<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742020000200053</article-id>
<article-id pub-id-type="doi">10.5123/s1679-49742020000200017</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Distribuição da sífilis congênita no estado do Tocantins, 2007-2015]]></article-title>
<article-title xml:lang="es"><![CDATA[Distribución de la sífilis congénita en el estado de Tocantins, Brasil, 2007-2015]]></article-title>
<article-title xml:lang="en"><![CDATA[Congenital syphilis distribution in the State of Tocantins, Brazil, 2007-2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Maria José Neres da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[Florisneide Rodrigues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Maria da Conceição Nascimento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Martha Suely Itaparica de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Maria da Glória]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria de Saúde do Estado do Tocantins Núcleo de Vigilância Epidemiológica Hospitalar ]]></institution>
<addr-line><![CDATA[Guaraí TO]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal da Bahia Instituto de Saúde Coletiva ]]></institution>
<addr-line><![CDATA[Salvador BA]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742020000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742020000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742020000200053&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: descrever o perfil epidemiológico da sífilis congênita no estado do Tocantins, Brasil, de 2007 a 2015.  Métodos: estudo transversal descritivo, realizado com dados do Sistema de Informação de Agravos de Notificação (Sinan) e do Sistema de Informações sobre Nascidos Vivos (Sinasc).  Resultados: foram notificados 1.029 casos da doença; a incidência média foi de 4,6 casos por 1 mil nascidos vivos (NV), com aumento de 3,1/1 mil NV em 2007 para a 9,8/1 mil NV em 2015 (aumento de 216,1%); municípios localizados no centro e no norte do estado apresentaram maiores taxas; a maioria das mães dos recém-nascidos tinha 15-24 anos de idade, ensino fundamental, iniciou o pré-natal no 3º trimestre de gestação e recebeu assistência pré-natal inadequada.  Conclusão: a elevada ocorrência da sífilis congênita no Tocantins demanda imediata intensificação da vigilância da doença e melhoria da qualidade do acompanhamento pré-natal, especialmente nos municípios com maior incidência.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: describir el perfil epidemiológico de la sífilis congénita (SC) en Tocantins, de 2007 a 2015.  Métodos: estudio transversal descriptivo, con datos del Sistema Nacional de Agravamientos de Información (Sinan) y del Sistema de Informaciones sobre Nacidos Vivos (Sinasc).  Resultados: se notificaron 1.029 casos de SC; la incidencia promedio fue de 4,6/1000 nacidos vivos (NV), con aumento variando de 3,1/1000 NV en 2007 a 9,8/1000 NV en 2015 (aumento del 216,1%); los municipios ubicados en el centro y norte del estado presentaron mayores tasas; la mayoría de las madres tenía entre 15-24 años, enseñanza primaria, iniciaron el prenatal en el 3º trimestre de gestación y la asistencia prenatal recibida fue inadecuada.  Conclusión: la situación epidemiológica de la sífilis congénita en Tocantins es muy preocupante y demanda la inmediata intensificación de esfuerzos, principalmente en lo que se refiere a mejorar la calidad del prenatal, especialmente en los municipios con mayor incidencia de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: to describe the epidemiological profile of congenital syphilis (CS) in Tocantins, from 2007 to 2015.  Methods: this was a cross-sectional descriptive study conducted with data from the Notifiable Health Conditions Information System (SINAN) and the Live Birth Information System (SINASC).  Results: 1,029 CS cases were reported; mean CS incidence was 4.6/1,000 Live Births (LB), increasing from 3.1/1,000 LB in 2007 to 9.8/1,000 LB in 2015 (increase of 216.1%); municipalities located in the central and northern regions of the state had the highest rates; the majority of mothers of newborn babies were 15-24 years old, had elementary school education, started prenatal care in the third trimester of pregnancy, and received inadequate prenatal care.  Conclusion: high occurrence of congenital syphilis in Tocantins requires immediate intensification of CS surveillance and improved prenatal care quality, especially in municipalities with higher incidence.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Sífilis Congênita]]></kwd>
<kwd lng="pt"><![CDATA[Cuidado Pré-natal]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia Descritiva]]></kwd>
<kwd lng="es"><![CDATA[Sífilis Congénita]]></kwd>
<kwd lng="es"><![CDATA[Atención Prenatal]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología Descriptiva]]></kwd>
<kwd lng="en"><![CDATA[Syphilis, Congenital]]></kwd>
<kwd lng="en"><![CDATA[Prenatal Care]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology, Descriptive]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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