Congenital zika syndrome in Recife, Brazil: characteristics and spatial distribution

• Autor(a) principal: Cruz, Eveline d'Andrada
• Data de Publicação: 2021
• Outros Autores: Cunha, Márcia Andréa Oliveira da, Galindo, Jadson Mendonça
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/2834
• topic: Microcefalia; Zika vírus; Anormalidades congênitas; Epidemiologia descritiva; Distribuição espacial da população; Síndrome Congênita do vírus Zika; Microcefalia; Zika vírus; Microcefalia; Zika virus; Anomalías congénitas; Epidemiología descriptiva; Distribución espacial de la población; Microcephaly; Zika virus; Congenital abnormalities; Epidemiology; Descriptive residence characteristics

The epidemic of congenital Zika syndrome has become an international emergency. In Brazil, the state of Pernambuco stood out regarding the notifications of the disease, and the municipality of Recife had the highest number of confirmed cases in the state. This study sought thus to describe the profile and determine the georeferencing of live births with congenital Zika syndrome in Recife, Pernambuco, Brazil, from August, 2015 to July, 2017. Based on an exploratory and analytical methodology, this research used data from the linkage between the Public Health Events Registry (Resp-Microcephaly) and the Information System on Live Births (Sinasc). Cases were georeferenced and imported into ArcGis 10.2 software to build the thematic map of the spatial distribution. The linkage paired 62 (89.9%) cases of congenital Zika syndrome. Most mothers were black (75.8%), between 19 and 35 years old, with secondary education (87.1%), and seven or more prenatal consultations (56.5%). All pregnancies were unique. Most live births were normal delivery (53.2%) and full-term (87.1%), male, with adequate weight (83.9%) and satisfactory Apgar scores in the 1st (83.9%) and 5th minutes (93.5%). Main imaging findings were calcifications, ventriculomegaly and lissencephaly. Georeferencing showed greater distribution of cases in Health Districts II, IV, V and VIII, and concentration of 39% in Special Areas of Social Interest. Considering the outbreak of the disease in the municipality, policies for prevention and qualification of care to children with congenital Zika syndrome is paramount.