Regional variation in toxoplasmosis seronegativity in the São Paulo metropolitan region

Toxoplasmosis is a highly prevalent zoonotic human infection caused by the Apicomplexa protozoon Toxoplasma gondii. The acute disease is usually mild or asymptomatic, except for foetal infection transmitted by acutely infected pregnant women, which courses as a devastating disease. In order to determine possible regional variations in risk factors, we studied the frequency of seronegativity in areas of the São Paulo Metropolitan Region, comparing liters and age groups. The prevalence of seronegativity was determined retrospectively in 1286 pregnant women receiving prenatal care at public health services in four selected areas of the São Paulo Metropolitan Region of similar socioeconomic background. The São Paulo City area had the higher frequency of seronegativity (41.1%), followed by the Northwest (31.5%) and Southwest (29.9%) areas, with similar intermediate levels, and by the Northeast (22.5%) area with the lowest frequency (p<0.001). A rough estimate disclosed about 280 infected infants/year in the São Paulo Metropolitan Region. Serological titers analyzed by age group suggested a decline in antibody levels with age, as shown by a lower frequency of higher titers in older groups. Our study emphasizes the importance of determining the regional prevalence of toxoplasmosis for proper planning of public health prenatal care.

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Vasectomy within the public health services in Campinas, São Paulo, Brazil

International Nursing Review ◽

10.1111/j.1466-7657.2009.00761.x ◽

2010 ◽

Vol 57 (2) ◽

pp. 254-259 ◽

Cited By ~ 1

Author(s):

N.M. Marchi ◽

A.T. De Alvarenga ◽

M.J.D. Osis ◽

H.M. De Aguiar Godoy ◽

M.F. Simões e Silva Domeni ◽

...

Keyword(s):

Public Health ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

The Public

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Traditional and Integrative Medical Practices in Public Health Services in the Downtown-West Region of the City of São Paulo, Brazil, and Their Relation to Health Promotion

The Journal of Alternative and Complementary Medicine ◽

10.1089/acm.2008.0395 ◽

2008 ◽

Vol 14 (9) ◽

pp. 1071-1072 ◽

Cited By ~ 2

Author(s):

Sheila Busato ◽

Emília C. Mansoldo Tanaka ◽

Álvaro da Silva Santos ◽

Thais Eiko Higuchi ◽

José Roberto Leite ◽

...

Keyword(s):

Public Health ◽

Health Promotion ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

Medical Practices ◽

West Region ◽

The City

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Abortion among women living and not living with HIV \ AIDS, users of the public health services in the city of São Paulo: prevalence, contexts and reasons

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042020000200019 ◽

2020 ◽

Vol 20 (2) ◽

pp. 653-654

Author(s):

Maria Clara Silvestri ◽

João Pedro Espíndola Gomes ◽

Elonir Gomes ◽

Eliane Mazzuco

Keyword(s):

Public Health ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

The Public ◽

Living With Hiv ◽

The City ◽

Hiv Aids

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Spirometric evaluation of pregnant women exposed to air pollution in the Metropolitan Region of São Paulo

ISEE Conference Abstracts ◽

10.1289/isee.2016.3434 ◽

2016 ◽

Vol 2016 (1) ◽

Author(s):

Luciana Duzolina Manfré Pastro* ◽

Miriam Lemos ◽

Frederico Leon Arrabal Fernandes ◽

Silvia Regina Dias Médici Saldiva ◽

Sandra Elisabete Vieira ◽

...

Keyword(s):

Air Pollution ◽

Pregnant Women ◽

Sao Paulo ◽

Metropolitan Region ◽

São Paulo

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Seropositivity rates for toxoplasmosis, rubella, syphilis, cytomegalovirus, hepatitis and HIV among pregnant women receiving care at a public health service, São Paulo state, Brazil

The Brazilian Journal of Infectious Diseases ◽

10.1590/s1413-86702010000600009 ◽

2010 ◽

Vol 14 (6) ◽

pp. 601-605

Author(s):

Márcia Aparecida dos Santos Gonçalves ◽

Cinara de Cássia Brandão de Matos ◽

Lígia Cosentino Junqueira Franco Spegiorin ◽

Denise Cristina Mós Vaz Oliani ◽

Antonio Hélio Oliani ◽

...

Keyword(s):

Public Health ◽

Health Service ◽

Pregnant Women ◽

Public Health Service ◽

Sao Paulo ◽

São Paulo ◽

Paulo State ◽

São Paulo State ◽

Cytomegalovirus Hepatitis

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Prenatal care quality indexes of public health services in Salvador, Bahia

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002007000300011 ◽

2007 ◽

Vol 20 (3) ◽

pp. 311-315 ◽

Cited By ~ 3

Author(s):

Enilda Rosendo do Nascimento ◽

Quessia Paz Rodrigues ◽

Mariza Silva Almeida

Keyword(s):

Public Health ◽

Prenatal Care ◽

Health Services ◽

Pregnant Women ◽

Descriptive Study ◽

Care Quality ◽

Public Health Services ◽

Low Performance ◽

Quantitative Descriptive ◽

Quality Indexes

OBJECTIVE: To analyze prenatal care quality indexes of public health services in Salvador, Bahia following the implementation of the Prenatal and Birth Humanization Program (PBHB). METHODS: This quantitative descriptive study was conducted in primary care units in Salvador that adopted the Prenatal and Birth Humanization Program. RESULTS: Few pregnant women registered in the Prenatal and Birth Humanization Program had the benchmark of six prenatal consultations (9.76%). More than half of these registered pregnant women received all basic exams. However, only few women received puerperal consultations (5.66%), which conclude their maternal care. CONCLUSION: Prenatal care in Salvador, carried out through the Prenatal and Birth Humanization Program in 2002, had a low performance in basic exams, and in prenatal and puerperal consultations.

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Abortion among women living with or not living with HIV/AIDS users of public health services in São Paulo municipality: prevalence, contexts and reasons

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042019000400006 ◽

2019 ◽

Vol 19 (4) ◽

pp. 837-849

Author(s):

Adriana de Araujo Pinho ◽

Wilza Vieira Villela ◽

Regina Maria Barbosa ◽

Simone Souza Monteiro

Keyword(s):

Public Health ◽

Social Inequalities ◽

Sao Paulo ◽

Public Health Care ◽

Reference Network ◽

São Paulo ◽

Public Health Services ◽

Desire To Have Children ◽

Living With Hiv ◽

Hiv Aids

Abstract Objectives: we investigated the lifetime prevalence of abortion and life contexts and reasons reported for first abortion among women living (WLHA) and not living with HIV/AIDS(WNLHA). Methods: representative samples of 975 users of public health care reference network for HIV/AIDS and of 1,003 users of the primary care public services in São Paulo municipality were selected by cluster-stratified sampling and answered an electronic socio-behavioral questionnaire. Results: the prevalence of abortion was 11.9% (CI95%9.8-13.9) among WLHA and 3.0% (CI95%2.4-5.7) for WNLHA.Most abortions (128) among WLHA occurred before diagnosis and 28 after diagnosis or during pregnancy when diagnosis was given. The majority of women did not use any contraception at the time of the first abortion. The use of misoprostol was the most reported method. Having HIV was very important in deciding to abort for half of the WLHA. Absence of marital life and the lack of desire to have children were the most reported reasons by both groups. Conclusions: the similarity in contexts and reasons to abort among WLHA and WNLHA suggests that they share experiences molded by gender and social inequalities that affect their ability to access sexual and reproductive health resources and services.

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Barriers to control syphilis and HIV vertical transmission in the health care system in the city of Sao Paulo

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400040008 ◽

2014 ◽

Vol 17 (4) ◽

pp. 887-898 ◽

Cited By ~ 3

Author(s):

Valdete Maria Ramos ◽

Elisabeth Niglio de Figueiredo ◽

Regina Célia de Menezes Succi

Keyword(s):

Health Care ◽

Prenatal Care ◽

Pregnant Women ◽

Hospital Discharge ◽

Vertical Transmission ◽

Health Care Professionals ◽

Sao Paulo ◽

University Hospital ◽

Healthcare Personnel ◽

São Paulo

OBJECTIVE: The objective of this study was to identify possible barriers to control vertical transmission of syphilis and HIV through the analysis of the orientation process of pregnant women from prenatal care to the obstetric center at an university hospital in Sao Paulo (Reference) and their return (with their exposed babies) for follow-up after hospital discharge (counter-reference). METHODS: It is a retrospective cross-sectional study including interviews with healthcare personnel. Pregnant women with syphilis and/or HIV-infection admitted for labor or miscarriage were identified from August 2006 to August 2007. Routine care for mothers and babies were analyzed. RESULTS: 56 pregnant women were identified: 43 were HIV-infected, 11 had syphilis and two were coinfected (syphilis/HIV); 22 health care professionals were interviewed. Prenatal care was identified in 91.1% of these women: 7/11 (63.6%) with syphilis; 44/45 (97.8%) HIV-infected or coinfected. The reference for delivery was satisfactory for 57.7% of the syphilis-infected women and 97.7% of the HIV-infected ones. The counter-reference was satisfactory for all babies and mothers at hospital discharge, besides the non-adherence to this recommendation. Interviews with health care professionals showed there are better routines for assisting and following-up pregnant women, puerperal women and HIV-infected or exposed babies than for those infected with syphilis. The epidemiological report and surveillance system are also better for HIV-infected patients. CONCLUSION: The difficulties in the reference and counter-reference system of these women and their babies are evident barriers to control the vertical transmission of these infectious diseases.

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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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