D B de Castro1, M Sadahiro2, R C Pinto2, B C de Albuquerque2, J U Braga3. 1. Fundação de Vigilância em Saúde do Amazonas, Manaus, Amazonas, Brazil; Escola Nacional de Saúde Pública Sérgio Arouca-Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil. 2. Fundação de Vigilância em Saúde do Amazonas, Manaus, Amazonas, Brazil. 3. Escola Nacional de Saúde Pública Sérgio Arouca-Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil; Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil; Programa Estratégico de Ciência, Tecnologia e Inovação-Saúde/Fundação de Amparo a Pesquisa do estado do Amazonas, Manaus, Amazonas, Brazil.
Abstract
SETTING: Brazil ranks eighteenth worldwide in annual numbers of new tuberculosis (TB) cases. The municipality of Manaus, Amazonas State, has the highest incidence of TB in Brazil. OBJECTIVE: To evaluate the quality of TB epidemiological surveillance, and to describe the spatial distribution pattern of TB incidence in Manaus and its social determinants. DESIGN: An ecological study was performed based on secondary data from TB epidemiological surveillance reports. RESULTS: An index was developed to classify neighborhoods in terms of the quality of surveillance and suspected underreporting. Based on data from neighborhoods with better surveillance performance, we observed that the average number of residents per room, the unemployment rate and the proportion of households connected to a sewage system were significant predictors of TB incidence. Seven neighborhoods in the south and west of the city had clusters of high TB transmission. CONCLUSION: Our results suggest that the association between TB and social vulnerability is obscured by the poor quality of TB surveillance data. We identified priority areas that require immediate TB control interventions and those where local surveillance efforts should be improved, and generated information useful for formulating more effective actions.
SETTING: Brazil ranks eighteenth worldwide in annual numbers of new tuberculosis (TB) cases. The municipality of Manaus, Amazonas State, has the highest incidence of TB in Brazil. OBJECTIVE: To evaluate the quality of TB epidemiological surveillance, and to describe the spatial distribution pattern of TB incidence in Manaus and its social determinants. DESIGN: An ecological study was performed based on secondary data from TB epidemiological surveillance reports. RESULTS: An index was developed to classify neighborhoods in terms of the quality of surveillance and suspected underreporting. Based on data from neighborhoods with better surveillance performance, we observed that the average number of residents per room, the unemployment rate and the proportion of households connected to a sewage system were significant predictors of TB incidence. Seven neighborhoods in the south and west of the city had clusters of high TB transmission. CONCLUSION: Our results suggest that the association between TB and social vulnerability is obscured by the poor quality of TB surveillance data. We identified priority areas that require immediate TB control interventions and those where local surveillance efforts should be improved, and generated information useful for formulating more effective actions.
Authors: Vanderson de Souza Sampaio; Maria Gabriela de Almeida Rodrigues; Leila Cristina Ferreira da Silva; Daniel Barros de Castro; Patrícia Carvalho da Silva Balieiro; Ana Alzira Cabrinha; Antonio José Leal Costa Journal: PLoS One Date: 2020-01-29 Impact factor: 3.240
Authors: Yunfei Li; Rodrigo de Macedo Couto; Daniele M Pelissari; Layana Costa Alves; Patricia Bartholomay; Ethel L Maciel; Mauro Sanchez; Marcia C Castro; Ted Cohen; Nicolas A Menzies Journal: Lancet Glob Health Date: 2022-08-29 Impact factor: 38.927
Authors: Daniel Barros de Castro; Elvira Maria Godinho de Seixas Maciel; Megumi Sadahiro; Rosemary Costa Pinto; Bernardino Cláudio de Albuquerque; José Ueleres Braga Journal: Int J Equity Health Date: 2018-12-29