Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space

Detalhes bibliográficos
Autor(a) principal: Silva, Amanda Priscila de Santana Cabral
Data de Publicação: 2016
Outros Autores: Souza, Wayner Vieira de, Albuquerque, Maria de Fátima Pessoa Militão de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/19399
Resumo: Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Núcleo de Estudos em Saúde Coletiva. Recife, PE, Brasil.
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spelling Silva, Amanda Priscila de Santana CabralSouza, Wayner Vieira deAlbuquerque, Maria de Fátima Pessoa Militão de2017-06-16T18:23:09Z2017-06-16T18:23:09Z2016SILVA, A. P. DE S. C.; SOUZA, W. V. DE; ALBUQUERQUE, M. DE F. P. M. DE. Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 2, p. 211–221, abr. 2016.1678-9849https://www.arca.fiocruz.br/handle/icict/1939910.1590/0037-8682-0065-2016engTwo decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and spaceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Aggeu Magalhães. Núcleo de Estudos em Saúde Coletiva. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Núcleo de Estudos em Saúde Coletiva. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Núcleo de Estudos em Saúde Coletiva. Recife, PE, Brasil.Introduction: This study presents two decades of epidemiological data on tuberculosis (TB), in order to understanding the disease profile and its spatiotemporal dynamics. Methods: This descriptive study was performed in the City of Olinda/Pernambuco, Brazil, from 1991-2010, and it analyzed new patients with TB living in the city. We used the χ²-test with a p-value <0.05 to identify differences in trends. Incidence and cluster distribution were identified using spatial scan statistics. Results: In total, 6202 new cases were recorded during the two decades. The highest incidence occurred in 1995 (110 cases/100,000 inhabitants), and the lowest occurred in 2009 (65 cases/100,000 inhabitants) (β=-1.44; R²=0.43; p=0.0018). The highest mortality occurred in 1998 (16 deaths/100,000 inhabitants), and the lowest occurred in 2008 (5 deaths/100,000 inhabitants) (β=-0.19; R²=0.17; p=0.07). There was a male predominance (65%), and ages ranged from 20-49 years (65%). There was a substantial increase in the number of patients that were cured after treatment (60% to 67%; p<0.001) as well as those tested for HIV (1.9% to 58.5%; p<0.001). During the first decade, clusters with p-values <0.05 included 29% of the total notified cases, and in the second decade, that percentage was 12%. CONCLUSIONS We observed a decreasing trend in incidence, which was significant, and mortality rates, which was not significant. The increased number of laboratory tests performed reflects advances in surveillance, and a reduction in the proportion of cases in primary clusters suggests, among other things, that the disease is spreading across the region.TuberculosisEpidemiological surveillanceSpatial analysisTuberculose Pulmonar / epidemiologiaBrasil / epidemiologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/19399/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINAL27192591 2016 sil-two.oa.pdf27192591 2016 sil-two.oa.pdfapplication/pdf1630936https://www.arca.fiocruz.br/bitstream/icict/19399/2/27192591%202016%20sil-two.oa.pdf983d938770b15535bac5446e79a469f7MD52TEXT27192591 2016 sil-two.oa.pdf.txt27192591 2016 sil-two.oa.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
title Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
spellingShingle Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
Silva, Amanda Priscila de Santana Cabral
Tuberculosis
Epidemiological surveillance
Spatial analysis
Tuberculose Pulmonar / epidemiologia
Brasil / epidemiologia
title_short Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
title_full Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
title_fullStr Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
title_full_unstemmed Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
title_sort Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space
author Silva, Amanda Priscila de Santana Cabral
author_facet Silva, Amanda Priscila de Santana Cabral
Souza, Wayner Vieira de
Albuquerque, Maria de Fátima Pessoa Militão de
author_role author
author2 Souza, Wayner Vieira de
Albuquerque, Maria de Fátima Pessoa Militão de
author2_role author
author
dc.contributor.author.fl_str_mv Silva, Amanda Priscila de Santana Cabral
Souza, Wayner Vieira de
Albuquerque, Maria de Fátima Pessoa Militão de
dc.subject.en.none.fl_str_mv Tuberculosis
Epidemiological surveillance
Spatial analysis
topic Tuberculosis
Epidemiological surveillance
Spatial analysis
Tuberculose Pulmonar / epidemiologia
Brasil / epidemiologia
dc.subject.decs.none.fl_str_mv Tuberculose Pulmonar / epidemiologia
Brasil / epidemiologia
description Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Núcleo de Estudos em Saúde Coletiva. Recife, PE, Brasil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2017-06-16T18:23:09Z
dc.date.available.fl_str_mv 2017-06-16T18:23:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, A. P. DE S. C.; SOUZA, W. V. DE; ALBUQUERQUE, M. DE F. P. M. DE. Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 2, p. 211–221, abr. 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/19399
dc.identifier.issn.pt_BR.fl_str_mv 1678-9849
dc.identifier.doi.pt_BR.fl_str_mv 10.1590/0037-8682-0065-2016
identifier_str_mv SILVA, A. P. DE S. C.; SOUZA, W. V. DE; ALBUQUERQUE, M. DE F. P. M. DE. Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 2, p. 211–221, abr. 2016.
1678-9849
10.1590/0037-8682-0065-2016
url https://www.arca.fiocruz.br/handle/icict/19399
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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