Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors
Abstract INTRODUCTION: It is believed that delays in diagnosis and treatment of Visceral Leishmaniasis (VL) contribute significantly to the burden of VL lethality in Brazil. METHODS: This study included several parts: a descriptive cross-sectional study of the individual characteristics of deaths fr...
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ftdoajarticles:oai:doaj.org/article:d9f395e3fe5c4394a63e17ee9f7d57b0 2023-05-15T15:11:04+02:00 Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors Lucas Edel Donato Lúcia Rolim Santana de Freitas Elisabeth Carmen Duarte Gustavo Adolfo Sierra Romero 2020-09-01T00:00:00Z https://doi.org/10.1590/0037-8682-0007-2020 https://doaj.org/article/d9f395e3fe5c4394a63e17ee9f7d57b0 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100337&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0007-2020 https://doaj.org/article/d9f395e3fe5c4394a63e17ee9f7d57b0 Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 (2020) Visceral leishmaniasis Acquired Immune Deficiency Syndrome Mortality Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1590/0037-8682-0007-2020 2022-12-30T23:24:25Z Abstract INTRODUCTION: It is believed that delays in diagnosis and treatment of Visceral Leishmaniasis (VL) contribute significantly to the burden of VL lethality in Brazil. METHODS: This study included several parts: a descriptive cross-sectional study of the individual characteristics of deaths from disease; a descriptive ecological study of the spatial distribution of deaths from disease; and an ecological analytical study to evaluate the association between disease lethality rates and the demographic, socioeconomic, and health indicators. The study population comprised all cases diagnosed throughout the country per the National Disease Notification System (SINAN) and the total number of disease deaths recorded in the Mortality Information System (SIM) from 2007 to 2012. RESULTS: Of the 223 deaths from disease captured by pairing the databases, 59.1% were reported as "death from other causes". There were significant associations between VL lethality rate and municipalities with the highest proportion of vulnerable individuals (rate ratio (RR)=1.18, 95% confidence interval (CI): 1.01-1.27), with VL lower incidence rate (RR=0.62, 95% CI: 0.58-0.67) and a higher incidence rate of Acquired Immune Deficiency Syndrome (AIDS) (RR=1.20, 95% CI: 1.17-1.51). CONCLUSIONS: Linking the SINAN and SIM databases allowed the inclusion of 14% of otherwise underreported deaths from VL for the study period, showing that this method is useful for the surveillance of VL-related deaths. The size of the municipal population, proportion of the vulnerable population, incidence of disease, and the incidence of AIDS were associated with municipal lethality rates related to VL in Brazil. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 53 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Visceral leishmaniasis Acquired Immune Deficiency Syndrome Mortality Arctic medicine. Tropical medicine RC955-962 |
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Visceral leishmaniasis Acquired Immune Deficiency Syndrome Mortality Arctic medicine. Tropical medicine RC955-962 Lucas Edel Donato Lúcia Rolim Santana de Freitas Elisabeth Carmen Duarte Gustavo Adolfo Sierra Romero Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
topic_facet |
Visceral leishmaniasis Acquired Immune Deficiency Syndrome Mortality Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTION: It is believed that delays in diagnosis and treatment of Visceral Leishmaniasis (VL) contribute significantly to the burden of VL lethality in Brazil. METHODS: This study included several parts: a descriptive cross-sectional study of the individual characteristics of deaths from disease; a descriptive ecological study of the spatial distribution of deaths from disease; and an ecological analytical study to evaluate the association between disease lethality rates and the demographic, socioeconomic, and health indicators. The study population comprised all cases diagnosed throughout the country per the National Disease Notification System (SINAN) and the total number of disease deaths recorded in the Mortality Information System (SIM) from 2007 to 2012. RESULTS: Of the 223 deaths from disease captured by pairing the databases, 59.1% were reported as "death from other causes". There were significant associations between VL lethality rate and municipalities with the highest proportion of vulnerable individuals (rate ratio (RR)=1.18, 95% confidence interval (CI): 1.01-1.27), with VL lower incidence rate (RR=0.62, 95% CI: 0.58-0.67) and a higher incidence rate of Acquired Immune Deficiency Syndrome (AIDS) (RR=1.20, 95% CI: 1.17-1.51). CONCLUSIONS: Linking the SINAN and SIM databases allowed the inclusion of 14% of otherwise underreported deaths from VL for the study period, showing that this method is useful for the surveillance of VL-related deaths. The size of the municipal population, proportion of the vulnerable population, incidence of disease, and the incidence of AIDS were associated with municipal lethality rates related to VL in Brazil. |
format |
Article in Journal/Newspaper |
author |
Lucas Edel Donato Lúcia Rolim Santana de Freitas Elisabeth Carmen Duarte Gustavo Adolfo Sierra Romero |
author_facet |
Lucas Edel Donato Lúcia Rolim Santana de Freitas Elisabeth Carmen Duarte Gustavo Adolfo Sierra Romero |
author_sort |
Lucas Edel Donato |
title |
Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
title_short |
Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
title_full |
Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
title_fullStr |
Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
title_full_unstemmed |
Visceral leishmaniasis lethality in Brazil: an exploratory analysis of associated demographic and socioeconomic factors |
title_sort |
visceral leishmaniasis lethality in brazil: an exploratory analysis of associated demographic and socioeconomic factors |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2020 |
url |
https://doi.org/10.1590/0037-8682-0007-2020 https://doaj.org/article/d9f395e3fe5c4394a63e17ee9f7d57b0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 (2020) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100337&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0007-2020 https://doaj.org/article/d9f395e3fe5c4394a63e17ee9f7d57b0 |
op_doi |
https://doi.org/10.1590/0037-8682-0007-2020 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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53 |
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