Human leptospirosis in the municipality of São Paulo, SP, Brazil: distribution and trend according to sociodemographic factors, 2007–2016

ABSTRACT: Objectives: This study aimed to describe the incidence and proportional lethality of human leptospirosis in the municipality of São Paulo, between 2007 and 2016, according to sociodemographic factors and characteristics of the disease, and to assess the temporal trends of incidence, according to age group and region of residence. Methods: Proportional distributions of leptospirosis cases of residents in the municipality were built and regression models with a Binomial Negative response were adjusted. Results: 2,201 cases of leptospirosis were registered, most of them being males (82%), aged between 20 to 59 years (64.6%), white (39%) or brown (32.8%), residing in the South (27.8%), East (23.8%) and North (18.5%) regions. The overall lethality was 15.1%. The risk was higher in the 20 to 59 age group. There was a downward trend in incidence in all age groups and regions, estimated at 5.6% per year. Conclusions: Despite the downward trend in incidence, leptospirosis is a serious disease with high lethality, affecting mainly male individuals in the age groups considered economically active and living in the peripheral regions of the municipality

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Fifteen years of human leptospirosis in São Paulo, Brazil

Journal of Epidemiological Research ◽

10.5430/jer.v2n1p56 ◽

2015 ◽

Vol 2 (1) ◽

pp. 56 ◽

Cited By ~ 6

Author(s):

Roberta M. Blanco ◽

Eliete C. Romero

Keyword(s):

Public Health ◽

Age Groups ◽

Sao Paulo ◽

São Paulo ◽

Serum Samples ◽

Public Health Importance ◽

Pathogenic Leptospira ◽

Human Leptospirosis ◽

Leptospira Spp ◽

Seasonal Analysis

Objective: Leptospirosis is a worldwide zoonosis caused by pathogenic Leptospira spp. The aim of this study was to report theincidence of leptospirosis from 1998 to 2012 in the state of São Paulo, Brazil to show the importance of human leptospirosis andto describe some epidemiological characteristics.Methods: From January 1998 to December 2012, sera from patients with suspected leptospirosis were analyzed. The microscopicagglutination test (MAT) was used for serological investigations and MLST, serotyping and PFGE methods for the identificationof leptospires. The descriptive seasonal analysis was performed with Excel Microsoft version 2007. Pearson’s correlation wasused to assess the association between rainfall and the number of cases.Results: Among 22,795 serum samples, 2,430 cases of leptospirosis were laboratory confirmed, giving an average incidence rateof 1.35/100,000 inhabitants. Of these patients, 2,032 (83.62%) were male with a predominance in the age groups of 21-50 years.The highest incidence and rainfall were from December to April. There was correlation between the rainfall and the number ofcases. Icterohaemorrhagiae was the predominant serogroup.Conclusions: This study shows that leptospirosis is a seasonal disease in São Paulo with most cases occurring during the rainyseason, and thus, will continue to be a disease of public health importance.

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Behavior of gastric cancer in Brazilian population

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202009000100007 ◽

2009 ◽

Vol 22 (1) ◽

pp. 29-32 ◽

Cited By ~ 7

Author(s):

Carlos Eduardo Jacob ◽

Claudio Bresciani ◽

Joaquim José Gama-Rodrigues ◽

Osmar Kenji Yagi ◽

Donato Mucerino ◽

...

Keyword(s):

Gastric Cancer ◽

Gastric Resection ◽

Gastric Wall ◽

Age Groups ◽

Sao Paulo ◽

São Paulo ◽

Gender Ratio ◽

Male Predominance ◽

Number Of Patients ◽

Significant Difference

BACKGROUND: Gastric cancer (GC) is a predominately male disease. Usually for every female that suffers from this condition there are two males and occurred an increase in the number of females in last decades. Brazil is poor in data about this issue. AIM: To verify if in Brazil it happened: a) a change in the gender ratio and on the average age of the patients; b) an increase in the number of patients with 70 years of age or more suffering from this disease; c) changes in the gender ratio and in the average age in the several gastric locations during the period of study. METHODS: The medical history of patients diagnosed with primary gastric adenocarcinoma, between 1971 and 1998 were obtained at Hospital das Clínicas of the University of São Paulo, São Paulo, SP, Brazil. Exclusion criteria were: patients suffering from a non epithelial gastric malignancy; adenocarcinoma from the intestinal metaplasia in the distal esophagus invading the proximal stomach and patients submitted to a gastric resection, due to a benign or malignant tumor during the last five years prior to the surgical procedure analyzed in this study. The patients were divided into 10 years age groups and also divided in three groups, according to their ages and time intervals. Interrelationships between gender and age, and with tumor´s location on gastric wall were analyzed. RESULTS: From 1971 to 1998, 1578 patients with GC were hospitalized. Among them, 1021 were treated with gastric resection, corresponding to 64.7% of all patients. There was an increase in the proportion of patients older than 70 years, and decrease between 41 and 70 years. There was no statistical significant difference among the average ages and the different locations. There were significant differences for the locations favoring proximal third and stump, both more prevalent in males. CONCLUSIONS: a) Occurred modifications in the ratio between genders: greater number of women and an increase in the number of male patients in the age group between 41 and 70 years; b) it was proved the greater number of occurrences in patients over 70 years of age; c) there was a greater increase in the male predominance in the tumors located in the stomach´s proximal third.

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The Discourse of Female Photojournalists: The Imbalance between Remunerated Labor and Maternity as a Professional Calling

Brazilian Journalism Research ◽

10.25200/bjr.v14n1.2018.1056 ◽

2018 ◽

Vol 14 (1) ◽

pp. 202-219

Author(s):

Nathalia Cunha da Silva ◽

Elizabeth Moraes Gonçalves

Keyword(s):

Gender Roles ◽

Qualitative Methodology ◽

Age Groups ◽

Sao Paulo ◽

São Paulo ◽

Structured Interviews ◽

Contemporary World ◽

Theoretical Support ◽

Las Mujeres

This article aims to understand how female photojournalists see maternity within the profession in the contemporary world through the use of a study on the cultural and historical influence of gender roles on the performance and development of female photojournalists in the city of São Paulo. A qualitative methodology was adopted using semi-structured interviews. The interviews were conducted with nine female photojournalists from three different age groups who work both formally and informally. For the purposes of this study, we selected only the parts of the interview where the interviewees referred to their role of mother and professional. The analysis was based on a discursive approach, with theoretical support from French Discourse Analysis. The results show the influence gender roles have on forming symbolic barriers that connect having a career with an imbalance between paid work and maternity.O artigo objetiva compreender como as mulheres fotojornalistas percebem a maternidade dentro da profissão na contemporaneidade por meio de um estudo sobre a influência cultural e histórica dos papéis atribuídos de gênero na atuação e desenvolvimento feminino no fotojornalismo paulistano. A metodologia empregada é qualitativa, com uso de entrevista do tipo semiaberta. As entrevistas foram realizadas com nove mulheres que têm o fotojornalismo como principal atividade, com relações de trabalho formais e informais, divididas em três grupos etários. Para este texto foram selecionadas apenas as falas em que as entrevistadas faziam referência ao papel de mãe e profissional. O procedimento de análise seguiu uma abordagem discursiva, com subsídios teóricos na Análise do Discurso de linha francesa. Os resultados apontam a influência dos papéis atribuídos aos gêneros sobre a configuração de barreiras simbólicas que atrelam a permanência na carreira à exigência de um desequilíbrio entre trabalho remunerado e a maternidade. El artículo objetiva comprender cómo las mujeres fotoperiodistas perciben la maternidad dentro de la profesión en la contemporaneidad por medio de un estudio sobre la influencia cultural e histórica de los roles socialmente asignados de género en la actuación y el desarrollo de mujeres en el fotoperiodismo de la ciudad de Sao Paulo. La metodología empleada es cualitativa, con uso de entrevista del tipo semiabierta. Se entrevistó a nueve mujeres que actúan en el fotoperiodismo, con relaciones de trabajo formales o informales. Ellas han sido divididas en tres categorías de edad. Para este texto se seleccionaron sólo las palabras en las que las entrevistadas se referían al papel de madre y profesional. Los resultados apuntan a la influencia de los papeles atribuidos a los géneros sobre la configuración de barreras simbólicas que atrevan la permanencia en la carrera a la exigencia de un desequilibrio entre trabajo remunerado y maternidad.

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Cerebrovascular diseases mortality in the elderly in the state of São Paulo

10.5327/1516-3180.417 ◽

2021 ◽

Author(s):

Isaac Rêgo Purificação ◽

Allêh Kauãn Santos Nogueira ◽

Matheus Araújo de Souza ◽

Camila de Almeida Costa Alencar ◽

Sancha Mohana Brito Goes Rios

Keyword(s):

Age Groups ◽

The Elderly ◽

Cross Sectional Study ◽

Cerebrovascular Diseases ◽

Sao Paulo ◽

Primary Objective ◽

The State ◽

São Paulo ◽

Cross Sectional ◽

Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

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Sex differences in non-communicable disease prevalence in China: a cross-sectional analysis of the China Health and Retirement Longitudinal Study in 2011

BMJ Open ◽

10.1136/bmjopen-2017-017450 ◽

2017 ◽

Vol 7 (12) ◽

pp. e017450 ◽

Cited By ~ 4

Author(s):

Yan Liu ◽

Guofeng Liu ◽

Hongjiang Wu ◽

Weiyan Jian ◽

Sarah H Wild ◽

...

Keyword(s):

Sex Differences ◽

Heart Disease ◽

Longitudinal Study ◽

Lung Disease ◽

Chronic Lung Disease ◽

Communicable Disease ◽

Age Groups ◽

Sociodemographic Factors ◽

Age Group ◽

Cross Sectional

ObjectivesTo describe the sex differences in the prevalence of non-communicable diseases (NCDs) in adults aged 45 years or older in China.DesignCross-sectional study.SettingNationally representative sample of the Chinese population 2011.Participants8401 men and 8928 women over 45 years of age who participated in the first wave of the China Health and Retirement Longitudinal Study (CHARLS).Outcome measuresSelf-reported data on overall health and diagnosis of hypertension, dyslipidaemia, diabetes, heart disease, stroke, chronic lung disease, cancer or arthritis. Sex differences in NCDs were described using logistic regression to generate odds ratios (OR) with adjustment for sociodemographic factors and health-related behaviours. All analyses were stratified by age group for 45–64-year-old and ≥65-year-old participants.ResultsIn both age groups, men reported better overall health than women. The crude prevalence of heart disease, cancer and arthritis was higher while that of stroke and chronic lung disease was lower in women than in men. After adjustment, ORs (95% CI) for the 45–64 and ≥65 year age groups were 0.70 (0.58 to 0.84) and 0.66 (0.54 to 0.80), respectively, for arthritis for men compared with women. In contrast, ORs were 1.66 (1.09 to 2.52) and 2.12 (1.36 to 3.30) for stroke and 1.51 (1.21 to 1.89) and 1.43 (1.09 to 1.88) for chronic lung disease for men compared with women. ORs for heart disease (0.65 (0.52 to 0.80)) were lower in men than in women only in the 45–64 year age group.ConclusionsOdds of arthritis were lower while those of stroke and chronic lung disease were higher in men than in women in both age groups. However, odds of heart disease were lower in men than in women, but only in the group of individuals aged 45–64 years.

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Dietary Patterns and their Association with Overweight and Sociodemographic Factors among in a Cohort of Pregnant Women in São Paulo, Brazil.

International Journal of Epidemiology ◽

10.1093/ije/dyv096.471 ◽

2015 ◽

Vol 44 (suppl_1) ◽

pp. i254-i254

Author(s):

S. R. M. Saldiva

Keyword(s):

Pregnant Women ◽

Dietary Patterns ◽

Sociodemographic Factors ◽

Sao Paulo ◽

São Paulo

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Seasonal variation of femoral fractures in the state of São Paulo, Southeast Brazil

Revista de Saúde Pública ◽

10.11606/s1518-8787.2019053001051 ◽

2019 ◽

Vol 53 ◽

pp. 55 ◽

Cited By ~ 1

Author(s):

Mônica Marin de Souza ◽

Eniuce Menezes de Souza ◽

Altacílio Aparecido Nunes ◽

Edson Zangiacomi Martinez

Keyword(s):

Hospital Admissions ◽

Age Groups ◽

Femoral Fractures ◽

Sao Paulo ◽

The State ◽

Seasonal Effects ◽

Seasonal Effect ◽

Consecutive Series ◽

São Paulo ◽

Female Population

OBJECTIVE: To examine the effect of seasonality on femoral fracture incidence among people residing in the state of São Paulo, Brazil. METHODS: Ecological study based on a consecutive series of 216,348 reports of hospital admissions caused by femoral fractures. A Bayesian statistical model was used for time series analysis, considering the monthly average number of events of femoral fractures per day as a dependent variable. RESULTS: Among the female population, significant seasonal effects were observed only for older women, aged 60 years or more. Among younger men (aged less than 20 years) there is not a clear seasonal effect, but among the other age groups there seems to exist a higher number of cases of femoral fractures during the coldest months of the year. CONCLUSIONS: In general, more cases of fractures occur during the coldest months of the year; however, men and women have different patterns of incidence according to each age group.

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Relationship between the prevalence of antibodies to hepatitis B core antigen and arbovirus in fishermen from the Ribeira Valley, Brazil

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46651990000300012 ◽

1990 ◽

Vol 32 (3) ◽

pp. 215-220 ◽

Cited By ~ 3

Author(s):

Lygia Busch Iversson ◽

Celso F. Hernandes Granato ◽

Amélia Travassos da Rosa ◽

Cláudio Sérgio Pannuti

Keyword(s):

Hepatitis B Virus ◽

Hepatitis B ◽

Age Groups ◽

Sao Paulo ◽

Core Antigen ◽

São Paulo ◽

Region Detection ◽

Significant Difference ◽

B Virus ◽

Hepatitis B Core Antigen

Sera from 299 fishermen 16 to 80 years old, residents in Cananeia and Iguape counties, southern cost of São Paulo State, Brazil, were studied in order to identify a possible association between the prevalence of specific antibodies to the hepatitis B virus (HBV) and exposure to haematophagus mosquitoes evaluated by the prevalence of arbovirus antibodies. This professional group presented the highest prevalence of arbovirus antibodies (54.1%) in past investigations carried out in this heavily forested region. Detection of antibody to hepatitis B core antigen (anti-HBc) in the sera was done by enzyme immunoassay (Roche). Prevalence of anti-HBc antibodies in this group was 31.4% (94/299) which is very high compared with 7.2% to 15.0% for different groups of healthy adults in State of São Paulo. No significant difference is observed between the prevalences of HBV antibodies in Iguape and Cananeia. Prevalence of anti-HBc and anti-arbovirus antibodies increases with age. There is a concordance in the distribution according to age groups of the frequency of anti-HBc and anti-arbovirus positive sera. Ag HBs was detected in 4% of the studied sera. These results support the hypothesis that the transmission of the hepatitis B virus and the arboviruses may be due to the same factor, one of the possibilities would be by anthropophilic mosquitoes.

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