Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021
ABSTRACT Background: To analyze the epidemiology, surveillance, and control strategies for trachoma in the state of Ceará, northeast Brazil, from 2007 to 2021. Methods: This ecological study was based on secondary data from the Information System on Notifiable Diseases of the Secretary of Health of...
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ftdoajarticles:oai:doaj.org/article:eb4591c307014bf3b71842ac7e37d5e0 2023-05-15T15:09:45+02:00 Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 Adjoane Maurício Silva Maciel Alberto Novaes Ramos Jr Vivian da Silva Gomes Anderson Fuentes Ferreira Nádia Maria Girão Saraiva de Almeida Daniela Vaz Ferreira Gómez Joana da Felicidade Ribeiro Favacho Manuella Maurício Silva Maciel Antônio Lucas Delerino Roberto da Justa Pires Neto 2023-01-01T00:00:00Z https://doi.org/10.1590/0037-8682-0207-2022 https://doaj.org/article/eb4591c307014bf3b71842ac7e37d5e0 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100302&lng=en&tlng=en http://www.scielo.br/pdf/rsbmt/v56/1678-9849-rsbmt-56-e0207-2022.pdf https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0207-2022 https://doaj.org/article/eb4591c307014bf3b71842ac7e37d5e0 Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) Trachoma Epidemiology Surveys Ceará Brazil Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1590/0037-8682-0207-2022 2023-01-29T01:30:14Z ABSTRACT Background: To analyze the epidemiology, surveillance, and control strategies for trachoma in the state of Ceará, northeast Brazil, from 2007 to 2021. Methods: This ecological study was based on secondary data from the Information System on Notifiable Diseases of the Secretary of Health of the state of Ceará. Data from school and home surveys for trachoma detection obtained during the study period were analyzed, the percentage of positivity was estimated, and sociodemographic and clinico-epidemiological factors were investigated. Results: The coverage of trachoma surveillance and control actions in Ceará municipalities increased from 12.5% in 2007 to 55.9% in 2019, but with an average restriction of 8.0% during the COVID-19 pandemic. The estimated trachoma positivity (mean overall positivity) was less than 5.0% (2.76%, 95% CI 1.2-5.2), with a higher proportion of cases in the 5-9-year age group (45.0%, 95% CI 44.6-45.4), in females (53.2%, 95% CI 52.8-53.6), and rural areas (52.6%, 95% CI 52.2-53.0). Positivity above 10.0% was observed in the Litoral Leste/Jaguaribe and Sertão Central regions, with a higher occurrence of the follicular inflammatory clinical form (98.1%, 95% CI 98.0-98.2). Conclusions: Trachoma remains in the state of Ceará and is likely underreported. Despite recent advances, the fragility of health surveillance activities compromises the recognition of the actual magnitude and distribution of trachoma in the state. Accurate information is fundamental for planning, monitoring, and evaluating surveillance and disease control. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 56 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Trachoma Epidemiology Surveys Ceará Brazil Arctic medicine. Tropical medicine RC955-962 |
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Trachoma Epidemiology Surveys Ceará Brazil Arctic medicine. Tropical medicine RC955-962 Adjoane Maurício Silva Maciel Alberto Novaes Ramos Jr Vivian da Silva Gomes Anderson Fuentes Ferreira Nádia Maria Girão Saraiva de Almeida Daniela Vaz Ferreira Gómez Joana da Felicidade Ribeiro Favacho Manuella Maurício Silva Maciel Antônio Lucas Delerino Roberto da Justa Pires Neto Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
topic_facet |
Trachoma Epidemiology Surveys Ceará Brazil Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACT Background: To analyze the epidemiology, surveillance, and control strategies for trachoma in the state of Ceará, northeast Brazil, from 2007 to 2021. Methods: This ecological study was based on secondary data from the Information System on Notifiable Diseases of the Secretary of Health of the state of Ceará. Data from school and home surveys for trachoma detection obtained during the study period were analyzed, the percentage of positivity was estimated, and sociodemographic and clinico-epidemiological factors were investigated. Results: The coverage of trachoma surveillance and control actions in Ceará municipalities increased from 12.5% in 2007 to 55.9% in 2019, but with an average restriction of 8.0% during the COVID-19 pandemic. The estimated trachoma positivity (mean overall positivity) was less than 5.0% (2.76%, 95% CI 1.2-5.2), with a higher proportion of cases in the 5-9-year age group (45.0%, 95% CI 44.6-45.4), in females (53.2%, 95% CI 52.8-53.6), and rural areas (52.6%, 95% CI 52.2-53.0). Positivity above 10.0% was observed in the Litoral Leste/Jaguaribe and Sertão Central regions, with a higher occurrence of the follicular inflammatory clinical form (98.1%, 95% CI 98.0-98.2). Conclusions: Trachoma remains in the state of Ceará and is likely underreported. Despite recent advances, the fragility of health surveillance activities compromises the recognition of the actual magnitude and distribution of trachoma in the state. Accurate information is fundamental for planning, monitoring, and evaluating surveillance and disease control. |
format |
Article in Journal/Newspaper |
author |
Adjoane Maurício Silva Maciel Alberto Novaes Ramos Jr Vivian da Silva Gomes Anderson Fuentes Ferreira Nádia Maria Girão Saraiva de Almeida Daniela Vaz Ferreira Gómez Joana da Felicidade Ribeiro Favacho Manuella Maurício Silva Maciel Antônio Lucas Delerino Roberto da Justa Pires Neto |
author_facet |
Adjoane Maurício Silva Maciel Alberto Novaes Ramos Jr Vivian da Silva Gomes Anderson Fuentes Ferreira Nádia Maria Girão Saraiva de Almeida Daniela Vaz Ferreira Gómez Joana da Felicidade Ribeiro Favacho Manuella Maurício Silva Maciel Antônio Lucas Delerino Roberto da Justa Pires Neto |
author_sort |
Adjoane Maurício Silva Maciel |
title |
Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
title_short |
Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
title_full |
Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
title_fullStr |
Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
title_full_unstemmed |
Epidemiology and control of trachoma in the state of Ceará, Northeast Brazil, 2007-2021 |
title_sort |
epidemiology and control of trachoma in the state of ceará, northeast brazil, 2007-2021 |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2023 |
url |
https://doi.org/10.1590/0037-8682-0207-2022 https://doaj.org/article/eb4591c307014bf3b71842ac7e37d5e0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100302&lng=en&tlng=en http://www.scielo.br/pdf/rsbmt/v56/1678-9849-rsbmt-56-e0207-2022.pdf https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0207-2022 https://doaj.org/article/eb4591c307014bf3b71842ac7e37d5e0 |
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https://doi.org/10.1590/0037-8682-0207-2022 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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56 |
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