Spatial distribution of tuberculosis cases in children in Brazil: an ecological study, 2010-2020
DOI:
https://doi.org/10.33448/rsd-v11i13.36036Keywords:
Epidemiologic studies; Tuberculosis; Child.Abstract
Tuberculosis is among the leading causes of death in children. In addition, it is recognized that its occurrence is spatially dependent, with higher incidence/prevalence in regions of greater socioeconomic and programmatic vulnerability. Thus, the objective was to analyze the spatial distribution of tuberculosis cases in Brazil, between 2010 and 2020. An ecological study was carried out, in which tuberculosis notifications in children in the Brazilian state were analyzed. Data were collected in the Notifiable Diseases Information System, considering the year of diagnosis and the place of notification. Tuberculosis incidence coefficients in children aged 0 to 9 years were calculated. Furthermore, data were presented with absolute and relative frequency, as well as percentage variation between the beginning and the end of the period. For the spatial distribution, a choropleth map was constructed. Between 2010 and 2020, 14,802 cases of tuberculosis were recorded in children in Brazil, with an average coefficient of 4.5/100,000 inhabitants. The spatial distribution showed a higher concentration of cases in the states of the North and Southeast regions, as a possible consequence of programmatic and demographic aspects, respectively. There was a drop in cases in 2020, presumably because of the reorganization of health actions and services to combat COVID-19. In addition, between the beginning and the end of the series, different behaviors were observed in the country, with an increase in some states and a decrease in others. This scenario highlights the importance of ecological studies, as they provide the opportunity to identify the occurrence of diseases in different locations, aiming at subsidizing public policies to combat them.
References
Brasil. (2019). Ministério da Saúde. Manual de recomendações para o controle da tuberculose no Brasil. Brasília, DF. http://www.aids.gov.br/pt-br/pub/2019/manual-de-recomendacoes-para-o-controle-da-tuberculose-no-brasil
Brasil. (2021). Ministério da Saúde. Boletim epidemiológico da tuberculose. Brasília, DF. http://www.aids.gov.br/pt-br/pub/2021/boletim-tuberculose-2021
Brasil. (2021). Ministério da Saúde. Brasil livre da tuberculose: plano nacional pelo fim da tuberculose como problema de saúde pública. Brasília, DF. https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/t/tuberculose/arquivos/final_plano-nacional-pelo-fim-da-tb_2021-2025.pdf
Brasil. (2022). Ministério da Saúde. Sistema de Informação de Agravos de Notificação. https://datasus.saude.gov.br/acesso-a-informacao/casos-de-tuberculose-desde-2001-sinan/
Carvalho, A. C. C., Cardoso, C. A. A., Martire, T. M., Migliori, G. B., & Sant’Anna, C. C. (2018). Epidemiological aspects, clinical manifestations, and prevention of pediatric tuberculosis from the perspective of the End TB Strategy. Jornal Brasileiro de Epidemiologia, 44(2). 10.1590/S1806-37562017000000461
Carvalho, A. C. C., Martins, P. S., Cardoso, C. A. A., Miceli, A. L., Martire, T., Sant’Anna, M. F. B. P., & Sant’Anna, C. C. (2020). Pediatric tuberculosis in the metropolitan area of Rio de Janeiro. International Journal of Infectious Diseases, 98, pp. 299-304. 10.1016/j.ijid.2020.06.070
Cortez, A. O., Melo, A. C., Neves, L. O., Resende, K. A., & Camargos, P. (2021). Tuberculose no Brasil: um país, múltiplas realidades. Jornal Brasileiro de Pneumologia, 47(2). 10.36416/1806-3756/e20200119
Couto, M. T., Barbieri, C. L. A., & Matos, C. C. S. A. (2021). Considerações sobre o impacto da COVID-19 na relação indivíduo-sociedade: da hesitação vacinal ao clamor por uma vacina. Saúde e Sociedade, 30(1). 10.1590/S0104-12902021200450
Fukunaga, R., Glaziou, P., Harris, J. B., Date, A., Floyd, K., & Kasaeva, T. (2021). Epidemiology of tuberculosis and progress toward meeting global targets — worldwide, 2019. Morbidity and Mortality Week Report, 70(12), pp. 427-430. 10.15585/mmwr.mm7012a4
Instituto Brasileiro de Geografia e Estatística. (2022). Cidades e Estados: Brasil. Brasília, DF. https://www.ibge.gov.br/cidades-e-estados/pr.html
Jaganath, D., Beaudry, J., & Salazar-Austin, N. (2022). Tuberculosis in children. Infectious Disease Clinics of North America, 36(1), pp. 49-71. 10.1016/j.idc.2021.11.008
Jain, V. K., Iyengar, K. P., Samy, D. A., & Vaishya, R. (2020). Tuberculosis in the era of COVID-19 in India. Diabetology & Metabolic Syndrome, 14(5), pp.1439-1443. 10.1016/j.dsx.2020.07.034
Junges, J. R., Burille, A., & Tedesco, J. (2020) Tratamento Diretamente observado da tuberculose: análise crítica da descentralização. Interface, 24. 10.1590/Interface.190160
Magnabosco, G. T., Órfão, N. H., Brunello, M. E. F., Wysocki, A. D., Lopes, L. M., & Campoy, L. T. (2020). New diseases and old threats: the impact of COVID-19 on tuberculosis management. Saúde Coletiva (Barueri), 10(54), pp. 2639-2644. 10.36489/saudecoletiva.2020v10i54p2639-2644
Merchán-Hamann, E., & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiologia e Serviços de Saúde, 30(1). 10.1590/s1679-49742021000100026
Monteiro, L. R. S., Silva, I. G. P., Pavinati, G., Lima, L. V., Gavioli, A., & Magnabosco, G. T. (2022). Impact of the COVID-19 pandemic on hospitalization and mortality from chronic communicable diseases: scoping review. Nursing (São Paulo), 25(291), pp. 8430-8447. 10.36489/nursing.2022v25i291p8430-8447
Pelissari, D. M., Batholomay, M. G. J., Jacobs, M. G., Arakaki-Sanchez, D., Anjos, D. S. O., Costa, M. L. S., & Diaz-Quijano, F. A. (2018). Offer of primary care services and detection of tuberculosis incidence in Brazil. Revista de Saúde Pública, 52(53). 10.11606/S1518-8787.2018052000131
Roquette, R., Nunes, B., & Painho, M. (2018). The relevance of spatial aggregation level and of applied methods in the analysis of geographical distribution of cancer mortality in mainland Portugal (2009-2013). Population Health Metrics, 16(1). 10.1186/s12963-018-0164-6
Rossman, M. D., & Macgregor, R. (1995). Introduction and brief history. (1a. ed.) Philadelphia: McGraw-Hill.
Santos, B. A., Cruz, R. P. S., Lima, S. V. M. A., Santos, A. D., Araújo, K. C. G. M., & Nunes, M. A. P. (2020). Tuberculose em crianças e adolescentes: uma análise epidemiológica e espacial no estado de Sergipe, Brasil, 2001-2017. Ciência & Saúde Coletiva, 25(8). 10.1590/1413-81232020258.25692018 Saúde, 30(1). 10.1590/s1679-49742021000100026
Shaweno, D., Karmakar, M., Alene, K. A., Ragonnet, R., Clements, A. C., Trauer, J. M., & McBryde, E. S. (2018). Methods used in the spatial analysis of tuberculosis epidemiology: a systematic review. BMC Medicine, 16(1). doi: 10.1186/s12916-018-1178-4
Silva, G. D. M., Duarte, E. C., Cruz, O. G., & Garcia, L. P. (2020). Identificação de microrregiões com subnotificação de casos de tuberculose no Brasil, 2012 a 2014. Epidemiologia e Serviços de Saúde, 29(1). 10.5123/S1679-49742020000100025
Siqueira, T. C., Martellet, M. G., Tavernard, G. L. N., Silva, V. M., Moura, S. T. S., Silva L. A. F., & Órfão, N. H. (2020) Percepção de enfermeiros: enfoque na família e orientação para a comunidade nas ações de tuberculose. Ciência, Cuidado e Saúde, 19(e50175). 10.4025/ciencuidsaude.v19i0.50175
Sousa, G. J. B., Silva, J. C. O., Queiroz, T. V., Bravo, L. G., Brito, G. C. B., Pereira, A. S., & Santos, L. K. X. (2019). Clinical and epidemiological features of tuberculosis in children and adolescents. Revista Brasileira de Enfermagem, 72(5). doi: 10.1590/0034-7167-2018-0172
Tahan, T. T., Gabardo, B. M. A., & Rossoni, A. M. O. (2020). Tuberculosis in childhood and adolescence: a view from different perspectives. Jornal de Pediatria, 96(suppl 1), pp. 99-110. 10.1016/j.jped.2019.11.002
World Health Organization. (2015). The end TB strategy. Genebra, CH. https://www.who.int/teams/global-tuberculosis-programme/the-end-tb-strategy
World Health Organization. (2016). Global tuberculosis report 2016. Genebra, CH. https://www.paho.org/annual-report-2016/Portugues.html
World Health Organization. (2021). Global tuberculosis report 2021. Genebra, CH. https://www.who.int/publications/i/item/9789240037021
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