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Revista Pan-Amazônica de Saúde

versão On-line ISSN 2176-6223

Resumo

NEVES, Dilma Costa de Oliveira et al. Analysis of the Tuberculosis Control Program in Pará State, Brazil, from 2005 to 2014. Rev Pan-Amaz Saude [online]. 2018, vol.9, n.4, pp.47-56. ISSN 2176-6223.  http://dx.doi.org/10.5123/s2176-62232018000400005.

OBJECTIVE:

To analyze the indicators of the Brazilian National Tuberculosis Control Program in the Integration Regions of Pará State, from 2005 to 2014.

MATERIALS AND METHODS:

Ecological study using 31,372 cases of pulmonary tuberculosis (TB) in people aged 20 years and older, registered in the Notifiable Diseases Information System.

RESULTS:

The average incidence in all State was 71.7/10,000 inhabitants. Região Metropolitana recorded 49.6% (15,572) of the cases and incidence of 114.7/10,000 inhabitants, with increasing trend in the period (22.3%). The greatest reduction in the number of cases occurred in Região Xingu (41.9%). In Pará, 70.8% of cases were discharged by cure, with the highest proportion in Região Guamá (77.9%). Only 72.6% of the cases had laboratory confirmation. The rate of discharge by cure, in confirmed cases, decreased from 73.1% in 2005 to 67.3% in 2014, with the highest rate (85.4%) in 2006, in Região Rio Caeté; and the lowest rate (48.9%) in 2014, in Região Tapajós, with a tendency to increase in Araguaia, Carajás, Lago de Tucuruí, and Tocantins Regions. In five Regions, the discontinuing treatment was higher than the State average (13.0%), and, in the period, it increased in Xingu, Tapajós, Marajó, Tocantins, Carajás, Guamá, Capim River, and Caeté Rivers Regions. The highest mortality occurred in Região Metropolitana in 2011; and the lowest, in Região Guamá in the years 2009 and 2010.

CONCLUSION:

In the period studied, Pará State was far from reaching the indicators proposed for the elimination of TB, contributing to the maintenance of endemic in Brazil.

Palavras-chave : Tuberculosis; Incidence; Program Evaluation; Ecological Studies.

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