Triple disease burden in Brazil, 1990-2021:: Changes, inflections and the Covid19 factor

• Autor(a) principal: Filho, Adauto Martins Soares
• Data de Publicação: 2022
• Outros Autores: França, Giovanny Vinícius Araújo de, Malta, Deborah Carvalho
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/39410
• topic: Efeitos Psicossociais da Doença; Causas de Morte; Infecções por Coronavírus; Registros de Mortalidade; Sistemas de Informação; Vigilância em Saúde Pública; Cost of Illness; Cause of Death; Coronavirus Infections; Mortality Registries; Information Systems; Public Health Surveillance; Costo de Enfermedad; Causas de Muerte; Infecciones por Coronavirus; Registros de Mortalidad; Sistemas de Información; Vigilancia en Salud Pública

Objective: to describe the time evolution by the triple burden of diseases in Brazil, comparing the mortality data from the Mortality Information System (Sistema de Informação de Mortalidade, SIM) and from the Global Burden of Disease (GBD) study. Method: a descriptive and exploratory study on the time evolution of the rates and the proportional distribution of deaths for infectious diseases, chronic non-communicable diseases (CNCDs) and external causes, using two data sources and encompassing the period from 1990 to 2021. The SIM rates were adjusted by means of the direct method by age and smoothed by the mobile mean. The GBD estimates correct under-recording and garbage causes. Results: Brazil recorded 817,284 (1990) and 1,349,801 (2019) deaths in the SIM, corrected by 17.7% and 1.9% in the GBD for each year. During this period, the mortality rates decreased in both sources, respectively: CNCDs -16.8% (from 433.7 to 360.7) and -34% (from 720.5 to 474.6); infectious diseases -20.2% (from 86 to 68.6) and -57.2% (from 198.5 to 84.9); external causes -17.3% (from 77.4 to 64) and -27% (from 100.9 to 73.7). The SIM showed a 79.2% reduction (from 138.6 to 28.8) for the ill-defined causes (IDCs). The GBD correction factors were higher in the years before 2015. After 2019, the rates corresponding to infectious diseases and IDCs in the SIM were increased by 207% (from 68.6 to 210.7) and by 30.2% (from 28.8 to 37.5), respectively. Conclusion: the advances in the epidemiological transition of the burden of disease and improvement in the death data in Brazil were interrupted by COVID-19, thus increasing the burden of infectious diseases.