Influence of Immunopreventable Diseases and AIDS on the Demand of an Infectious Diseases Department in Rio de Janeiro State, Brazil, in the Course of Thirty Years (1965-1994)
Brazil's nosologic profile has been sustaining profound modifications. Some occurred because of massive immunization campaigns and socioeconomic and demographic trends. Some yet were pure nosologic transitions, such as the emergence of AIDS. In this demand study it is described how these change...
| Published in: | Revista do Instituto de Medicina Tropical de São Paulo |
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| Main Authors: | , , |
| Format: | Article in Journal/Newspaper |
| Language: | English |
| Published: |
Universidade de São Paulo (USP)
1998
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| Subjects: | |
| Online Access: | https://doi.org/10.1590/S0036-46651998000300010 https://doaj.org/article/d644dff8a0bd431aabbefa97d8aab569 |
| Summary: | Brazil's nosologic profile has been sustaining profound modifications. Some occurred because of massive immunization campaigns and socioeconomic and demographic trends. Some yet were pure nosologic transitions, such as the emergence of AIDS. In this demand study it is described how these changes reflected on the 8,630 admissions of an Infectious Diseases Department in Niterói, along a thirty year period. Brazilian rural endemic diseases were infrequent (3.45%). Men predominated (62%) all the time, in all age strata and in nearly all diseases. Children under fifteen predominated until 1983. There was, in the case of tetanus, a striking rise in age strata. Institutional mortality dropped from 31% in 1965 to 10% in 1984, but rose since then to 15% in 1994. However, if AIDS patients had not been computed, mortality would have kept descending till 8% at the end of the study period. The crescent unimportance of immunopreventable diseases paralleled with the growing prominence of AIDS. In less than a decade, AIDS ranked fifth among the most frequent diseases in the whole period of thirty years. As opposed to the immunopreventable diseases, neither meningitides nor pneumonia appear to be in decline. AIDS, by its exponential incidence, by its chronic character, and by the uncountable opportunistic infections it determines, imposes itself as a challenge for the coming years. O perfil nosológico brasileiro tem passado por profundas modificações. Algumas devem-se às grandes campanhas de imunização e a tendências demográficas e socioeconômicas. Outras são puramente nosológicas, tal como o surgimento da Síndrome de Imunodeficiência Adquirida (SIDA). Este estudo de demanda descreve como estas alterações refletiram-se nas 8.630 admissões de uma Enfermaria de Doenças Infecciosas em Niterói, Brasil, durante trinta anos. As endemias rurais brasileiras foram infreqüentes (3,45%). Os homens predominaram (62%) todo o tempo, em todas as faixas etárias e em todas as doenças. Crianças menores de quinze anos predominaram até 1983. Houve, ... |
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