Diabetes mellitus mortality in a municipality in the state of São Paulo, 2010 to 2014

OBJECTIVE: To describe diabetes mellitus mortality according to sex and age in a municipality in the state of São Paulo, in the period ranging from 2010 to 2014. METHODS: This was a temporal series ecological study carried out in Ribeirão Preto, state of São Paulo. The data was comprised of information on 583 deaths of Ribeirão Preto residents – regardless of the place of death – from 2010 to 2014. The data source was the electronic system of the Epidemiological Surveillance of the Municipal Health Department of the evaluated municipality. Sex, age group, premature death and year of death were chosen as variables. Subsequently, age-standardized mortality rates were calculated using the World Health Organization’s standard population, in addition to total and average per death potential years of life lost. RESULTS: Mortality due to diabetes mellitus in the municipality increased during the studied period. There was a higher occurrence of female deaths, especially in the ≥ 80 years age group. The highest rates of age-standardized mortality were male. For both sexes, there was an annual mean increase of 9% in premature mortality during the studied period. Diabetes decreased life expectancy by 10 years. CONCLUSIONS: As a diagnosis of local health care, the significant increase in agestandardized mortality rates, premature mortality and potential years of life lost in the studied municipality point to the need for improvements in health promotion and disease prevention measures. It is our hope that the results presented in this study contribute to the monitoring of mortality rates in the coming years.

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Prevalence of diabetes mellitus and impaired glucose tolerance in the urban population aged 30-69 years in Ribeirão Preto (São Paulo), Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802003000600002 ◽

2003 ◽

Vol 121 (6) ◽

pp. 224-230 ◽

Cited By ~ 66

Author(s):

Maria Teresa da Costa Gonçalves Torquato ◽

Renan Magalhães Montenegro Junior ◽

Luis Atílio Losi Viana ◽

Rui Augusto Hudari Gonçalves de Souza ◽

Carla Márcia Moreira Lanna ◽

...

Keyword(s):

Diabetes Mellitus ◽

Glucose Tolerance ◽

Impaired Glucose Tolerance ◽

Multicenter Study ◽

Urban Population ◽

Sao Paulo ◽

World Health ◽

Age Group ◽

São Paulo ◽

Family History Of Diabetes

CONTEXT: Diabetes mellitus prevalence has been increasing worldwide due to factors like lifestyle changes and higher life expectancy. The Brazilian Multicenter Study performed between 1986 and 1988 evaluated the prevalence of diabetes and impaired glucose tolerance. OBJECTIVE: To assess the prevalence of diabetes and impaired glucose tolerance in the urban population aged 30-69 years of the city of Ribeirão Preto, SP, Brazil. TYPE OF STUDY: A two-stage, cross-sectional home survey. SETTING: Ribeirão Preto, São Paulo, Brazil. PARTICIPANTS: A random sample of 1,473 individuals. METHODS: The sample plan was drawn up using a sampling scheme of stage conglomerates according to sex, age and family head income. Subjects were first screened by fasting capillary glycemia (FCG). Those that screened postiive (FCG > 100 mg/dl) and every seventh consecutive person who screened negative (FCG < 100 mg/dl) was submitted to a 75 g oral glucose tolerance test. The diagnosis of diabetes and impaired glucose tolerance were based on World Health Organization criteria. RESULTS: The overall rates of diabetes and impaired glucose tolerance were 12.1 and 7.7%, respectively. Men and women had similar rates of diabetes (12.0 vs. 12.1%) and impaired glucose tolerance (7.9 vs. 7.3%). Differences in the rates for whites (11.6%) and nonwhites (13.3%) for diabetes were not significant, while impaired glucose tolerance was more prevalent among whites. The prevalences of diabetes and impaired glucose tolerance ranged from 3.3% and 2.6% in the 30-39 year age group to 21.7% and 11.3% in the 60-69 year age group, respectively. Obese subjects (BMI > 30 kg/m²) and those with a family history of diabetes (first-degree relatives) presented higher prevalences of diabetes (22.6% and 19.7%, respectively). CONCLUSIONS: The prevalence of diabetes in Ribeirão Preto was found to be comparable to that occurring in developed countries. With respect to the Brazilian Multicenter Study we verified an increased prevalence of diabetes but a similar prevalence of impaired glucose tolerance. These findings may reflect modifications in environmental factors and lifestyle that have been occurring in Brazilian cities like Ribeirão Preto, especially regarding increasing rates of sedentary living and obesity.

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A descriptive study of prostate cancer mortality in the state of São Paulo, from 1980 to 2007

Einstein (São Paulo) ◽

10.1590/s1679-45082010ao1707 ◽

2010 ◽

Vol 8 (4) ◽

pp. 433-436 ◽

Cited By ~ 1

Author(s):

Ary Serpa Neto ◽

Marcos Tobias-Machado ◽

Marcelo Langer Wroclawski ◽

Marco Akerman ◽

Antônio Carlos Lima Pompeo ◽

...

Keyword(s):

Prostate Cancer ◽

Descriptive Study ◽

Mortality Rates ◽

Sao Paulo ◽

Linear Increase ◽

The State ◽

Mortality Data ◽

Age Group ◽

São Paulo ◽

Treatment Measures

ABSTRACT Objective: Prostate cancer is the second most common neoplasm among men worldwide. This study aimed to examine the trend in mortality rates of prostate cancer among the population in the state of São Paulo, Brazil, from 1980 to 2007. Methods: a descriptive study of temporal series was conducted using mortality data due to prostate cancer between1980 and 2007 in the state of São Paulo. Mortality rates were obtained from the SUS Information System on Mortality (SIM/SUS – DATASUS). The age-specific mortality rates were calculated as well as linear regression and temporal trend analysis. Results: It could be observed that mortality increased according to age, being very similar only between the age group 70-79 years and ≥ 80 years (p = 0.047). The mortality peak in the age group 50-79 years occurred at the same time; however, the drop in mortality rates since then has been much more pronounced in the group of 50-59 years. There was a linear increase and direct association between the number of biopsies and the incidence of prostate cancer (r = 0.714, p = 0.024). Conclusions: Prostate cancer is a major cause of mortality in São Paulo and effective screening and treatment measures should be adopted to improve this scenario.

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Determinants of neonatal, postneonatal and maternal mortality on models of primary health

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.857 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A B Guerra ◽

L M Guerra ◽

L F Probst ◽

B V Castro Gondinho ◽

G M Bovi Ambrosano ◽

...

Keyword(s):

Health Care ◽

Infant Mortality ◽

Maternal Mortality ◽

Public Policies ◽

Family Health ◽

Mortality Rates ◽

Sao Paulo ◽

The State ◽

Care Organization ◽

São Paulo

Abstract Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality and maternal mortality in the state of São Paulo, Brazil. Methods In this ecological study, data from national official open sources were used. Analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality and maternal mortality rates were calculated for every 1000 live births, 2013. The association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. We used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted “p” at 5%. Results The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. Conclusions It was concluded that the Family Health Care Strategy model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model. Key messages Implementation of public policies with specific focus on attenuating these factors and making it possible to optimize resources, and not interrupting the FHS. Knowledge of the factors with impact on these indicators would be of help in formulating public policies.

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A METÁTESE NA VARIEDADE DO INTERIOR PAULISTA

Muitas Vozes ◽

10.5212/muitasvozes.v.10.2118483 ◽

2021 ◽

Vol 10 ◽

pp. 1-23

Author(s):

J. A. DIAS ◽

M. C. CARMO

Keyword(s):

Elementary Education ◽

Linear Order ◽

Social Stigma ◽

Change Theory ◽

Sao Paulo ◽

The State ◽

Linguistic Variation ◽

Age Group ◽

São Paulo ◽

Level Of Education

This work analyzes the phonetic-phonological phenomenon named metathesis in the variety spoken in the inland of São Paulo, more precisely in the Northwest of the state. Through this phenomenon, ancient in Portuguese, there is an inversion in the linear order of sounds such as sa.tis.fa.ção ~ sas.ti.fa.ção (‘satisfaction’). Based on the assumptions of the Linguistic Variation and Change Theory (LABOV, 2008), 48 interviews from the IBORUNA database (Projeto Amostra Linguística do Interior Paulista – ALIP – [Linguistic Sample from Inland of São Paulo] GONÇALVES, 2021 [2007]), were investigated in order to verify possible linguistic and extralinguistic conditioners that motivate the phenomenon. As a result, 18 metathesis occurrences were found. Of these cases, 11 were progressive metathesis, six regressive and one reciprocal. It was also observed that most of the occurrences involve /r/ and are classified as perceptual metathesis. In respect of extralinguistic variables, the phenomenon is more frequent in the speech of masculine sex/gender (72% of the cases); in the age group older than 55 years old; and level of education of the second cycle of Elementary Education, which seems to provide evidence of social stigma.

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Evaluating the effects of re-opening plans on dynamics of COVID-19 in São Paulo, Brazil1

10.1101/2021.01.14.21249809 ◽

2021 ◽

Author(s):

F.A. Rubio ◽

T.N. Vilches

Keyword(s):

Virus Transmission ◽

Sao Paulo ◽

World Health ◽

Local Health ◽

São Paulo ◽

The Government ◽

Health Organization ◽

Five Phases ◽

Local Health System ◽

The City

AbstractCoronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization in early March 2020. In Brazil, São Paulo is the most affected state, comprising about 20% of the country’s cases. With no vaccine available to date, distancing measures have been taken to reduce virus transmission. To reduce the pandemic’s effect on the economy, the government of São Paulo has proposed a plan consisting of five phases of the gradual re-opening of activities. In this context, we have developed a mathematical model to simulate the gradual re-opening plan on the transmission dynamics of COVID-19, in the city of São Paulo. The model shows that a precipitous reopening can cause a higher peak of the disease, which may compromise the local health system. Waiting for the reduction in the incidence of infected individuals for at least 15 days to phase transition is the most efficient strategy compared to the fixed-period scenario at each phase of the re-opening plan.

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The challenge of managing extensively drug-resistant tuberculosis at a referral hospital in the state of São Paulo, Brazil: a report of three cases

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562015000000299 ◽

2015 ◽

Vol 41 (6) ◽

pp. 554-559 ◽

Cited By ~ 8

Author(s):

Marcos Abdo Arbex ◽

Hélio Ribeiro de Siqueira ◽

Lia D'Ambrosio ◽

Giovanni Battista Migliori

Keyword(s):

Sao Paulo ◽

The State ◽

Referral Hospital ◽

World Health ◽

Drug Resistant ◽

São Paulo ◽

Drug Resistant Tuberculosis ◽

Resistant Tuberculosis ◽

Extensively Drug Resistant ◽

Laboratory Test Results

ABSTRACT Here, we report the cases of three patients diagnosed with extensively drug-resistant tuberculosis and admitted to a referral hospital in the state of São Paulo, Brazil, showing the clinical and radiological evolution, as well as laboratory test results, over a one-year period. Treatment was based on the World Health Organization guidelines, with the inclusion of a new proposal for the use of a combination of antituberculosis drugs (imipenem and linezolid). In the cases studied, we show the challenge of creating an acceptable, effective treatment regimen including drugs that are more toxic, are more expensive, and are administered for longer periods. We also show that treatment costs are significantly higher for such patients, which could have an impact on health care systems, even after hospital discharge. We highlight the fact that in extreme cases, such as those reported here, hospitalization at a referral center seems to be the most effective strategy for providing appropriate treatment and increasing the chance of cure. In conclusion, health professionals and governments must make every effort to prevent cases of multidrug-resistant and extensively drug-resistant tuberculosis.

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Iodine insufficiency in pregnant women from the State of São Paulo

Arquivos Brasileiros de Endocrinologia & Metabologia ◽

10.1590/0004-2730000002979 ◽

2014 ◽

Vol 58 (3) ◽

pp. 282-287 ◽

Cited By ~ 21

Author(s):

Sabrina Maria Saueia Ferreira ◽

Anderson Marliere Navarro ◽

Patrícia Künzle Ribeiro Magalhães ◽

Léa Maria Zanini Maciel

Keyword(s):

Pregnant Women ◽

Urinary Iodine ◽

Sao Paulo ◽

The State ◽

World Health ◽

Nutrition Status ◽

Urinary Iodine Concentration ◽

São Paulo ◽

Iodine Nutrition ◽

Iodine Supply

Objective : The intake of adequate amounts of iodine during pregnancy is essential for the neurological development of the fetus. The aim of this study was to assess iodine nutrition status in pregnant women from the state of São Paulo, Brazil.Material and methods : We analyzed urinary iodine concentration (UIC) in 191 pregnant and 58 non-pregnant women matched by age. We used the World Health Organization criteria to define sufficient iodine supply (median UIC: 150-249 µg/L among pregnant women, and 100-199 µg/L for non-pregnant women).Results : Median UIC of the pregnant women studied was lower than the recommended value (median = 137.7 µg/L, 95% CI = 132.9 – 155.9), while non-pregnant women had UIC levels within the appropriate range (median = 190 μg/L; 95% IC = 159.3-200.1). UIC was below 150 µg/L in 57% of the pregnant women.Conclusions : Although a larger sample is needed to consolidate these findings, these results raise concerns about the adequacy of the iodine supply of pregnant women in Brazil, especially considering the new determinations of the Brazilian government, which have recently reduced the concentrations of iodine in table salt to 15-45 mg/kg of salt. Arq Bras Endocrinol Metab. 2014;58(3):282-7

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Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012

Revista Paulista de Pediatria (English Edition) ◽

10.1016/j.rppede.2016.03.009 ◽

2016 ◽

Vol 34 (3) ◽

pp. 263-270

Author(s):

Kelsy Catherina Nema Areco ◽

Tulio Konstantyner ◽

José Augusto de Aguiar Carrazedo Taddei

Keyword(s):

Infant Mortality ◽

Sao Paulo ◽

Secular Trends ◽

The State ◽

Age Group ◽

São Paulo

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Study of underreporting of cases of meningitis during a Covid-19 pandemic in the state of São Paulo

10.5327/1516-3180.034 ◽

2021 ◽

Author(s):

Paloma Fernandes de Oliveira ◽

Matheus Gomes Diniz e Silva ◽

Daniel Rocha Diniz Teles ◽

Sabrina de Freitas Barros Soares ◽

Antônio Fernando Soares Menezes Segundo

Keyword(s):

Health Services ◽

Health System ◽

Sao Paulo ◽

The State ◽

World Health ◽

São Paulo ◽

Significant Drop ◽

Knowing That ◽

The World ◽

Health Organization

Introduction: In 2020, the World Health Organization declared the COVID-19 pandemic, which brought an overload on the health system. This also impacted the care of other diseases such as meningitis. Meningitis is classified into infectious and non-infectious meningitis, and its prognosis changes with the etiology. Objective: To assess notifications of meningitis in São Paulo compared to the country before and during the COVID-19 pandemic. Methods: An analytical epidemiological study was carried out, from the DATASUS platform, of meningitis notifications, from 2016 to September 2020 in the state of São Paulo in comparison to the country. Results: In 2020 there was a drop in meningitis notifications in São Paulo regarding the average of cases between 2016-2019, where 1,837 cases were reported in 2020, while the average of 2016-2019 was 6,800 notifications, a decrease of approximately 27%. What was also observed in the country, where in 2020, 4,718 cases were reported compared to the 2016- 2019 average of 16,603 cases, a drop of 28.4%. There was a slight increase in the mortality from meningitis in the state from 6% to 7%. Conclusions: Knowing that there was a significant drop in notifications of cases of meningitis in the state of São Paulo and in the country, we can suspect a correlation with the coronavirus pandemic. Therefore, there are some possibilities for this phenomenon: the population with meningitis, for fear of becoming infected, did not seek health services or the overload of health services to monitor patients with COVID-19 led to underreporting of meningitis cases.

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Molecular characterization of Cryptosporidium in calves from rural settlements in the Northwest region of the state of São Paulo, Brazil

Semina Ciências Agrárias ◽

10.5433/1679-0359.2019v40n1p491 ◽

2019 ◽

Vol 40 (1) ◽

pp. 491

Author(s):

Lucas Vinicius Shigaki de Matos ◽

Luiz Da Silveira Neto ◽

Bruno César Miranda Oliveira ◽

Miriam Yumi Makatu ◽

Julia Cestari Pierucci ◽

...

Keyword(s):

Sao Paulo ◽

The State ◽

Age Group ◽

São Paulo ◽

Rural Settlements ◽

Potential Source ◽

Stool Samples ◽

Northwest Region ◽

First Time

The study was conducted on 25 properties of the settlements São José I and Salvador, located in the municipalities of Brejo Alegre and Birigui, in the State of São Paulo, Brazil. A record of variables was elaborated and included data such as gender, breed and age of the animals. A total of 231 stool samples were collected from bovines aged one to six months, 128 being females and 103 males, 131 crossbred and 100 Holstein. Among the 231 samples, 17 (7.36%) were positive for Cryptosporidium spp. both by malachite green negative staining and by nested-PCR. Of the 17 positive samples, 14 were sequenced in agarose gel. These sequences were detected between 99% and 100% of genetic similarity for the following species. One sequence was similar to C. parvum (AB513880.1), one to C. bovis (MF074602.1), two to C. ryanae (KT922233.1), one to C. felis (KM977642.1) and nine were similar for C. andersoni reference MF350628. C. andersoni was found in animals aged 2–6 months, an age group which is different from those described by several authors. The presence of C. parvum indicates that the calves in the studied region should be considered a potential source for zoonotic transmission. For the first time to our knowledge, C. felis was identified in cattle in America.

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