Conceição Maria de Oliveira

Situação da filariose bancroftiana na Região Metropolitana do Recife: estudo em uma área endêmica no Município de Jaboatão dos Guararapes, Pernambuco, Brasil

This article analyzes the results of an epidemiological survey on the occurrence and distribution of lymphatic filariasis in Cavaleiro, a district in the city of Jaboatão dos Guararapes in Greater Metropolitan Recife, Pernambuco State, Brazil. The district was divided into 12 areas, and a cross-sectional technique was used to examine 9,520 individuals, of whom 2.2% were found to be infected. There were positive cases in 11 of the areas. The prevalence rate ranged from 0% to 5.15%. The majority (64.3%) of infected individuals were males (p < 0.05). Infected individuals were identified in all age groups. The results show that lymphatic filariasis is still an important public health problem in the Cavaleiro district and that it deserves attention by municipal authorities and health planners.

A filariose bancroftiana no município de Moreno - Pernambuco, Brasil

No Brasil, estima-se que 49 mil pessoas estejam infectadas pela Wuchereria bancrofti, residindo em tres areas consideradas endemicas: Maceio-AL, Belem-PA e Regiao Metropolitana do Recife-PE; esta ultima apresenta a maior casuistica no pais. Este estudo tem como objetivo identificar o limite entre municipios com e sem transmissao ativa, em Pernambuco. Para tal foi realizado um estudo seccional no municipio de Moreno, localizado na Regiao Metropolitana do Recife. O inquerito epidemiologico foi constituido de entrevistas utilizando questionarios fechados contendo informacoes relacionadas a filariose e a pesquisa parasitologica. Dentre os 2.513 exames realizados, dois casos foram detectados, ambos provenientes do Recife-PE. Quanto a manifestacao clinica, 65 (2,6%) individuos relataram queixas correlatas com filariose. Em relacao ao tratamento previo para filariose, 24 pessoas (0,9%) afirmaram ja terem tomado a dietilcarbamazina. A importância deste trabalho decorre do desconhecimento da extensao da endemia na Regiao Metropolitana do Recife e da constatacao de que Moreno apresenta os componentes para manter o ciclo parasitario. Desta forma, a vigilância epidemiologica municipal devera identificar as areas com maior risco de transmissao e assim criar estrategias para evitar sua fixacao.

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

Objective To analyze the temporal trend in infant mortality in the city of Recife, state of Pernambuco, Brazil and evaluate the contribution of death surveillance as an instrument for improving vital statistics and action planning. Methods Infant, neonatal, and post-neonatal mortality rates were calculated from 1980 to 2012. An exponential regression model was used for trend analysis. A study on the variables, the basic and associated causes of death certificates, and avoidability was conducted to evaluate the contribution of infant death surveillance. Results The trend in infant mortality rate and its age components was shown to be decreasing. After research on infant death surveillance, no death certificate variable remained incomplete, and the underlying cause of death was better determined in 52% of deaths. Almost 80% of deaths were classified as preventable, and 51.3% were classified as reducible by appropriate care provided to women during their pregnancy. Conclusion Infant mortality presented a decreasing trend, and infant death surveillance contributed to improve vital statistics, which are essential for maternal-infant health planning actions.

Avaliação da completude e da concordância das variáveis dos Sistemas de Informações sobre Nascidos Vivos e sobre Mortalidade no Recife-PE, 2010-2012

OBJECTIVE to assess the information completeness and agreement on infant deaths. METHODS this was an evaluation study with descriptive design using data of the Information System on Live Births (Sinasc) and Mortality Information System (SIM) of residents in Recife-PE, Brazil, in 2010-2012; the deterministic records linkage was used to combine the data on infant deaths and live births. RESULTS of the 837 infant deaths registered on SIM, 811 (96.9%) were linked; the completeness obtained was above 95% on SIM and 98% on Sinasc; the agreement varied from 0.762 (substantial) to 0.997 (excellent) for the intraclass correlation coefficient, and it was excellent for Kappa index (>0.80). CONCLUSION Sinasc and SIM presented excellent completeness and agreement for most of the variables analyzed. The relationship between the databases is a tool that can be used by the health services of the municipalities to improve the vital statistics information systems.OBJETIVO: avaliar a completude e a concordância das informacoes sobre obitos infantis. METODOS: pesquisa avaliativa com desenho descritivo com dados dos Sistemas de Informacoes sobre Nascidos Vivos (Sinasc) e sobre Mortalidade (SIM) de residentes no Recife-PE, Brasil, em 2010-2012; para vinculacao dos dados sobre obitos infantis e nascidos vivos, empregou-se o relacionamento deterministico de registros. RESULTADOS: dos 837 obitos de menores de um ano no SIM, 811 (96,9%) foram relacionados entre os sistemas; obteve-se completude acima de 95% no SIM e de 98% no Sinasc; a concordância variou de 0,762 (substancial) a 0,997 (excelente) para o coeficiente de correlacao intraclasse e foi excelente para o indice Kappa (>0,80). CONCLUSAO: o Sinasc e o SIM apresentaram completude e concordância excelentes para a maioria das variaveis analisadas. O relacionamento das bases de dados e mais um instrumento a ser utilizado pelos servicos de saude do municipio, para melhoria dos sistemas de informacoes de estatisticas vitais.

Mortalidade infantil por causas evitáveis em uma cidade do Nordeste do Brasil

This is a cross-sectional study that aimed to describe the occurrence of infant mortality in Recife (PE) between 2000 and 2009, second to avoidable causes. The population composed of cases of deaths between 2000 and 2009 among the infants of mothers living in Recife. Deaths were classified as avoidable by using the List of avoidable causes of deaths resulting from interventions within the Brazilian National Health System (SUS). Descriptive statistics were used for data analysis. A decrease in the infant mortality coefficient from 20.4 to 12.1 per 1.000 live births was observed (reduction of 40.6%). From the total of 3.743 deaths registered, 2.861 (76.4%) were classified as avoidable. It was notable that 61.2% of the deaths could have been avoided through appropriate care for the woman during the pregnancy. An approach in which avoidability is analyzed may assist in discussions relating to organization, quality and access to healthcare service, and in identifying deaths that could have been avoided through appropriate mother-child healthcare.Estudio de corte transversal cuyo objetivo ha sido describir el acaecimiento de mortalidad infantil en Recife (PE) entre 2000 y 2009, segundo causas evitables. El universo se constituye por las defunciones infantiles de madres residentes en la ciudad de Recife entre 2000 y 2009. La clasificacion de muerte evitable adopto la Lista de causas de muerte evitables por intervenciones del Sistema de Sanidad Publica. Para analisis de los datos se utilizo estadistica descriptiva. Se observo reduccion en el coeficiente de mortalidad infantil de 20,4 a 12,1 por 1.000 nacidos vivos. Del total de 3.743 defunciones registradas, 2.861 (76,4%), se clasificaron como evitables. Se destacaron las defunciones factibles de reduccion por adecuada atencion a la mujer en la gestacion. El abordaje de lo evitable de las defunciones aporta en las discusiones relativas a la organizacion, calidad de acceso a los servicios sanitarios asi como en la identificacion de las defunciones podrian haberse prevenidos o evitados por una adecuada atencion a la sanidad materno-infantil.

Demographic and epidemiological aspects of mortality from penile cancer

OBJECTIVE: Describing the demographic and epidemiological aspects of mortality from cancer of the penis.METHODS: A cross-sectional study consisting of 183 deaths registered in a public information system on mortality that had penile cancer as the primary cause of mortality. It was used descriptive statistics and the mortality rate was calculated.RESULTS: The mean coefficient of mortality was 0.45/100,000 that is an increase of 19.04%. The demographic data revealed a higher prevalence in men aged 60 years or older (50.8%), brown (54.1%), married (47.6%), retired (24%) and residents of the metropolitan region (44.8%).CONCLUSION: The demographic and epidemiological aspects revealed increase of mortality rates from cancer in the penis.

Óbitos perinatais evitáveis por intervenções do Sistema Único de Saúde do Brasil

Objetivo: Descrever caracteristicas epidemiologicas dos obitos perinatais por acoes do Sistema Publico de Saude. Metodos: Estudo descritivo de analise temporal, populacao composta por obitos perinatais de maes residentes no Recife, 2010-2014. Utilizado Lista de causas de mortes evitaveis para classificar a evitabilidade e EpiInfo versao 7 para analise das variaveis. Resultados: Ocorreram 1.756 obitos perinatais (1.019 fetais e 737 neonatais precoce), observou-se reducao dos obitos neonatais precoces (-15,8%) e aumento dos fetais (12,1%). Apresentou como principais causas: feto e recem-nascido afetado por afeccao materna e asfixia/hipoxia ao nascer. Conclusoes: A maior parte dos obitos foi evitavel, concentrando-se no grupamento de assistencia adequada dispensada a mulher na gestacao. Lacunas na assistencia dispensada a mulher no parto, explicam o percentual de asfixia/hipoxia. Reducao da mortalidade perinatal evitavel associa-se a ampliacao do acesso e qualidade da assistencia para garantir promocao, prevencao, tratamento, cuidados especificos e oportunos. Palavras-chave: Mortalidade perinatal. Estatisticas vitais. Enfermagem obstetrica. Enfermagem neonatal. Saude publica.OBJECTIVE To describe the epidemiological characteristics of perinatal deaths through the actions of the Unified Health System. METHODS This is a descriptive study of temporal analysis with a population of perinatal deaths of mothers residing in Recife, Brazil, from 2010 to 2014. A list was used to classify the preventable diseases and the variables were analysed using Epi lnfo™ version 7. RESULTS The perinatal deaths totalled 1,756 (1,019 foetal and 737 neonatal premature) with a reduction of neonatal deaths (-15.8%) and an increase of foetal deaths (12.1%) in the study period. The main causes of death were foetus and newborn affected by the mother´s condition and asphyxia/hypoxia at birth. CONCLUSIONS Most deaths were avoidable, especially in the group of appropriate care to mothers during pregnancy. Faults in the care provided to women at birth explain the percentage of deaths caused by asphyxia/hypoxia. The reduction of preventable perinatal mortality is associated with the increased access and quality of care, which ensures health promotion, disease prevention, treatment and specific and timely care.

Decline of mortality from cervical cancer

OBJECTIVE To describe occurrences of mortality due to cervical cancer in Recife (PE), in northeastern Brazil. METHOD This was a time-series ecological study using data from the Mortality Information System (SIM) regarding the total number of deaths due to cervical cancer (C53 ICD10) that occurred between 2000 and 2012. RESULTS It was observed that the risk of death due to this form of cancer was higher among women over 60 years of age, those of mixed skin color (53.24%), those who only worked at home (63.16%) and those who did not have a partner (44.32%). CONCLUSION Additional efforts towards maintaining early detection and health education programs and towards using therapeutic strategies of greater efficiency are needed, given that mortality due to this form of cancer is considered avoidable when diagnosed early.

Concordância da causa básica e da evitabilidade dos óbitos infantis antes e após a investigação no Recife, Pernambuco, 2014

OBJECTIVE to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation. METHODS investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted. RESULTS 183 infant deaths were analyzed, of which 117 (63.9%) had the underlying cause revised; before the investigation, 170 (92.2%) deaths were considered preventable, and after investigation, 178 (97.3%); there was reasonable agreement (0.338) regarding the underlying causes of death, and moderate (0.439) for preventability. CONCLUSION infant mortality surveillance enabled the improvement of vital events information, contributing to the progress in the specification of underlying causes of death and in the preventability of infant death.

Adequação da investigação dos óbitos infantis no Recife, Pernambuco, Brasil

This study is an evaluation of infant death research in Recife, Pernambuco (PE). It is a cross-sectional study with 120 variables grouped into six dimensions (prenatal, birth, child care, family characteristics, occurrence of death, and conclusion and recommendations), weighted by consensus technique. The research was classifiedas adequate, partially adequate or inadequate according to a composite indicator assessment (ICA). There was dissension on 11 variables (9 in prenatal dimension, one in labor and birth, and 1 in the conclusions and recommendations). Of the 568 deaths studied, 56.2% have adequate research. The occurrence of death was the best-evaluated dimension and prenatal the poorest. The preparation of the ICA enables professionals and managers of child health policies to identify bottlenecks in the investigation of infant deaths for better targeting of actions, and contributing to the discussion about surveillance in other cities and states.