, Animals, Humans, Schistosoma mansoni / parasitologia, Esquistossomose / patologia, 030212 general & internal medicine, An?lise Espacial, 030505 public health, biology, Map algebra, Health Policy, Biomphalaria / parasitologia, Intermediate host, Schistosoma mansoni, biology.organism_classification, medicine.disease, Schistosomiasis mansoni, Transmission (mechanics), epidemiology, Brazil, 0305 other medical science, lcsh:Geography (General)
Abstract

Oswaldo Cruz Foundation. Aggeu Magalh?es Institute. Recife, PE, Brazil. Oswaldo Cruz Foundation. Aggeu Magalh?es Institute. Recife, PE, Brazil. Federal Institute of Science, Education and Technology of Para?ba. Department of Probability and Statistics. Jo?o Pessoa, PB, Brazil. Minist?rio da Sa?de. Secretaria de Vigil?ncia em Sa?de. Instituto Evandro Chagas. Ananindeua, PA, Brasil. Oswaldo Cruz Foundation. Aggeu Magalh?es Institute. Recife, PE, Brazil. Oswaldo Cruz Foundation. Aggeu Magalh?es Institute. Recife, PE, Brazil. This is an analysis of the risk of schistosomiasis transmission in the city of Recife in the Northeast of Brazil based on the number of schistosomiasis cases (Schistosoma mansoni) registered for the period 2007-2017 together with data resulting from active search of breeding sites of the Biomphalaria snail intermediate host. The analyses were performed using Kernel Density Estimation (KDE), SaTScan and Map Algebra methodology using human socio-demographic data and biotic and abiotic data from the snail breeding sites. Investigating 44 breeding sites resulted in a total of 3.800 snails, 31.8% of which were positive for S. mansoni DNA. These data were considered in relation to total of 652 schistosomiasis cases. The KDE showed two high-risk and two medium-risk clusters, while three significant clusters were identified by SaTScan. Combining these data with the Map Algebra methodology showed that all high-risk neighbourhoods had breeding sites with snails positive for S. mansoni. It was concluded that schistosomiasis transmission cannot be controlled without basic sanitation and sewage management in the presence of Biomphalaria snails. The technique of Map Algebra was found to be fundamental for the analysis and demonstration of areas with a high probability of schistosomiasis transmission.

Published
2020

31. Spatial and temporal analysis of the human immunodeficiency virus in an area of social vulnerability in Northeast Brazil

Author

Roberta Andrade Beltrão, Marco Antônio Prado Nunes, Carolina Piedade Morais de Freitas Soares Silva, Renata Karina Reis, Allan Dantas dos Santos, Karina Conceição Gomes Machado de Araújo, Géssyca Cavalcante de Melo, Iane Brito Leal, and Emília Carolle Azevedo de Oliveira

Subjects
Adult, Male, medicine.medical_specialty, Health (social science), media_common.quotation_subject, Geography, Planning and Development, lcsh:G1-922, Medicine (miscellaneous), HIV Infections, Vulnerable Populations, Young Adult, 03 medical and health sciences, Spatio-Temporal Analysis, 0302 clinical medicine, GeoDa, Epidemiology, medicine, Humans, spatiotemporal analysis, Social inequality, 030212 general & internal medicine, Cities, Socioeconomic status, Aged, media_common, Spatial Analysis, 030505 public health, Variables, Health Policy, Public health, HIV, Ecological study, Bayes Theorem, Middle Aged, Geography, Socioeconomic Factors, epidemiology, Female, Brazil, 0305 other medical science, Social vulnerability, EPIDEMIOLOGIA, social vulnerability, lcsh:Geography (General), Demography
Abstract

Human Immunodeficiency Virus (HIV) infection still represents an important public health problem, because it involves clinical, epidemiological, social, economic and political issues. We analyzed the temporal and spatial pattern of the HIV incidence in an area of social inequality in northeast Brazil and its association with socioeconomic indicators. An ecological study was carried out with a focus on all HIV cases reported in Alagoas State, Northeast Brazil from 2007 to 2016 using its 102 municipalities as the units of our analysis. Data from the Brazilian information systems were used. Georeferenced data were analyzed using TerraView 4.2.2 software, QGis 2.18.2 and GeoDa 1.14.0. Time trend analyses were performed by the Joinpoint Regression software and the spatial analyses included the empirical Bayesian model and Moran autocorrelation. Spatial regression was used to determine the influence of space on HIV incidence rate and socioeconomic inequalities. There was an increasing trend of HIV rates, especially in the municipalities of the interior. Significant spatial correlations were observed with the formation of clusters with emphasis on the coast of the state and in tourist regions. Spatial regression explained 46% of the dependent variable. The HIV incidence rate was positively influenced by rate of primary health care units (P=0.00), and negatively by Gini index (P=0.00) and proportion of heads of household without or low education (P=0.02). We conclude that the relationship found between indicators of better socioeconomic conditions and HIV infection suggests unequal access to the diagnosis of infection. Prevention and control strategies can be established according to each epidemiological reality.

Published
2020

35. Investigação sobre os casos e óbitos por esquistossomose na cidade do Recife, Pernambuco, Brasil, 2005-2013

Author

Rodrigo Moraes Loyo, Virgínia Conceição Nascimento Fernando, Emília Carolle Azevedo de Oliveira, Elainne Christine de Souza Gomes, Rafael da Silveira Moreira, Thúlio José Ferreira Pimentel, Constança Simões Barbosa, João Paulo Maciel de Araujo, and Luiz Claudio de Souza Oliveira

Subjects
Gynecology, medicine.medical_specialty, business.industry, lcsh:Public aspects of medicine, Disease progression, Esquistossomose, lcsh:R, Morte, Esquistosomiasis, lcsh:Medicine, Sistemas de Información en Salud, lcsh:RA1-1270, General Medicine, Epidemiologia Descritiva, Epidemiology, Descriptive, Epidemiología Descriptiva, Death, Health Information Systems, Sistemas de Informação em Saúde, Muerte, Medicine, Schistosomiasis, business
Abstract

Resumo Objetivo: descrever os casos e óbitos por esquistossomose em residentes na cidade de Recife, Pernambuco, Brasil, no período 2005-2013. Métodos: estudo epidemiológico descritivo com dados do Sistema de Informações sobre Mortalidade (SIM) (2005-2013) e do Sistema de Informação de Agravos de Notificação (Sinan) (2007-2013); realizou-se a busca ativa dos familiares dos óbitos e o relacionamento probabilístico das bases de dados (2007-2013) pelo aplicativo Reclink. Resultados: no SIM, registraram-se 297 óbitos por esquistossomose no período estudado; pela busca ativa, 130 familiares foram contatados, identificando-se 20,8% de autoctonia; no Sinan, 388 casos foram registrados para residentes no Recife; pelo relacionamento probabilístico, identificaram-se 23 registros pareados entre SIM e Sinan. Conclusão: a investigação dos óbitos demonstrou que alguns indivíduos nunca viajaram para fora do Recife e evoluíram para a fase crônica da doença; 23,8% dos casos notificados no Sinan tiveram como município de infecção o Recife. Resumen Objetivo: describir casos y óbitos por esquistosomiasis en residentes de la ciudad de Recife, Pernambuco, Brasil, en el período de 2005 a 2013. Métodos: estudio epidemiológico descriptivo con datos del Sistema Información sobre Mortalidad (SIM) (2005-2013) y del Sistema de Información de Agravamientos de Notificación (Sinan) (2007-2013); se realizó la búsqueda activa de los familiares de los fallecidos y la relación probabilística de los datos (2007-2013) en el aplicativo Reclink. Resultados: en el SIM, hubo 297 óbitos por esquistosomiasis; en la búsqueda activa, se identificaron 130 familiares y un 20,8% de autoctonía; en Sinan, 388 casos fueron registrados para residentes en Recife; en la relación probabilística, 23 registros pareados fueron identificados en el SIM y el Sinan. Conclusión: la investigación de los óbitos mostró que algunas personas nunca viajaron fuera de Recife y evolucionaron a la fase crónica de la enfermedad; 23,8% de los casos registrados en el Sinan tuvieron a Recife como municipio de la infección. Abstract Objective: to describe schistosomiasis cases and deaths among residents of the city of Recife, Pernambuco, Brazil, from 2005 to 2013. Methods: this was a descriptive epidemiological study using data from the Mortality Information System (SIM) (2005-2013) and the Notifiable Diseases Information System (SINAN) (2007-2013); active tracing of the relatives of the dead was undertaken and probabilistic linkage of the databases (2007-2013) was performed using the Reclink program. Results: 297 schistosomiasis deaths were recorded on the SIM system; through active tracing, 130 relatives were contacted and 20.8% autochthony was identified; 388 cases resident in Recife were registered on the SINAN system; through probabilistic linkage, 23 matching records were identified on SIM and SINAN. Conclusion: investigation of deaths showed that some individuals had never traveled outside Recife and progressed to the chronic stage of the disease; 23.8% of the cases registered on SINAN had Recife as the municipality in which infection occurred.

Published
2018

36. Investigation of schistosomiasis cases and deaths in the city of Recife, Pernambuco, Brazil, 2005-2013

Author

Emília Carolle Azevedo de, Oliveira, Thúlio José Ferreira, Pimentel, João Paulo Maciel de, Araujo, Luiz Claudio de Souza, Oliveira, Virgínia Conceição Nascimento, Fernando, Rodrigo Moraes, Loyo, Elainne Christine de Souza, Gomes, Rafael da Silveira, Moreira, and Constança Simões, Barbosa

Subjects
Adult, Male, Health Information Systems, Databases, Factual, Cause of Death, Disease Progression, Humans, Schistosomiasis, Female, Middle Aged, Disease Notification, Brazil, Aged
Abstract

to describe schistosomiasis cases and deaths among residents of the city of Recife, Pernambuco, Brazil, from 2005 to 2013.this was a descriptive epidemiological study using data from the Mortality Information System (SIM) (2005-2013) and the Notifiable Diseases Information System (SINAN) (2007-2013); active tracing of the relatives of the dead was undertaken and probabilistic linkage of the databases (2007-2013) was performed using the Reclink program.297 schistosomiasis deaths were recorded on the SIM system; through active tracing, 130 relatives were contacted and 20.8% autochthony was identified; 388 cases resident in Recife were registered on the SINAN system; through probabilistic linkage, 23 matching records were identified on SIM and SINAN.investigation of deaths showed that some individuals had never traveled outside Recife and progressed to the chronic stage of the disease; 23.8% of the cases registered on SINAN had Recife as the municipality in which infection occurred.descrever os casos e óbitos por esquistossomose em residentes na cidade de Recife, Pernambuco, Brasil, no período 2005-2013.estudo epidemiológico descritivo com dados do Sistema de Informações sobre Mortalidade (SIM) (2005-2013) e do Sistema de Informação de Agravos de Notificação (Sinan) (2007-2013); realizou-se a busca ativa dos familiares dos óbitos e o relacionamento probabilístico das bases de dados (2007-2013) pelo aplicativo Reclink.no SIM, registraram-se 297 óbitos por esquistossomose no período estudado; pela busca ativa, 130 familiares foram contatados, identificando-se 20,8% de autoctonia; no Sinan, 388 casos foram registrados para residentes no Recife; pelo relacionamento probabilístico, identificaram-se 23 registros pareados entre SIM e Sinan.a investigação dos óbitos demonstrou que alguns indivíduos nunca viajaram para fora do Recife e evoluíram para a fase crônica da doença; 23,8% dos casos notificados no Sinan tiveram como município de infecção o Recife.describir casos y óbitos por esquistosomiasis en residentes de la ciudad de Recife, Pernambuco, Brasil, en el período de 2005 a 2013.estudio epidemiológico descriptivo con datos del Sistema Información sobre Mortalidad (SIM) (2005-2013) y del Sistema de Información de Agravamientos de Notificación (Sinan) (2007-2013); se realizó la búsqueda activa de los familiares de los fallecidos y la relación probabilística de los datos (2007-2013) en el aplicativo Reclink.en el SIM, hubo 297 óbitos por esquistosomiasis; en la búsqueda activa, se identificaron 130 familiares y un 20,8% de autoctonía; en Sinan, 388 casos fueron registrados para residentes en Recife; en la relación probabilística, 23 registros pareados fueron identificados en el SIM y el Sinan.la investigación de los óbitos mostró que algunas personas nunca viajaron fuera de Recife y evolucionaron a la fase crónica de la enfermedad; 23,8% de los casos registrados en el Sinan tuvieron a Recife como municipio de la infección.

Published
2017

37. Morbidity of mansoni schistosomiasis in Pernambuco-Brazil: Analysis on the temporal evolution of deaths, hospital admissions and severe clinical forms (1999-2014)

Author

Ana Lúcia Coutinho Domingues, Constança Simões Barbosa, Millena Carla da Silva Mesquita, Emília Carolle Azevedo de Oliveira, Julyana Viegas Campos, Elainne Christine de Souza Gomes, and Fernando José Moreira de Oliveira

Subjects
Adult, Liver Cirrhosis, Male, medicine.medical_specialty, Pediatrics, Time Factors, Adolescent, Cross-sectional study, Veterinary (miscellaneous), 030231 tropical medicine, Hepatosplenomegaly, Schistosomiasis, Disease, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Schistosomiasis control, medicine, Animals, Humans, Young adult, Mortality, Child, 030505 public health, business.industry, Infant, Newborn, Ascites, Infant, Middle Aged, medicine.disease, Hospitals, Schistosomiasis mansoni, Surgery, Hospitalization, Infectious Diseases, Cross-Sectional Studies, Background current, Insect Science, Child, Preschool, Parasitology, Female, Upper gastrointestinal bleeding, medicine.symptom, Morbidity, 0305 other medical science, business, Brazil
Abstract

Background Current scientific information reported that due to successive treatments of schistosomiasis cases in endemic areas of Brazil in the last 30 years, there has been a decrease in severe clinical form (hepatosplenic) and mortality from upper gastrointestinal bleeding due to this disease. Against this information, literature data show that the state of Pernambuco presents significant percentage of deaths and hospitalizations due to schistosomiasis, and occurrence of severe clinical forms as schistosomiasis myeloradiculopathy and persistence of localities with high parasite loads. This scenario justified this research which seeking to update the morbidity and mortality of schistosomiasis in Pernambuco. Objective To conduct a temporal analysis on the evolution of deaths, hospital admissions and severe forms of Manson’s schistosomiasis over the last 16 years in Pernambuco, Brazil. Methods It was performed a gathering secondary data on schistosomiasis, from healthcare information systems and from the records of Hospital das Clinicas, Federal University of Pernambuco (HC-UFPE), covering the period from 1999 to 2014. Results From 1999 to 2013 were registred 2578 deaths due to schistosomiasis and between 2008 and 2014 were recorded 473 hospitalizations for this disease. Among 1999–2014 were identified 1943 cases of schistosomiasis treated at the Hospital das Clinicas of Pernambuco. Among these cases, 72.6% (n. 1411) of the individuals presented the hepatosplenic clinical form (HE), 60.8% (n. 858) were at the age group 30–59 years (adults) and 58% were female. Among the HE cases, 4.6% (n. 58) had ascites, 43.2% (n. 556) had upper gastrointestinal bleeding and 39.1% (n. 489) had collateral circulation. The pattern of fibrosis in the liver E/EC (advanced fibrosis) and F/FC (very advanced fibrosis) occurred in 65.5% (n. 793) of cases. Between 1999–2014 the evolution curve of severe clinical forms of schistosomiasis remained stable, showing a tendency to decline from 2012. Conclusion When compared to other states of Brazil, Pernambuco shows high numbers of deaths and hospital admissions due to schistosomiasis. The actions of the Schistosomiasis Control Program (PCE) have been developed in a disintegrated, disjointed and discontinuous way, which may explain the magnitude of deaths, hospitalizations and severe forms of the disease in Pernambuco, showing a lack of control and the maintenance of severe frame morbidity of schistosomiasis in this state.

Published
2016

39. Analysis of the profile of pregnant adolescents of a community in Recife-PE

Author

Sheyla Costa de Oliveira, Maria Gorete Lucena de Vasconcelos, Emília Carolle Azevedo de Oliveira, and Paulino José de Albuquerque Vasconcelos Neto

Subjects
lcsh:RT1-120, pregnancy in adolescence, lcsh:Nursing, Adolescent, pregnancy
Abstract

The aim of this study was to analyze the profile of pregnant adolescents in a community in Recife. It was a quantitative study with descriptive approach and cross-sectional outline. It was performed with 17 adolescents of a community in Recife. Data collection was made by an instrument of objective questions, from May 2009 to May 2010. We found a rate for pregnancy of 3.82%; the average age was 16 years; 13 lived in consensual union; 07 had family income up to minimum wage (R$ 510.00); 14 were primigravidae; 08 had urinary tract infection and low weight, and 07 had anemia. It was considered that the pregnant adolescents were at a social and obstetric risk, which can cause negative results to their health. However, it is recommended greater attention to this population through damage reduction strategies for maternal health.

Published
2011

40. Spatial and temporal analysis of the human immunodeficiency virus in an area of social vulnerability in Northeast Brazil

Author

Géssyca Cavalcante de Melo, Emilia Carolle Azevedo de Oliveira, Iane Brito Leal, Carolina Piedade Morais de Freitas Soares Silva, Roberta Andrade Beltrão, Allan Dantas dos Santos, Renata Karina Reis, Marco Antônio Prado Nunes, and Karina Conceição Gomes Machado de Araujo

Subjects
HIV, social vulnerability, spatiotemporal analysis, epidemiology, Brazil., Geography (General), G1-922
Abstract

Human Immunodeficiency Virus (HIV) infection still represents an important public health problem, because it involves clinical, epidemiological, social, economic and political issues. We analyzed the temporal and spatial pattern of the HIV incidence in an area of social inequality in northeast Brazil and its association with socioeconomic indicators. An ecological study was carried out with a focus on all HIV cases reported in Alagoas State, Northeast Brazil from 2007 to 2016 using its 102 municipalities as the units of our analysis. Data from the Brazilian information systems were used. Georeferenced data were analyzed using TerraView 4.2.2 software, QGis 2.18.2 and GeoDa 1.14.0. Time trend analyses were performed by the Joinpoint Regression software and the spatial analyses included the empirical Bayesian model and Moran autocorrelation. Spatial regression was used to determine the influence of space on HIV incidence rate and socioeconomic inequalities. There was an increasing trend of HIV rates, especially in the municipalities of the interior. Significant spatial correlations were observed with the formation of clusters with emphasis on the coast of the state and in tourist regions. Spatial regression explained 46% of the dependent variable. The HIV incidence rate was positively influenced by rate of primary health care units (P=0.00), and negatively by Gini index (P=0.00) and proportion of heads of household without or low education (P=0.02). We conclude that the relationship found between indicators of better socioeconomic conditions and HIV infection suggests unequal access to the diagnosis of infection. Prevention and control strategies can be established according to each epidemiological reality.

Published
2020
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