EPIDEMIOLOGICAL INVESTIGATION OF SCHISTOSOMIASIS MANSONI IN MUNICIPALITIES IN THE MARANHÃO STATE, BRAZIL

Schistosomiasis is a serious parasitic infectious disease, one of the most important waterborne diseases, which is closely related to poverty, lack of health education and basic sanitation. It is a public health problem in Brazil, presenting endemic in some municipalities in the Maranhão State. In this way, this study aimed to evaluate the research profile of schistosomiasis mansoni in some endemic municipalities in the Maranhão State. A descriptive, retrospective and quantitative study was carried out with data obtained in “Programa de Controle da Esquistossomose (PCE) – MA” (Program for Schistosomiasis Control) between 2005 and 2015. We evaluated 42, 40 and 25 municipalities in the years 2005, 2010 and 2015, respectively. In 2005 the population evaluated was 184787, in 2010 162220 and in 2015 they were only 48484. The highest number of people evaluated in the year 2015 was in São Luís (8068) and the lowest was in Tutoia (83). The municipalities of Bacurituba, Guimarães, Guimaraes, Mirinzal, Paulino Neves and São João Batista presented a survey coverage of schistosomiasis major in the year 2015, compared to 2005 and 2010. Schistosomiasis remains a public health problem in the Maranhão State, however, its scope of research is still low, taking into account the number of endemic municipalities, sites susceptible to infection and the number of people examined.Key words: Schistosomiasis; Schistosoma mansoni; Maranhão.

FETAL DEATHS IN MARANHÃO STATE (BRAZIL), IN THE YEARS OF 2000, 2010 AND 2014

The occurrence of a high number of fetal deaths is present throughout the world. It is estimated that more than 2 million fetal deaths occur each year on the globe, where 98% predominate in developing countries. This research aimed to carry out the survey of the fetal deaths number in Maranhão state, as a way to bring contributions to theprevention and health care actions. Data from DATASUS were used for the survey of fetal deaths occurring in the 217 municipalities in Maranhão state in the years 2000, 2010 and 2014, as well as the fetal mortality rate. The program SURFER® version 11.0 were usedfor descriptive statistics analysis and construction of the mean distribution map of cases. The fetal mortality rate in Maranhão has increased over the years, not following the national trend of reduction of intrauterine mortality rates, being required greater investment in public policies to analyze the main risk factors in the state.Key words: fetal death, public health, fetal mortality rate.

REGISTRATION OF LIVE BIRTHS IN MARANHÃO STATE, BRAZIL

Data on births are important, both for demographic and health aspects since they allow the construction of several indicators, such as birth and fecundity rates, and the analysis of the health situation (IBGE, 2009). This way aimed to characterize the live birth numbers in the 217 municipalities in the state of Maranhão through search of secondary data in the public domain, available in Live Births Information System - SINASC, the Ministry of Health for the number of live births in the 217 municipalities of Maranhão state, in the years 2000, 2010 and 2014. From the analysis of the data can be observed that a number of live births in Maranhão is more pronounced in the central Maranhão mesoregion and in some points of the western, eastern and northern mesoregions of the State of Maranhão, with a mean between 101 and 600 births per year. There was a significant variation between the years 2010 and 2000 when comparing births by a period. The data on live births are needed for directing public health policies that come to contribute to social improvement.Key words: birth, Maranhense, population.