scholarly journals ESTUDO ECOLÓGICO: PERFIL DA MORBIMORTALIDADE POR HANSENÍASE NO BRASIL ENTRE 2015 E 2019

2022 ◽  
Vol 13 (1) ◽  
pp. 52-56
Author(s):  
Guilherme Ribeiro Ferreira ◽  
Anna Luiza Rodrigues Brito ◽  
Isabela dos Santos Rodolfo ◽  
Rafaela Spolador Orbolato
Keyword(s):  
Infectious Disease ◽  
Ecological Study ◽  
Hospital Admissions ◽  
Health Indicators ◽  
Mycobacterium Leprae ◽  
Mortality Rates ◽  
Time Interval ◽  
Slight Improvement ◽  
Epidemiological Profile ◽  
Adequate Management

Leprosy is a chronic, infectious disease transmitted through the inhalation of aerosols containing Mycobacterium leprae. The present study was carried out to investigate the epidemiological profile of leprosy in Brazil between 2015 and 2019, evaluating the prevalence rate of hospital admissions, incidence rate, number of admissions due to recurrence and mortality rates. It is an ecological study conducted from data collected in information systems available at the Departamento de Informática do Sistema Único de Saúde (DATASUS). In the considered time interval, a slight improvement in the investigated health indicators was evidenced. It is possible to infer that the country carried out an adequate management of leprosy between 2015 and 2019, probably because of good prophylactic actions, good interventions and efficient awareness of those infected.

scholarly journals Mortality and hospitalization for liver disease in the Western Amazon from 2008 to 2017

2021 ◽  
Vol 31 (1) ◽  
pp. 116-124
Author(s):  
Alex Nunes Callado ◽  
Italla Maria Pinheiro Bezerra ◽  
Fernando Adami ◽  
Luiz Vinícius de Alcantara Sousa ◽  
Luiz Carlos de Abreu
Keyword(s):  
Liver Diseases ◽  
Alcohol Intake ◽  
Ecological Study ◽  
Hospital Admissions ◽  
Secondary Data ◽  
Mortality Rates ◽  
Hospitalization Rates ◽  
Series Design ◽  
Study Results ◽  
Male Patients

Introduction: As liver diseases (LDs) occur as liver damage takes place, their causes are variable and mostly caused by viruses and alcohol intake. The cases of LDs have increased significantly; they are also charged with mortality rates and hospitalizations. Objective: to analyze mortality and hospitalizations due to LDs in the Western Amazon. Methods: Ecological study with time series design using secondary data related to deaths and hospital admissions for LDs in the Western Amazon. Results: The number of cases of mortality due to male diseases is higher in men, considering the period from 2008 to 2017. The study results also show that the affected patients are mostly over 50 and under 20 years old, who are the least likely to die. Regarding hospitalization rates, male patients have the highest number of hospitalizations and are not different from mortality; patients over the age of 50 also represent the largest hospitalization cases. Conclusion: There is a tendency towards stability in cases of mortality and hospitalization due to liver diseases in the Western Amazonia.

scholarly journals Association between health indicators of maternal adversity and the rate of infant entry to local authority care in England: a longitudinal ecological study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036564 ◽  
Author(s):  
Rachel Jane Pearson ◽  
Matthew Alexander Jay ◽  
Linda Petronella Martina Maria Wijlaars ◽  
Bianca De Stavola ◽  
Shabeer Syed ◽  
...  
Keyword(s):  
Ecological Study ◽  
Mental Health Problems ◽  
Hospital Admissions ◽  
Health Indicators ◽  
Well Being ◽  
Specific Rate ◽  
Maternal History ◽  
Live Births ◽  
Percentage Point Increase ◽  
History Of

ObjectiveInfants enter care at varying rates across local authorities (LAs) in England, but evidence is lacking on what is driving these differences. With this ecological study, we aimed to explore the extent to which adversity indicated within women’s hospitalisation histories, predelivery, explained the rate of infant entry into care.MethodsWe used two longitudinal person-level data sets on hospitalisations and entries to care to create annual measures for 131 English LAs, between 2006/2007 and 2013/2014 (April–March). We combined these measures by LA and financial year, along with other publicly available data on LA characteristics. We used linear mixed-effects models to analyse the relationship between the outcome—LA-specific rate of infant entry into care (per 10 000 infants in the LA population) — and LA-specific percentage of live births with maternal history of adversity-related hospital admissions (ie, substance misuse, mental health problems or violence-related admissions in the 3 years before delivery), adjusted for other predictors of entry into care.ResultsRate of infant entry into care (mean: 85.16 per 10 000, SD: 41.07) and percentage of live births with maternal history of adversity-related hospital admissions (4.62%, 2.44%) varied greatly by LA. The prevalence of maternal adversity accounted for 24% of the variation in rate of entry (95% CI 14% to 35%). After adjustment, a percentage point increase in prevalence of maternal adversity—both within and between LAs—was associated with an estimated 2.56 (per 10 000) more infants entering care (1.31–3.82).ConclusionsThe prevalence of maternal adversity before birth helped to explain the variation in LA rates of infant entry into care. Preventive interventions are needed to improve maternal well-being before and during pregnancy, and potentially reduce risk of child maltreatment and therefore entries to care. Evidence on who to target and data to evaluate change require linkage between parent–child healthcare data and administrative data from children’s social care.

scholarly journals Evolution of inequalities in mortality in Salvador, Bahia State, Brazil, 1991/2006

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s176-s184 ◽  
Author(s):  
Shirley Andrade Cruz ◽  
Ligia Maria Vieira-da-Silva ◽  
Maria da Conceição Nascimento Costa ◽  
Jairnilson Silva Paim
Keyword(s):  
Social Stratification ◽  
Ecological Study ◽  
Health Indicators ◽  
Mortality Rates ◽  
Social Classes ◽  
Specific Mortality ◽  
Proportional Mortality ◽  
Mortality Ratio ◽  
Inequalities In Mortality ◽  
The City

An ecological study was carried out with the aim of analyzing the evolution of inequalities in mortality in Salvador, Bahia State, Brazil, between 1991 and 2006. The city was divided into four social strata from 95 geographic Information Zones. The variables used for social stratification were education level and income of heads of households. Crude and age-standardized mortality rates, age specific mortality rates, proportional Infant mortality and the proportional mortality ratio, were calculated for each zone and social strata. Data was obtained from Death Certificates and the Populational Census. Although differences between strata were smaller in 2000 than in 1991, they persist and are still high, ranging from 28.7% to 65.5%. The differences between Information Zones were as much as 575%. The authors discuss the shortcomings of information systems, recommending that health indicators should be estimated by social classes and pointing out the limits and possibilities of the methodology used here.

scholarly journals Epidemiological profile of prostate cancer mortality and access to hospital care in Brazilian regions - an ecological study

2021 ◽  
Vol 31 (2) ◽  
pp. 310-317
Author(s):  
Stefanie De Sousa Antunes Alcantara ◽  
Patricia Merly Martinelli ◽  
Luiz Vinicius de Alcantara Sousa ◽  
Fernando Luiz Affonso Fonseca
Keyword(s):  
Prostate Cancer ◽  
Ecological Study ◽  
Public Health Problem ◽  
Secondary Data ◽  
Mortality Rates ◽  
World Health ◽  
Incidence And Mortality ◽  
The World ◽  
Epidemiological Profile ◽  
Health Organization

Introduction: Due to the high incidence and mortality rates that cancer has, the World Health Organization (WHO) defines it as a public health problem and points out that there are approximately 10 million people affected by cancer, the estimate for the year 2020 will be 16 million of sick individuals.One of the most frequent neoplasms in the world, Prostate Cancer (CaP) (1.1 million), occupies 4th place, being behind only lung cancer (1.8 million), breast (1.7 million), and intestine (1.4 million). In the year 2012, approximately 1,112,000 new global cases of CaP were registered, with about 307,000 deaths.   Objective: To analyze the epidemiological profile of mortality from prostate cancer and the access of patients to health among Brazilian regions.   Methods: Ecological study based on secondary data from between the years 2000 and 2015. Mortality, hospitalization, and population were collected at the DATASUS. The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). The study looks at a time trend and gains access to health and mortality using regression models.   Results: The northern showed a greater decrease in cases from 40-59 years (β: -1,800; -0.46). Southeast, with a small reduction only between 40 and 44 years old (β: -0.345 and p: 0.665). Northeast, South, and Center-West regions did not express a drop in the hospitalization rate, with the greatest growth between 65 and 69 years old (β: 7,862; 11,346; and p> 0.05). The Midwest had the greatest increase between 55 and 59 years (β: 3,660, p: 0.098), followed by 65 to 69 years (β: 3,491, p: 0.314). Mortality rates indicated a reduction in the Southeast (β: - 0.440) and South (β: -0.361).   Conclusion: This study found an association with various environmental and economic cultures in each Brazilian region, being an important resource for the development of health services and their access to the population.

scholarly journals Can Copper Products and Surfaces Reduce the Spread of Infectious Microorganisms and Hospital-Acquired Infections?

Materials ◽  
2021 ◽  
Vol 14 (13) ◽  
pp. 3444
Author(s):  
Joji Abraham ◽  
Kim Dowling ◽  
Singarayer Florentine
Keyword(s):  
Infection Control ◽  
Hospital Admissions ◽  
Copper Alloys ◽  
Well Being ◽  
Mortality Rates ◽  
Pathogen Transmission ◽  
Control Measures ◽  
Traditional Use ◽  
Healthcare Facilities ◽  
Infection Control Measures

Pathogen transfer and infection in the built environment are globally significant events, leading to the spread of disease and an increase in subsequent morbidity and mortality rates. There are numerous strategies followed in healthcare facilities to minimize pathogen transfer, but complete infection control has not, as yet, been achieved. However, based on traditional use in many cultures, the introduction of copper products and surfaces to significantly and positively retard pathogen transmission invites further investigation. For example, many microbes are rendered unviable upon contact exposure to copper or copper alloys, either immediately or within a short time. In addition, many disease-causing bacteria such as E. coli O157:H7, hospital superbugs, and several viruses (including SARS-CoV-2) are also susceptible to exposure to copper surfaces. It is thus suggested that replacing common touch surfaces in healthcare facilities, food industries, and public places (including public transport) with copper or alloys of copper may substantially contribute to limiting transmission. Subsequent hospital admissions and mortality rates will consequently be lowered, with a concomitant saving of lives and considerable levels of resources. This consideration is very significant in times of the COVID-19 pandemic and the upcoming epidemics, as it is becoming clear that all forms of possible infection control measures should be practiced in order to protect community well-being and promote healthy outcomes.

scholarly journals Trends in mortality from ill-defined causes among the elderly in Brazil, 1979-2013: ecological study

2016 ◽  
Vol 134 (5) ◽  
pp. 437-445 ◽  
Author(s):  
Davi Félix Martins Junior ◽  
Ridalva Dias Martins Felzemburg ◽  
Acácia Batista Dias ◽  
Tania Maria Costa ◽  
Pedro Nascimento Prates Santos
Keyword(s):  
Ecological Study ◽  
Temporal Trend ◽  
Health Indicators ◽  
The Elderly ◽  
Simple Linear Regression ◽  
Geographical Regions ◽  
Proportional Mortality ◽  
Males And Females ◽  
Using Data ◽  
Health Situation

ABSTRACT CONTEXT AND OBJECTIVE: Mortality measurements are traditionally used as health indicators and are useful in describing a population's health situation through reporting injuries that lead to death. The aim here was to analyze the temporal trend of proportional mortality from ill-defined causes (IDCs) among the elderly in Brazil from 1979 to 2013. DESIGN AND SETTING: Ecological study using data from the Mortality Information System of the Brazilian Ministry of Health. METHODS: The proportional mortality from IDCs among the elderly was calculated for each year of the study series (1979 to 2013) in Brazil, and the data were disaggregated according to sex and to the five geographical regions and states. To analyze time trends, simple linear regression coefficients were calculated. RESULTS: During the study period, there were 2,646,194 deaths from IDCs among the elderly, with a decreasing trend (ß -0.545; confidence interval, CI: -0.616 to -0.475; P < 0.000) for both males and females. This reduction was also observed in the macroregions and states, except for Amapá. The states in the northeastern region reported an average reduction of 80%. CONCLUSIONS: Mortality from IDCs among the elderly has decreased continuously since 1985, but at different rates among the different regions and states. Actions aimed at improving data records on death certificates need to be strengthened in order to continue the trend observed.

scholarly journals Clinical-epidemiological profile of leprosy in a hyperendemic municipality / Perfil clínico-epidemiológico da hanseníase em um município hiperendêmico / Perfil clínico-epidemiológico de la lepra en un municipio hiperendémico

2020 ◽  
Vol 9 ◽  
Author(s):  
Kezia Cristina Batista dos Santos ◽  
Apoana Câmara Rapozo ◽  
Dorlene Maria Cardoso de Aquino ◽  
Rita Da Graça Carvalhal Frazão Corrêa
Keyword(s):  
Mycobacterium Leprae ◽  
Epidemiological Profile

Objetivo: caracterizar o perfil clínico e epidemiológico dos casos de hanseníase no município hiperendêmico de São Luís do Maranhão, Brasil. Metodologia: estudo epidemiológico, retrospectivo, descritivo e quantitativo. Utilizaram-se dados de pacientes com hanseníase, referentes ao período de 2014 a 2017, obtidos a partir da base de dados do Sistema de Informação de Agravos de Notificação, disponibilizados pelo Departamento de Informática do Sistema Único de Saúde. Resultados: no período analisado, notificaram-se 2.166 casos de hanseníase. Observou-se maior frequência no sexo feminino (53,4%) e na faixa etária de 15-59 anos (69,4%). Quanto aos aspectos clínicos, 62,1% eram da forma dimorfa, 77,8% classificados como multibacilar e 61,8% sem incapacidades físicas. Apresentaram algum grau de incapacidade 694 casos (32,0%). O diagnóstico da hanseníase ainda é realizado tardiamente devido à detecção da classificação multibacilar e forma clínica dimorfa, além da presença de incapacidade física no momento do diagnóstico. Conclusão: os resultados deste estudo sugerem a realização de novas pesquisas que explorem a necessidade de intensificação de estratégias de prevenção e controle da doença visando à eliminação da hanseníase como problema de saúde pública no município.Descritores: Hanseníase. Perfil de Saúde. Epidemiologia. Mycobacterium Leprae. Saúde Pública.

scholarly journals Prevalence and costs of hospitalizations for poisoning and accidental intoxication in Brazilian elderly

2013 ◽  
Vol 49 (4) ◽  
pp. 679-687
Author(s):  
Marcelle Silva de Abreu ◽  
Silvandro Diego de Albuquerque Ferreira ◽  
Larissa Pelágia de Lima Ferreira ◽  
José Ferreira Toneo Júnior ◽  
Wamberto Vieira Maciel ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Secondary Data ◽  
Mortality Rates ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Alcohol And Drugs ◽  
Elderly Males

A cross-sectional study of secondary data/information obtained from the Hospital Information System (HIS) spanning the years 2008 - 2009 was performed. The distribution of the main hospital admissions by gender, age, color/race, region and federal unit of residence, average expenditure and average length of hospital stay, year of hospitalization and mortality rates (MR) were studied. The data collected were tabulated by TabNet and keyed into Microsoft Excel 2007. It was verified that elderly males (54.3%), from 60 to 69 years old (50.6%), nonwhites (36.3%) and residents of Southeast and North regions of the country had the highest rates of hospitalization. Seniors were hospitalized for an average of 4.8 days, and the major causes were exposure to alcohol (43.7%) and to drugs (33.9%). Expenses related to hospital admissions were, on average, R$ 529,817.70. The highest mortality rates were recorded among females (MR = 4.34), in elderly, 80 years or older (MR = 10.16) and Caucasians (MR = 3.95), where pharmacological substances with action on the Autonomic Nervous System were the leading cause of death. There are demographic differences in morbi-mortality of these elderly since, although men and younger elderly were the main victims, women and elderly of advanced age have greater mortality. The leading causes of hospitalization were alcohol and drugs.

scholarly journals Geospatial Variability in Excess Death Rates during the COVID-19 Pandemic in Mexico: Examining Socio Demographic and Population Health Characteristics

2021 ◽  
Author(s):  
Sushma Dahal ◽  
Ruiyan Luo ◽  
Monica H Swahn ◽  
Gerardo Chowell
Keyword(s):  
Population Health ◽  
Excess Mortality ◽  
Health Indicators ◽  
Mortality Rates ◽  
Household Size ◽  
P Value ◽  
Death Rates ◽  
Excess Death ◽  
Average Household Size ◽  
Aging Index

Background: Mexico has suffered one of the highest COVID-19 mortality rates in the world. In this study we examined how socio-demographic and population health characteristics shape the geospatial variability in excess mortality patterns during the COVID-19 pandemic in Mexico. Methods: Weekly all-cause mortality time series for all 32 Mexican states, from January 4, 2015 to April 10, 2021, were analyzed to estimate the excess mortality rates using Serfling regression models. The association between socio-demographic, health indicators and excess mortality rates were determined using multiple linear regression analyses. Finally, we used functional data analysis to characterize clusters of states with distinct mortality growth rate curves. Results: The overall all-cause excess deaths rate during the COVID-19 pandemic in Mexico until April 10, 2021 was estimated at 39.66 per 10 000 population. The lowest excess death rates were observed in southeastern states including Chiapas (12.72), Oaxaca (13.42) and Quintana Roo (19.41) whereas Mexico City had the highest excess death rate (106.17), followed by Tlaxcala (51.99) and Morelos (45.90). We found a positive association of excess mortality rates with aging index (P value<.0001), marginalization index (P value<.0001), and average household size (P value=0.0003) in the final adjusted model (Model R2=76%). We identified four distinct clusters with qualitatively similar excess mortality curves. Conclusion: Central states exhibited the highest excess mortality rates whereas the distribution of aging index, marginalization index, and average household size explained the variability in excess mortality rates across Mexico. Our findings can help tailor interventions to mitigate the mortality impact of the pandemic.

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