Tuberculose pulmonar em populações de Mato Grosso do Sul

• Autor(a) principal: Ferraz, Antonio Flávio
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4564
• topic: Tuberculosis; SIS-Fronteiras; Population deprived of liberty; Tuberculose; SIS-Fronteiras; População privada de liberdade; Tuberculoses Brasil; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

With a notification of 71,000 cases and 4,800 deaths in Brazil in 2010, tuberculosis was the third cause of mortality among infectious diseases. To evaluate the situation of tuberculosis in the state of Mato Grosso do Sul, the present study was prepared. We conducted an ecological study, from the Information System of Injuries Notification (Sinan), was calculated incidence rates of pulmonary tuberculosis, for socio-demographic variables and proportions for other selected variables. The source of information on the Population Deprived of Liberty (PPL) was the Ministry of Justice. Internal comparisons were made in the first article, comparisons of results for PPL with the general population of the state, in the second article, and results obtained for the population of border areas were compared with people living in other areas of the state, the third article. There was an average annual incidence of 39 cases in the general population of the state of Mato Grosso do Sul, and between the PPL, a rate of 871 cases of pulmonary tuberculosis per 100,000 inhabitants-years, 25.2 (95% CI : 22.3 to 28.5) times the rate for the general population. There was also among the indigenous population of the state, a rate of 244 cases with a relative risk of 7.32 (95% CI: 6.1 to 8.8) compared with the general population of the state. In the border area with Paraguay could be observed a rate of 50 cases, and, on the border with Bolivia, a rate of 84 cases per 100,000 inhabitants-years, corresponding to relative risks of 2.16 (CI 95%: 2 0.01 to 2, 33) and 1.28 (1.19 to 1.37) for the areas bordering Paraguay and Bolívia, respectively, as compared to the overall population of the state of Mato Grosso do Sul. We conclude that the Tuberculosis Control Program in the state of Mato Grosso do Sul needs reformulation and new strategies, including surveys for early detection of people deprived of freedom and a Health Observatory for the border areas of the state, and other control measures, yet to be discussed, defined and implemented to better control the disease in our midst.