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Investigation of an outbreak of disease compatible with scurvy in a male penitentiary in the state of Ceará, Brazil, 2019-2020: a case-control study
- Source :
- Epidemiologia e Serviços de Saúde, Vol 32, Iss 2 (2023)
- Publication Year :
- 2023
- Publisher :
- Ministério da Saúde do Brasil, 2023.
-
Abstract
- ABSTRACT Objective: to identify the occurrence of an outbreak compatible with scurvy and exposure factors associated with typical signs/symptoms of hypovitaminosis that occurred in a male penitentiary in Ceará, Brazil between 2019-2020. Methods: this was a population-based case-control study; we used clinical records and interviews with compatible cases - based on sign/symptom onset during the study period - and with controls; we carried out multivariate analysis. Results: out of 62 cases, mean age was 40.6 years (SD = 10.8); main signs/symptoms were edema and pain in the lower limbs (100.0%), difficulty in walking (91.9%), hematoma/ecchymosis in the lower limbs (90.3%) and fever (88.7%); we identified being over 40 years old as an associated factor (aOR = 1.10; 95%CI 1.05;1.17; p-value = 0.001); and as protective factors: working (aOR = 0.11; 95%CI 0.03;0.36; p-value < 0.001) and taking part in classes (aOR = 0.21; 95%CI 0.08;0.59; p-value = 0.003) in the prison. Conclusion: we considered the penitentiary outbreak to be compatible with scurvy due to characteristic signs/symptoms, associated with the identified factors; we recommended regular provision of a diet rich in vitamin C to all male inmates and clinical follow-up of cases.
Details
- Language :
- English, Portuguese
- ISSN :
- 22379622
- Volume :
- 32
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Epidemiologia e Serviços de Saúde
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.882420cc5cc4b228b1da63cb5d56e1b
- Document Type :
- article
- Full Text :
- https://doi.org/10.1590/s2237-96222023000200020