scholarly journals PROPORTIONAL MORTALITY RATIO DUE TO CHAGAS DISEASE IS FIVE TIMES HIGHER FOR THE STATE OF GOIAS THAN THE REST OF BRAZIL

2017 ◽  
Vol 46 (1) ◽  
pp. 35 ◽  
Author(s):  
Cicílio Alves Moraes ◽  
Alejandro Ostermayer Luquetti ◽  
Patrícia Gonçalves Moraes ◽  
Cristiane Gonçalves de Moraes ◽  
Dayse Elisabeth Campos Oliveira ◽  
...  
Keyword(s):  
Chagas Disease ◽  
The State ◽  
Proportional Mortality ◽  
Mortality Ratio

scholarly journals First report of Eratyrus mucronatus, Stal, 1859, (Hemiptera, Reduviidae, Triatominae), in the State of Rondônia, Brazil

2011 ◽  
Vol 44 (4) ◽  
pp. 511-512 ◽  
Author(s):  
Dionatas Ulises de Oliveira Meneguetti ◽  
Olzeno Trevisan ◽  
Renato Moreira Rosa ◽  
Luís Marcelo Aranha Camargo
Keyword(s):  
Geographical Distribution ◽  
Chagas Disease ◽  
The State ◽  
First Report ◽  
First Time

INTRODUCTION: This paper reports, for the first time, the presence of the Eratyrus mucronatus species in the State of Rondonia, Brazil. METHODS: These specimens were caught by chance in the forest and later they were collected using luminous traps. RESULTS: After finding these specimens, the number of the Triatominae genera in Rondonia rose to four, while its species rose to seven. CONCLUSIONS: Complimentary studies will be conducted in order to allow for clearer understanding the ecology of this arthropod, its possible role in transmitting Chagas' disease and its current geographical distribution.

scholarly journals Triatomine Fauna and Recent Epidemiological Dynamics of Chagas Disease in an Endemic Area of Northeast Brazil

2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Cláudia M. Melo ◽  
Ana Carla F. G. Cruz ◽  
Antônio Fernando V. A. Lima ◽  
Luan R. Silva ◽  
Rubens R. Madi ◽  
...  
Keyword(s):  
Trypanosoma Cruzi ◽  
Disease Control ◽  
Chagas Disease ◽  
Control Program ◽  
The State ◽  
Positive Serology ◽  
Serological Tests ◽  
Systemic Analysis ◽  
South Central ◽  
Disease Control Program

Updated information of the dispersion dynamics of Chagas disease (CD) and a systemic analysis of these data will aid the early identification of areas that are vulnerable to transmission and enable efficient intervention. This work synthesized spatiotemporal information regarding triatomine fauna and analyzed this information in combination with the results from serological tests to elucidate the epidemiological panorama of CD in the state of Sergipe, Brazil. This is a retrospective analytical study that utilized information from the database of the National Chagas Disease Control Program. Between 2010 and 2016, 838 triatomines of eight species, namely, Panstrongylus geniculatus, which was first recorded in the state of Sergipe, Panstrongylus lutzi, P. megistus, Triatoma brasiliensis, T. pseudomaculata, T. tibiamaculata, T. melanocephala, and Rhodnius neglectus, were collected. Optical microscopy revealed that 13.2% of triatomines examined were infected by Trypanosoma cruzi-like flagellates. The distribution of triatomines exhibits an expanding south-central to northern dispersion, with a preference for semiarid and agreste areas and occasional observations in humid coastal areas due to anthropogenic actions reflected in the environment. Of the human cases analyzed from 2012 to 2016, 8.3% (191/2316) presented positive serology for Trypanosoma cruzi, and this proportion showed a gradual increase in the southern center of the state and new notifications in coastal regions. There is a need for intensification and continuity of the measures adopted by the Chagas Disease Control Program in Sergipe, identifying new priority areas for intervention and preferential ecotopes of the vectors, considering the occurrence of positive triatomines intradomicilliary and a source of new triatomines in the peridomiciles.

scholarly journals Temporal evolution and spatial distribution of maternal death

2014 ◽  
Vol 48 (4) ◽  
pp. 662-670 ◽  
Author(s):  
Ioná Carreno ◽  
Ana Lúcia de Lourenzi Bonilha ◽  
Juvenal Soares Dias da Costa
Keyword(s):  
Spatial Distribution ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Temporal Evolution ◽  
Maternal Mortality Ratio ◽  
Rio Grande ◽  
The State ◽  
Rio Grande Do Sul ◽  
Maternal Risk ◽  
Mortality Ratio

OBJECTIVE To analyze the temporal evolution of maternal mortality and its spatial distribution.METHODS Ecological study with a sample made up of 845 maternal deaths in women between 10 and 49 years, registered from 1999 to 2008 in the state of Rio Grande do Sul, Southern Brazil. Data were obtained from Information System on Mortality of Ministry of Health. The maternal mortality ratio and the specific maternal mortality ratio were calculated from records, and analyzed by the Poisson regression model. In the spatial distribution, three maps of the state were built with the rates in the geographical macro-regions, in 1999, 2003, and 2008.RESULTS There was an increase of 2.0% in the period of ten years (95%CI 1.00;1.04; p = 0.01), with no significant change in the magnitude of the maternal mortality ratio. The Serra macro-region presented the highest maternal mortality ratio (1.15, 95%CI 1.08;1.21; p < 0.001). Most deaths in Rio Grande do Sul were of white women over 40 years, with a lower level of education. The time of delivery/abortion and postpartum are times of increased maternal risk, with a greater negative impact of direct causes such as hypertension and bleeding.CONCLUSIONS The lack of improvement in maternal mortality ratio indicates that public policies had no impact on women’s reproductive and maternal health. It is needed to qualify the attention to women’s health, especially in the prenatal period, seeking to identify and prevent risk factors, as a strategy of reducing maternal death.

scholarly journals Surveillance of Chagas disease vectors in municipalities of the state of Ceará, Brazil

2009 ◽  
Vol 104 (8) ◽  
pp. 1159-1164 ◽  
Author(s):  
Teresa Cristina Monte Gonçalves ◽  
Assilon Lindoval Carneiro Freitas ◽  
Simone Patrícia Carneiro Freitas
Keyword(s):  
Chagas Disease ◽  
The State ◽  
Disease Vectors ◽  
Chagas Disease Vectors

scholarly journals Mandatory Notification of Chronic Chagas Disease: Confronting the Epidemiological Silence in the State of Goiás, Brazil

2020 ◽  
Vol 5 (2) ◽  
pp. 92
Author(s):  
Liliane da Rocha Siriano ◽  
Andrea Marchiol ◽  
Marina Pereira Certo ◽  
Juan-Carlos Cubides ◽  
Colin Forsyth ◽  
...  
Keyword(s):  
Public Health ◽  
Chagas Disease ◽  
Implementation Process ◽  
The State ◽  
Epidemiological Surveillance ◽  
Successful Implementation ◽  
Public Health Response ◽  
Communication Processes ◽  
Mandatory Notification ◽  
Chronic Chagas Disease

Objectives: This paper presents the results of the design and implementation process for the policy of compulsory notification of chronic Chagas disease in the Brazilian state of Goiás (Resolution No. 004/2013-GAB/SES-GO). Methods: The narrative was based on information provided by key actors that were part of the different stages of the process, built on contextual axes based on participants’ reflections about the establishment of the most accurate and coherent notification mechanisms. Results: The notification policy addressed the absence of historical data from patients in the state Chagas program, an increase in cases identified through serology, and weaknesses in vector control. Two key challenges involved human resources capacity and dissemination to public agencies and health care workers. Effective training and communication processes were key ingredients for successful implementation. Conclusions: The lack of public health measures aimed at the epidemiological surveillance of chronic Chagas cases constitutes a significant barrier for patients to access appropriate diagnosis, management and follow-up, and hampers the planning of necessary activities within health systems. The implementation of the notification policy in Goiás allows authorities to determine the real magnitude of Chagas disease in the population, so that an appropriate public health response can be mounted to meet the needs of affected people, thereby ending the epidemiological silence of Chagas disease.

The Triatominae (Hemiptera: Heteroptera: Reduviidae) of Veracruz, Mexico: geographic distribution, taxonomic redescriptions, and a key

Zootaxa ◽  
2012 ◽  
Vol 3487 (1) ◽  
pp. 1 ◽  
Author(s):  
CÉSAR ANTONIO SANDOVAL-RUIZ ◽  
LUIS CERVANTESPEREDO ◽  
FREDY SEVERO MENDOZA-PALMERO ◽  
SERGIO IBÁÑEZ-BERNAL
Keyword(s):  
Literature Review ◽  
Chagas Disease ◽  
Geographic Distribution ◽  
The State ◽  
Triatoma Infestans ◽  
Museum Collections ◽  
Key To Species ◽  
Distribution Maps ◽  
Annotated List ◽  
Triatomine Bugs

An annotated list of the triatomine bugs from Veracruz, Mexico, is presented. The list is mainly based on field collections, but also on literature review and museum collections. Ten species in five genera and two tribes are known in the state. Two species, Triatoma dimidiata (Latreille), the most common and widely distributed, and Triatoma gerstaeckeri (Stål), are the most important vectors of Chagas disease in the region. Panstrongylus rufotuberculatus (Champion), Belminus costarricensis Herrer, Lent & Wygodzinsky, and Eratyrus cuspidatus (Stål) are confined to sylvan habitats in the south of the state. Triatoma rubida (Uhler) probably represent a misidentification. The presence of Meccus pallidipennis Stål, Panstrogylus geniculatus (Latrielle), Triatoma barberi Usinger, and Triatoma infestans (Klug) are fortuitous. GARP distribution maps are provided for T. dimidiata and T. gerstaeckeri. A key to species and photographs of the adults of the ten species are also included.

scholarly journals Description of the feeding preferences of triatominae in the Chagas disease surveillance study for the State of Pernambuco, Brazil (Hemiptera: Reduviidae)

2017 ◽  
Vol 50 (4) ◽  
pp. 543-546 ◽  
Author(s):  
Maria Beatriz Araújo Silva ◽  
Kelly Reis de Menezes ◽  
Maria Clara Guerra de Farias ◽  
Maria Sandra Andrade ◽  
Caio Cesar Alves Victor ◽  
...  
Keyword(s):  
Chagas Disease ◽  
Disease Surveillance ◽  
The State ◽  
Surveillance Study ◽  
Feeding Preferences

scholarly journals Análisis de la mortalidad materna de los años 2013 a 2015 en el estado de Yucatán

2018 ◽  
Vol 30 (1) ◽  
Author(s):  
Rodrigo Gaspar Díaz Novelo ◽  
Luis Orlando Bobadilla Rosado ◽  
Lizbeth Sabrina Fajardo Ruiz ◽  
Nina Méndez Domínguez ◽  
Salvador Gómez Carro
Keyword(s):  
Maternal Mortality ◽  
Preventive Measures ◽  
Maternal Mortality Ratio ◽  
National Average ◽  
The State ◽  
Hypertensive Disorders ◽  
Mortality Ratio ◽  
The Caribbean ◽  
America Latina

ResumenIntroducción: La mortalidad materna se considera un indicador significativo de la calidad de los servicios de salud, así, se conoce que aproximadamente un 95% de estas muertes en América Latina y el Caribe son prevenibles.Objetivos: Determinar si la Razón de Muerte Materna (RMM) en Yucatán es mayor a la media nacional durante los años 2013 a 2015.Material y Métodos: Estudio transversal observacional en mujeres embarazadas que fallecieron por causas directas relacionadas con el embarazo durante los años 2013 a 2015 en el estado de Yucatán. Se utilizaron datos del Instituto Nacional de Estadística y Geografía (INEGI).Resultados: En el 2013 se encontró que la RMM en Yucatán fue 38,11% mayor en comparación con la nacional, en el 2014 la RMM en este mismo estado fue 34,68% mayor en comparación con la del país y en el 2015 la RMM fue 21,14% mayor que la mexicana. Las principales causas de muerte en el estado concuerdan con lo expuesto en la bibliografía, siendo éstas los desórdenes hipertensivos y las hemorragias.Conclusiones: La RMM durante los años 2013 a 2015 en el estado de Yucatán fue mayor a la media nacional. Es importante implementar medidas preventivas que permitan reducir esta disparidad en términos de mortalidad materna en el estado de Yucatán.Palabras clave: Muerte Materna, Salud Pública, Prevención Secundaria, Salud MaternaTítulo corto: Análisis de la mortalidad materna en Yucatán. ABSTRACT.Introduction. Maternal Mortality is considered a significant indicator of the quality of the health services in any country. It is known that approximately 95% of these deaths in Latin America and the Caribbean are preventable.Objectives. Our objective is to determine whether or not the Maternal Mortality Ratio (MMR) in Yucatan is higher than the national mean during the years 2013 to 2015.Materials and methods. Transversal-observational study in pregnant women who died from direct causes related to pregnancy during the years 2013 to 2015 in Yucatan. Data from the National Institute of Statistics and Geography (INEGI) were used.Results. In 2013 the MMR in Yucatan was 38,11% higher than the national mean, in 2014 the MMR of this state was 34,68% higher in comparison to the national mean and in 2015 the MMR was 21,14% higher than the national mean. The main causes of dead in the state of Yucatan are in agreement with the national causes which are hypertensive disorders and  hemorrhagic disorders.Conclusions. The MMR during the years 2013 to 2015 in the state of Yucatan was higher than the national average. It is important to implement preventive measures to reduce this disparity in terms of maternal mortality in the state of Yucatán.Keywords: Maternal Mortality, Public Health, Secondary Prevention, Maternal Health. 

scholarly journals The occurrence of synanthropic triatomines in Bahia, Brazil: what changed after 40 years of the vector-control program?

2020 ◽  
Author(s):  
Gilmar Ribeiro ◽  
Cristiane Medeiros Moraes de Carvalho ◽  
Renato Freitas de Araújo ◽  
Fernanda Cardoso Lanza ◽  
Diego Lopes Paim Miranda ◽  
...  
Keyword(s):  
Vector Control ◽  
Chagas Disease ◽  
Relative Abundance ◽  
Disease Transmission ◽  
Control Program ◽  
The State ◽  
Triatoma Infestans ◽  
Entomological Surveillance ◽  
Triatomine Species ◽  
Vector Control Program

Abstract Background: This study presents a descriptive analysis of the occurrence of synanthropic triatomine species in the state of Bahia, before and after the implementation of the vector control program. Methods: Occurrence and number of collected specimens in the municipalities were analyzed in two periods: (A) 1957 to 1971, before systematic vector control actions; and (B) 2006 to 2019, after the certification of interruption of Chagas disease transmission by Triatoma infestans. Results: In total, 17 species were recorded during period A and 21 during period B. Panstrongylus megistus was the most frequent species in period A (42%), while Triatoma pseudomaculata (42%) and T. sordida (38%) were more frequent in period B. In period A, T. infestans was found in 26 (9%) municipalities, and in period B it was found in 7 (2%). During period B, most triatomines (88%) were captured at the peridomestic habitats, with a predominance of T. sordida (85%). Species with greatest relative abundance within the household were T. sordida (49%), T. brasiliensis (27%), and T. pseudomaculata (15%). Conclusions: We have observed a clear reduction in the occurrence of P. megistus and T. infestans and an increase in the relative abundance and geographical distribution of T. sordida and T. pseudomaculata after 40 years of the vector-control program. High frequency of other triatomine species in the municipalities of the state of Bahia and a great abundance of T. sordida in recent years, highlight the need to reinforce permanent entomological surveillance actions for Chagas disease.

scholarly journals Application of Standardized Proportional Mortality Ratio to the Assessment of Health Risk in Relatively Healthy Populations: Using a Study of Cancer Risk in Telecommunication Workers with Excess Exposure to Acid Mists as an Example

2021 ◽  
Vol 18 (18) ◽  
pp. 9870
Author(s):  
Ying-Fong Ker ◽  
Perng-Jy Tsai ◽  
How-Ran Guo
Keyword(s):  
Cancer Risk ◽  
Geometric Mean ◽  
Epidemiological Studies ◽  
Standardized Mortality Ratio ◽  
Acid Mist ◽  
Proportional Mortality ◽  
Mortality Ratio ◽  
Carcinogenic Effects ◽  
Study Population

When a study population is relatively healthy, such as an occupational population, epidemiological studies are likely to underestimate risk. We used a case study on the cancer risk of workers with exposure to acid mists, a well-documented carcinogen, to demonstrate that using proportional mortality ratios (PMRs) is more appropriate than mortality ratios in assessing risk in terms of mortality. The study included 10,229 employees of a telecommunication company who worked in buildings with battery rooms. In these buildings, the battery rooms had the highest levels of sulfuric acid in the air (geometric mean = 10.7 μg/m3). With the general population in Taiwan as a reference, a decreased standardized mortality ratio (0.42, p < 0.01) from all causes combined, between 1 January 1985 and 31 December 1996, was observed, indicating a healthy worker effect. When we reanalyzed the data using standardized PMR, elevated risks were observed for all cancers combined (1.46, p = 0.01) and cancers of the digestive organs and peritoneum (1.61, p = 0.02), especially stomach cancer (2.94, p = 0.01). The results showed that PMR can detect increases in mortality when a study population is generally healthier than the comparison population and call for further studies on the possible carcinogenic effects of low-level acid mist exposures on the stomach.

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