Tuberculosis in Brazil: last ten years analysis - 2001-2010

Brazilian Journal of Infectious Diseases

Torrens, Ana Wieczorek¹  Barreira, Draurio¹  Oliveira, Gisele Pinto de¹  Bartholomay, Patrícia¹ 

[1] Ministry of Health of Brazil, Brasília, Brazil

关键词: Tuberculosis;    Epidemiology;    Surveillance;    Information system;    Data quality    IntroductionAlthough tuberculosis (TB) has an effective treatment for decades;    with the resurgence of the disease in the 80s and 90s;    as a result of the AIDS epidemic;    the World Health Organization (WHO) established TB as a global public health emergency in 1993;   

DOI  :  10.1016/j.bjid.2013.01.005

来源: Contexto

【 摘 要 】

OBJECTIVE: To describe tuberculosis epidemiological situation in Brazil, as well as program performance indicators in 2001-2010 period, and discuss the relationship between changes observed and control measures implemented in this century first decade.METHODS: It is a descriptive study, data source was the Information System for Notifiable Diseases (Sinan), Mortality Information System (SIM), Unified Health System Hospital Information System (SIH/SUS) and TB Multidrug-resistant Surveillance System (MDR-TB/SS). Indicators analyzed were organized into four major groups: TB control program (TCP) coverage and case detection; morbidity; treatment and TCP performance; and mortality.RESULTS: In the years analyzed there was a decrease in the number of new cases and incidence rate, mortality reduction (relative and absolute), and improvement in TB detection and diagnosis, as well in TB/HIV coinfection and drug resistance. However, little progress was found in contact investigation, diagnosis in primary care and TB cure rate.DISCUSSION: Results showed many advances in tuberculosis control in the 10 years analyzed, but it also points to serious obstacles that need to be solved so Brazil can eliminate tuberculosis as a public health problem.

【 授权许可】

CC BY-NC-ND