Júlio César Teixeira

Giardia duodenalis infection: risk factors for children living in sub-standard settlements in Brazil

The objective of the present study was to characterize Giardia duodenalis infection among children living in sub-standard settlement areas in the municipality of Juiz de Fora, Minas Gerais State, Brazil. The cross-sectional epidemiological study included 590 children from 1 to 5 years of age. Data were collected from one child per selected family through home interviews with the parent or guardian and parasitological examination of stool samples. Thirty-one putative risk factors concerning family structure, socioeconomic status, and environmental factors were analyzed by multivariate logistic regression. Prevalence of G. duodenalis infection was 18% (106 children). Four potential risk factors were heavily associated with G. duodenalis infection: number of under-five children in the same household, index childs birth order, existence of a bathroom in the home, and drinking water source.

Fatores ambientais associados à diarréia infantil em áreas de assentamento subnormal em Juiz de Fora, Minas Gerais

OBJECTIVES: to determine diarrhea prevalence and to identify factors associated to the condition in children living in subnormal settlement areas. METHODS: a cross-sectional population-based study was used. The sample studied totaled 655 children. Data collection was performed through home interviews with the mother or caretaker. Logistic regression models were used to identify diarrhea associated factors. RESULTS: diarrhea prevalence was of 17.5%. Condition associated factors included child hospitalization during the first month of life; children looked after by others and not the mother; higher education level of the caretaker and longer residency period, as protection factors and as individual risk factors associated diseases and young age and as factors for collective risk, mine water consumption; sewage disposal on the streets or in the yard; inadequate garbage disposal and flies. CONCLUSIONS: to fight diarrhea special care should be given to health and nutrition of children under five years old, including adequate and quality environmental sanitation services.

Análise da associação entre saneamento e saúde nos estados brasileiros, empregando dados secundários do banco de dados indicadores e dados básicos para a saúde 2003- IDB 2003

The objective of the present study was to evaluate the association between sanitation and epidemiological indicators - in the brazilian states. Secondary data from data bank Indicadores e Dados Basicos para a Saude 2003 - IDB 2003 - from Ministry of Health were used. Three types of sanitation were compared: population coverage by water supply system, by sewage disposal, and by domestic garbage collection services. They were compared with infant mortality rate, proportional mortality by acute diarrhea among infants under five years of age, and proportional mortality by infectious and parasitic diseases for all ages.

Fatores ambientais associados às helmintoses intestinais em áreas de assentamento subnormal, Juiz de Fora, MG

The objectives of this study are the characterization of the morbidity by intestinal helminth infections and the identification of the factors associated with these diseases, with emphasis on environmental factors, in children ranging from one to five incomplete years old residing in subnormal settlement areas - invasion areas. A population-based cross-sectional epidemiological design was used in 29 out of the 78 subnormal settlement areas in the municipality of Juiz de Fora, MG. The sample consisted of all children at the age of interest residing in the 29 settlement areas, not chosen at random. The assessed sample amounted to 753 children. Data were collected by means of domiciliary interviews with their mothers or with the person responsible for them. The Hoffmann-Pons-Janer method was used in the parasitological feces examination. Binary logistic regression models were used to identify the factors associated with the diseases. One hundred, sixty and one (21.38%) sample children presented intestinal helminth infections. The factors associated with these parasitic diseases included the childrens age, family income, complaints about the quality of the water from the public system and deficiencies in sanitation.The objectives of this study are the characterization of the morbidity by intestinal helminth infections and the identification of the factors associated with these diseases, with emphasis on environmental factors, in children ranging from one to five incomplete years old residing in subnormal settlement areas - invasion areas. A population-based cross-sectional epidemiological design was used in 29 out of the 78 subnormal settlement areas in the municipality of Juiz de Fora, MG. The sample consisted of all children at the age of interest residing in the 29 settlement areas, not chosen at random. The assessed sample amounted to 753 children. Data were collected by means of domiciliary interviews with their mothers or with the person responsible for them. The Hoffmann-Pons-Janer method was used in the parasitological feces examination. Binary logistic regression models were used to identify the factors associated with the diseases. One hundred, sixty and one (21.38%) sample children presented intestinal helminth infections. The factors associated with these parasitic diseases included the childrens age, family income, complaints about the quality of the water from the public system and deficiencies in sanitation.

Estudo do impacto das deficiências de saneamento básico sobre a saúde pública no Brasil no período de 2001 a 2009

O artigo teve como objetivo desenvolver um estudo do impacto sobre a saude publica das deficiencias do saneamento basico no Brasil no periodo de 2001 a 2009. Os obitos resultantes de doencas relacionadas ao saneamento basico inadequado corresponderam, em media, a 13.449 mortes por ano, ou seja, cerca de 1,31% do total. A media anual de casos de notificacao compulsoria devido a doencas relacionadas ao saneamento basico inadequado foi de 466.351 casos, com uma despesa de R

Análise da associação entre saneamento e saúde nos estados Brasileiros: estudo comparativo entre 2001 e 2006

30.428.324,92 em consultas medicas nesse periodo. Foi identificada tambem uma media anual de 758.750 internacoes hospitalares devido a deficiencias do saneamento basico, com uma despesa total de R

Fatores ambientais associados à desnutrição infantil em áreas de invasão, Juiz de Fora, MG

2.111.567.634,61 no periodo. A despesa total com consultas medicas e internacoes hospitalares devido a doencas associadas ao saneamento basico consumiu 2,84% dos gastos do Sistema Unico de Saude nesse intervalo de tempo.

Análise da associacão entre saneamento e saúde nos países da América Latina e do Caribe, empregando dados secundários do banco de dados da Organizacão Pan-Americana de Saúde - OPAS

Em um contexto de baixo investimento em saneamento, Teixeira e Guilhermino (2006) estudaram a associacao entre as condicoes de saneamento e os indicadores epidemiologicos nos estados brasileiros, utilizando dados secundarios do banco de dados IDB (2003) do Ministerio da Saude. A partir de 2003, os investimentos em saneamento basico no Brasil aumentaram. Assim, o presente trabalho teve como objetivo testar a hipotese de que a ampliacao da cobertura por servicos de saneamento basico no periodo entre 2001 e 2006 foi um investimento capaz de melhorar os indicadores de saude nos estados brasileiros. Concluiu-se que houve melhoria nos indicadores de saude, porem nao-expressiva, sendo fundamental a utilizacao de indicadores epidemiologicos e de desenvolvimento social na decisao sobre a priorizacao de investimentos em saneamento no Brasil.In a context of poor investment in sanitation, Teixeira e Guilhermino (2006) studied the association between the sanitation conditions and the epidemiological indicators in the Brazilian states, based on secondary data from the database from IDB (2003) of the Ministry of Health. Since 2003, investments in basic sanitation in Brazil had an expressive increase. Thus, the present paper had as a purpose to test the hypothesis that the improvement in the coverage by basic sanitation services from 2001 to 2006 was an investment capable to improve the studied health indicators in the Brazilian states. It has been concluded that there was an improvement in the health indicators, which is still not expressive, being of the most importance the use of epidemiological and social development indicators in the priority of investments in basic sanitation in Brazil.

Associação entre cobertura por serviços de saneamento e indicadores epidemiológicos nos países da América Latina: estudo com dados secundários

O objetivo deste estudo foi caracterizar a morbidade por desnutricao cronica e por desnutricao aguda, alem de identificar os fatores associados a estas doencas, com enfase para os fatores ambientais, em criancas com idade entre um ano completo e cinco anos completos, residentes em areas de invasao. Utilizou-se um delineamento transversal de base populacional em areas de invasao em Juiz de Fora - MG. O criterio de inclusao na amostra foi de uma crianca por familia, por sorteio. A amostra totalizou 659 criancas. A coleta de dados foi feita mediante entrevistas domiciliares. Foram usados modelos de regressao logistica para identificar fatores associados as enfermidades. Da amostra, 74 (11,23%) criancas apresentaram desnutricao cronica e 40 (6,07%) apresentaram desnutricao aguda. Os fatores ambientais associados a desnutricao cronica incluiram intermitencia no fornecimento de agua (OR = 2,44), higiene precaria da crianca antes da alimentacao (OR = 2,05) e lancamento das fezes das fraldas das criancas no peridomicilio (OR = 2,60). Nenhuma variavel relacionada ao saneamento e a higiene mostrou-se associada a desnutricao aguda.