scholarly journals Syphilis in Pregnant Women and Congenital Syphilis: Spatio-temporal Dynamics and Covariates in the Middle-income Country – São Paulo, Brazil

2021 ◽  
Author(s):  
Joelma Alexandra Ruberti ◽  
Mellina Yamamura ◽  
Zilda Pereira da Silva ◽  
Carmen Silvia Bruniera Domingues ◽  
Eliseu Alves Waldman ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Temporal Dynamics ◽  
Congenital Syphilis ◽  
Secondary Data ◽  
Sao Paulo ◽  
São Paulo ◽  
En Bloc ◽  
Middle Income ◽  
Continuous Increase

Abstract We aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatial and temporal components from 645 municipalities in SP and included data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used a binomial negative probability distribution. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.7 and 6.6 times, respectively. Moreover, this increase occurred in en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and aids incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, inadequate technology to perform deliveries in the municipality, and aids incidence. Interventions to control these diseases are needed in almost all the municipalities of the SP.

scholarly journals Spatiotemporal dynamics of syphilis in pregnant women and congenital syphilis in the state of São Paulo, Brazil

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Joelma Alexandra Ruberti Medeiros ◽  
Mellina Yamamura ◽  
Zilda Pereira da Silva ◽  
Carmen Silvia Bruniera Domingues ◽  
Eliseu Alves Waldman ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Congenital Syphilis ◽  
Probability Distributions ◽  
Secondary Data ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
En Bloc ◽  
Continuous Increase

AbstractWe aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatiotemporal components from 645 municipalities in SP including data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used binomial negative probability distributions. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.6 and 6.6 times, respectively. This increase occurred en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and acquired immunodeficiency syndrome (AIDS) incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, and AIDS incidence. Although actions to control these diseases are required in all municipalities of SP, the identification of high-risk areas points to priority regions for development.

scholarly journals Epidemiological profile of patients with congenital and gestational syphilis in a city in the State of São Paulo, Brazil

2019 ◽  
Vol 19 (4) ◽  
pp. 865-872
Author(s):  
Taiza Maschio-Lima ◽  
Iara Lúcia de Lima Machado ◽  
João Paulo Zen Siqueira ◽  
Margarete Teresa Gottardo Almeida
Keyword(s):  
Pregnant Women ◽  
Ecological Study ◽  
Congenital Syphilis ◽  
Sao Paulo ◽  
World Health ◽  
São Paulo ◽  
Adequate Treatment ◽  
Live Births ◽  
Epidemiological Profile ◽  
Health Organization

Abstract Objectives: to assess the epidemiological profile of congenital and syphilis during pregnancy in residents of São José do Rio Preto in São Paulo State. Methods: ecological study of the epidemiological profile of patients with congenital and gestational syphilis, based on the Sistema de Informação de Agravos de Notificação (Information System for Notifiable Diseases) from 2007 to 2016. Results: there were 396 cases of syphilis reported in pregnant women and 290 of congenital syphilis. In 2016, the rate of detecting syphilis in pregnant women was 13.2 cases/1,000 live births, while congenital syphilis the incidence rate was 6.5 cases/1,000 live births. For gestational syphilis, 54% of the diagnosis was performed in 2nd or 3rd trimester and 85% were reported at the primary care. Adequate treatment for pregnant women occurred in 96% of the notifications with 52% of partners treated. In congenital syphilis, 82% of the mothers underwent prenatal care. However, 94% of the pregnant women were treated inadequately while 82% of the partners did not receive any treatment. Conclusions: there has been an increase in the number of cases of gestational syphilis in pregnant women and a decrease in the cases of congenital syphilis from 2014. These results showed that the goal of 0.5 case/1,000 live births proposed by World Health Organization is still far from being achieved in this city.

scholarly journals Syphilis in Pregnancy: Profile and Associated Factors in the Northwest Region of São Paulo State

2021 ◽  
Vol 14 (3) ◽  
pp. 1-10
Author(s):  
Cléa Adas Saliba Garbin ◽  
Lia Borges de Mattos Custódio ◽  
Orlando Adas Saliba Júnior ◽  
Artênio José Ísper Garbin ◽  
Suzely Adas Saliba Moimaz
Keyword(s):  
Pregnant Women ◽  
Vertical Transmission ◽  
Congenital Syphilis ◽  
Transmission Rate ◽  
Public Health Problem ◽  
Sao Paulo ◽  
São Paulo ◽  
Significance Level ◽  
Vertical Transmission Rate ◽  
Northwest Region

Brazil is undergoing an epidemic of syphilis. In the pregnancy-puerperal cycle, syphilis has a high incidence and is considered a public health problem. This study aimed to perform the temporal and incidence analysis of gestational and congenital syphilis cases in 28 municipalities in the northwest region of the state of São Paulo. This was an observational, epidemiological, ecological study carried out with secondary data collected between 2010 and 2017 in public databases of SINAN and SINASC. The reported cases of gestational/congenital syphilis were described according to sociodemographic variables and chi-square association tests were applied at a significance level of 5%. There were 350 cases of gestational syphilis and 164 cases of congenital syphilis; the average vertical transmission rate was 44.09%; partners had low adherence to treatment; and 86.59% pregnant women attended prenatal care. It can be concluded that vertical transmission rate of syphilis is high, and few partners of pregnant women adhere to the treatment.

scholarly journals P745 The pregnancy syphilis cascade of care: “95–95–95” goals for reducing of congenital syphilis in the state of sao paulo, brazil

2019 ◽  
Author(s):  
Carmen Silvia Domingues ◽  
Mariza Tancredi ◽  
Valdir Pinto ◽  
Carla Luppi ◽  
Solange Gomes ◽  
...  
Keyword(s):  
Congenital Syphilis ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Cascade Of Care

scholarly journals Rubella Vaccination of Unknowingly Pregnant Women: The São Paulo Experience, 2001

2011 ◽  
Vol 204 (suppl_2) ◽  
pp. S737-S744 ◽  
Author(s):  
Helena K. Sato ◽  
Andrea Torres Sanajotta ◽  
José Cássio Moraes ◽  
Joelma Queiróz Andrade ◽  
Geraldo Duarte ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Sao Paulo ◽  
São Paulo ◽  
Rubella Vaccination

Occurrence, distribution and behaviour of Bryde's whales (Cetacea: Mysticeti) off south-east Brazil

2015 ◽  
Vol 96 (4) ◽  
pp. 943-954 ◽  
Author(s):  
Leandra Regina Gonçalves ◽  
Mabel Augustowski ◽  
Artur Andriolo
Keyword(s):  
Social Interactions ◽  
Marine Protected Areas ◽  
Significant Contribution ◽  
Oil And Gas ◽  
Sao Paulo ◽  
Coastal Areas ◽  
São Paulo ◽  
Behavioural Pattern ◽  
Continuous Increase ◽  
Paulo State

Bryde's whales are among the lesser known balaenopterids found in Brazilian waters, as well as globally. At the beginning of this project, only occasional sightings of this species were identified off the coast of São Paulo State. In this paper, we present the results of our investigations into the occurrence and behaviour of Bryde's whales along the São Paulo coast, both inside and outside the Marine State Park of Laje de Santos, as a contribution to biological and behavioural knowledge of Bryde's whales under the conservation scope. Sighting surveys were conducted from January 2003 to July 2005 in coastal and oceanic areas. During the survey, 42 sightings were made, totalling 71 individuals, between the isobaths of 20 and 3000 m. Sightings and individual rates were higher in coastal areas during the summer season. Different kinds of behaviour were observed in coastal and oceanic areas. At the 1200 m isobath, notable social interactions were observed in which four adult individuals performed breaching – the first report of this behavioural pattern for Brazil. Results suggest that Bryde's whales possibly use coastal areas for feeding and may migrate to oceanic areas for breeding, thus providing important aspects that must be considered for the proper management of Marine Protected Areas and for oceanic areas, especially considering the intensive and continuous increase of oil and gas exploitation activities in those areas. Data reported here, therefore, constitute a significant contribution in Bryde's whale research and to cetacean conservation efforts in Brazil.

scholarly journals Deaths in women during fertile years and pregnant women as confirmed for pandemic influenza A (H1N1) in the state of São Paulo

2010 ◽  
Vol 14 ◽  
pp. e96
Author(s):  
A. Ribeiro ◽  
G.D. Freitas ◽  
A.C.G. Pellini ◽  
T.R.M.P. Carvalhanas ◽  
A.L.F. Yu ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Pandemic Influenza ◽  
Influenza A ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Influenza A H1n1

scholarly journals Severe influenza A(H1N1)pdm09 in pregnant women and neonatal outcomes, State of Sao Paulo, Brazil, 2009

PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0194392 ◽  
Author(s):  
Ana Freitas Ribeiro ◽  
Alessandra Cristina Guedes Pellini ◽  
Beatriz Yuko Kitagawa ◽  
Daniel Marques ◽  
Geraldine Madalosso ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Influenza A ◽  
Sao Paulo ◽  
Neonatal Outcomes ◽  
São Paulo ◽  
Severe Influenza ◽  
Influenza A H1n1

scholarly journals DAS CARROÇAS DE CINCO SOUS PARA A COMODIDADE DOS BURGUESES: PARIS, SÃO PAULO E O DESAFIO HISTÓRICO DA MOBILIDADE URBANA

2013 ◽  
Vol 5 (1) ◽  
pp. 130-163
Author(s):  
Leandro Fraga Guimaraes ◽  
Jaciara Martins Fontes Cruz
Keyword(s):  
Urban Planning ◽  
20Th Century ◽  
Secondary Data ◽  
Sao Paulo ◽  
São Paulo ◽  
Urban Mobility ◽  
Large Cities ◽  
Core Elements ◽  
Selection Of

Both Paris and São Paulo are cities which feature notably distinct occupation histories. As of secondary data and by means of a bibliographical review that sought to collate standpoints of authors engaged in the fields of urban planning and mobility - in addition to urban mobility systems ideation and development historians and scholars – the historical report wherein mobile impairments evolved at each of the mentioned large urban centres, was summarized into a case study, encompassing from emergence to the 20th. Century - a period both cities experienced pivotal transformations - although these took place in substantially diverse manners. To this effect, reasoning was also gathered so as to, in overview, characterize the challenges that urban mobility, for thousands of years, continues to bring about to cohabitation within restricted space, at large cities. Much conversely to being a recent matter of issue, it is a challenge that remains and changes, although some of its core elements have been found to be breathtakingly perseverant throughout history. Conclusion resides in comments relative to a selection of contemporary alternatives that are currently in use at both cities so as to better direct the addressing of the urban mobility issue and also includes a set of alternatives deemed best successful than that known as solutions to this problem which strong holds its very presence at all major cities of the globe.

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