Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/194811 |
Resumo: | Chagas disease is among the 21 neglected diseases according to the World Health Organization. This study aimed to investigate the morbidity and mortality distribution of Chagas disease for identifying areas with greater prevalences and deaths of the disease in Northeast Brazil. A population-based ecological study was performed from 2016 to 2018 using data on acute Chagas disease patients from the Disease Notification Information System, chronic cases from the Chagas Disease and the referral Heart Failure Outpatient Clinic in Pernambuco, and Chagas disease-related mortality from the Mortality Information System. The unit of analysis were Pernambuco State mesoregions. The indicators were spatialized into thematic maps on the occurrence and mortality of the disease per 100,000 inhabitants. No cases of acute disease were reported in the period analyzed. Data on 801 chronic Chagas disease patients were analyzed. The population showed an average age of 62 years, with female predominance. The most prevalent comorbidity was systemic arterial hypertension and cardiologic involvement without ventricular dysfunction. The average chronic disease occurrence rate was 3.2/ 100,000 people/ year. As for deaths in the mortality system; in total, 350 deaths were recorded, showing male predominance, age ≥ 60 years, and chronic disease with cardiac involvement as the main mortality cause. The annual average mortality proportion was 1.6/100,000 people. The chronic case distribution showed spatial heterogeneity, with the highest rates of chronic disease and deaths observed in two mesoregions, with the main cause of death being heart-related. This highlights the need for more specialized services in areas with higher burden of the disease to avoid delay in the patients’ care. |
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Mapping the morbidity and mortality of Chagas disease in an endemic area in BrazilChagas diseaseMorbidityMortalityBrazilChronic diseaseChagas disease is among the 21 neglected diseases according to the World Health Organization. This study aimed to investigate the morbidity and mortality distribution of Chagas disease for identifying areas with greater prevalences and deaths of the disease in Northeast Brazil. A population-based ecological study was performed from 2016 to 2018 using data on acute Chagas disease patients from the Disease Notification Information System, chronic cases from the Chagas Disease and the referral Heart Failure Outpatient Clinic in Pernambuco, and Chagas disease-related mortality from the Mortality Information System. The unit of analysis were Pernambuco State mesoregions. The indicators were spatialized into thematic maps on the occurrence and mortality of the disease per 100,000 inhabitants. No cases of acute disease were reported in the period analyzed. Data on 801 chronic Chagas disease patients were analyzed. The population showed an average age of 62 years, with female predominance. The most prevalent comorbidity was systemic arterial hypertension and cardiologic involvement without ventricular dysfunction. The average chronic disease occurrence rate was 3.2/ 100,000 people/ year. As for deaths in the mortality system; in total, 350 deaths were recorded, showing male predominance, age ≥ 60 years, and chronic disease with cardiac involvement as the main mortality cause. The annual average mortality proportion was 1.6/100,000 people. The chronic case distribution showed spatial heterogeneity, with the highest rates of chronic disease and deaths observed in two mesoregions, with the main cause of death being heart-related. This highlights the need for more specialized services in areas with higher burden of the disease to avoid delay in the patients’ care.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2022-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/19481110.1590/S1678-9946202264005Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e05Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e05Revista do Instituto de Medicina Tropical de São Paulo; v. 64 (2022); e051678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/194811/179983Copyright (c) 2022 Carolina de Araújo Medeiros, Maria Beatriz de Araújo Silva, André Luiz Sá de Oliveira, Sílvia Marinho Martins Alves, Maria das Neves Dantas da Silveira Barros, Maria da Glória Aureliano de Melo Cavalcanti, Gênova Maria de Azevedo Oliveira, Cristina de Fátima Velloso Carrazzone, Wilson Alves de Oliveira Jr, Zulma Maria de Medeiroshttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessMedeiros, Carolina de Araújo Silva, Maria Beatriz de Araújo Oliveira, André Luiz Sá de Alves, Sílvia Marinho Martins Barros, Maria das Neves Dantas da Silveira Cavalcanti, Maria da Glória Aureliano de Melo Oliveira, Gênova Maria de Azevedo Carrazzone, Cristina de Fátima VellosoOliveira Jr, Wilson Alves de Medeiros, Zulma Maria de 2022-10-10T13:01:46Zoai:revistas.usp.br:article/194811Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:53:00.957987Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
title |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
spellingShingle |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil Medeiros, Carolina de Araújo Chagas disease Morbidity Mortality Brazil Chronic disease |
title_short |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
title_full |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
title_fullStr |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
title_full_unstemmed |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
title_sort |
Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil |
author |
Medeiros, Carolina de Araújo |
author_facet |
Medeiros, Carolina de Araújo Silva, Maria Beatriz de Araújo Oliveira, André Luiz Sá de Alves, Sílvia Marinho Martins Barros, Maria das Neves Dantas da Silveira Cavalcanti, Maria da Glória Aureliano de Melo Oliveira, Gênova Maria de Azevedo Carrazzone, Cristina de Fátima Velloso Oliveira Jr, Wilson Alves de Medeiros, Zulma Maria de |
author_role |
author |
author2 |
Silva, Maria Beatriz de Araújo Oliveira, André Luiz Sá de Alves, Sílvia Marinho Martins Barros, Maria das Neves Dantas da Silveira Cavalcanti, Maria da Glória Aureliano de Melo Oliveira, Gênova Maria de Azevedo Carrazzone, Cristina de Fátima Velloso Oliveira Jr, Wilson Alves de Medeiros, Zulma Maria de |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Medeiros, Carolina de Araújo Silva, Maria Beatriz de Araújo Oliveira, André Luiz Sá de Alves, Sílvia Marinho Martins Barros, Maria das Neves Dantas da Silveira Cavalcanti, Maria da Glória Aureliano de Melo Oliveira, Gênova Maria de Azevedo Carrazzone, Cristina de Fátima Velloso Oliveira Jr, Wilson Alves de Medeiros, Zulma Maria de |
dc.subject.por.fl_str_mv |
Chagas disease Morbidity Mortality Brazil Chronic disease |
topic |
Chagas disease Morbidity Mortality Brazil Chronic disease |
description |
Chagas disease is among the 21 neglected diseases according to the World Health Organization. This study aimed to investigate the morbidity and mortality distribution of Chagas disease for identifying areas with greater prevalences and deaths of the disease in Northeast Brazil. A population-based ecological study was performed from 2016 to 2018 using data on acute Chagas disease patients from the Disease Notification Information System, chronic cases from the Chagas Disease and the referral Heart Failure Outpatient Clinic in Pernambuco, and Chagas disease-related mortality from the Mortality Information System. The unit of analysis were Pernambuco State mesoregions. The indicators were spatialized into thematic maps on the occurrence and mortality of the disease per 100,000 inhabitants. No cases of acute disease were reported in the period analyzed. Data on 801 chronic Chagas disease patients were analyzed. The population showed an average age of 62 years, with female predominance. The most prevalent comorbidity was systemic arterial hypertension and cardiologic involvement without ventricular dysfunction. The average chronic disease occurrence rate was 3.2/ 100,000 people/ year. As for deaths in the mortality system; in total, 350 deaths were recorded, showing male predominance, age ≥ 60 years, and chronic disease with cardiac involvement as the main mortality cause. The annual average mortality proportion was 1.6/100,000 people. The chronic case distribution showed spatial heterogeneity, with the highest rates of chronic disease and deaths observed in two mesoregions, with the main cause of death being heart-related. This highlights the need for more specialized services in areas with higher burden of the disease to avoid delay in the patients’ care. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/194811 10.1590/S1678-9946202264005 |
url |
https://www.revistas.usp.br/rimtsp/article/view/194811 |
identifier_str_mv |
10.1590/S1678-9946202264005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/194811/179983 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e05 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e05 Revista do Instituto de Medicina Tropical de São Paulo; v. 64 (2022); e05 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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||revimtsp@usp.br |
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1798951653763710976 |