<?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>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232024000100011</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202401463</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Tendência temporal de sífilis congênita e gestacional no estado do Pará, Amazônia Oriental, Brasil, de 2007 a 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Temporal trend of congenital and gestational syphilis in Pará State, Eastern Amazon, Brazil, from 2007 to 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fontes]]></surname>
<given-names><![CDATA[Lucas dos Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bastos]]></surname>
<given-names><![CDATA[Maria do Socorro Castelo Branco de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Pará Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>15</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232024000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232024000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232024000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO: Descrever a tendência temporal de sífilis congênita e gestacional no estado do Pará, em suas 13 Regiões Administrativas e na capital, no período entre 2007 e 2020.  MATERIAIS E MÉTODOS: Trata-se de estudo de série temporal, em que se analisou as taxas de incidência de sífilis congênita e as taxas de detecção de sífilis gestacional no Pará, assim como a tendência na capital Belém e nas 13 Regiões Administrativas do estado. Com dados do Sistema de Informação de Agravos de Notificação e do Sistema de Informações sobre Nascidos Vivos, fornecidos pela Vigilância da Secretaria de Estado da Saúde do Pará, foram elaborados modelos de regressão linear simples e polinomiais para verificar a tendência da ocorrência dos agravos em questão no período analisado.  RESULTADOS: Houve tendência de crescimento na taxa de detecção de sífilis gestacional no estado do Pará, em Belém e em 10 Regiões Administrativas. Três regiões mostraram crescimento seguido de estabilização em patamares altos no final da série. Para sífilis congênita, houve tendência de crescimento nas taxas de incidência em nove Regiões Administrativas; no estado, notou-se crescimento seguido de estabilização em patamares altos ao fim da série, e, em Belém e em três Regiões Administrativas, foi registrado crescimento seguido de queda a partir de 2017.  CONCLUSÃO: Ocorreu, nessa região da Amazônia Oriental, majoritariamente, tendência de crescimento de sífilis congênita e gestacional no período estudado, embora algumas regiões mostrem estabilização em patamares altos ou tendência de queda ao final da série.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE: To describe the temporal trend of congenital and gestational syphilis in the capital and 13 Administrative Regions of Pará State, Brazil, from 2007 to 2020.  MATERIALS AND METHODS: This time series study analyzed congenital syphilis incidence rates and gestational syphilis detection rates in Pará, as well as the trend in the capital, Belém, and 13 Administrative Regions from the state. Using data from the Notifiable Diseases Information System and the Live Births Information System, provided by the Pará State Health Department, simple linear and polynomial regression models were drawn up to check the trend in the occurrence of these diseases during the analyzed period.  RESULTS: There was an upward trend in the detection rate of gestational syphilis in Pará, in Belém and 10 Administrative Regions. Three regions showed growth, followed by stabilization at high levels towards the end of the series. For congenital syphilis, there was an upward trend in incidence rates in nine Administrative Regions; in the state, there was growth followed by stabilization at high levels at the end of the series; and in Belém and three Administrative Regions, there was growth followed by a fall from 2017 onwards.  CONCLUSION: In this region of the Eastern Amazon, there was mostly an upward trend in congenital and gestational syphilis during the study period. However, some regions showed stabilization at high levels or a downward trend at the end of the series.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Sífilis]]></kwd>
<kwd lng="pt"><![CDATA[Sífilis Congênita]]></kwd>
<kwd lng="pt"><![CDATA[Estudos de Séries Temporais]]></kwd>
<kwd lng="pt"><![CDATA[Regionalização da Saúde]]></kwd>
<kwd lng="en"><![CDATA[Syphilis]]></kwd>
<kwd lng="en"><![CDATA[Congenital Syphilis]]></kwd>
<kwd lng="en"><![CDATA[Time Series Studies]]></kwd>
<kwd lng="en"><![CDATA[Health Regionalization]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Corrêa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[JED]]></given-names>
</name>
<name>
<surname><![CDATA[Jannuzzi]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Direitos e saúde sexual e reprodutiva: marco teórico-conceitual e sistema de indicadores]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Cavenaghi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Indicadores municipais de saúde sexual e reprodutiva]]></source>
<year>2006</year>
<page-range>27-62</page-range><publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[Associação Brasileira de Estudos Populacionais]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Figueiró-Filho]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Gardenal]]></surname>
<given-names><![CDATA[RVC]]></given-names>
</name>
<name>
<surname><![CDATA[Assunção]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Periotto]]></surname>
<given-names><![CDATA[CRL]]></given-names>
</name>
<name>
<surname><![CDATA[Vedovatte]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sífilis congênita como fator de assistência pré-natal no município de Campo Grande - MS]]></article-title>
<source><![CDATA[DST J Bras Doenças Sex Transm]]></source>
<year>2007</year>
<volume>19</volume>
<numero>3-4</numero>
<issue>3-4</issue>
<page-range>139-43</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Korenromp]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
<name>
<surname><![CDATA[Rowley]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mello]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Wijesooriya]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
<name>
<surname><![CDATA[Mahiané]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global burden of maternal and congenital syphilis and associated adverse birth outcomes - Estimates for 2016 and progress since 2012]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2019</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dos Santos]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[AKB]]></given-names>
</name>
<name>
<surname><![CDATA[Roncalli]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trends of syphilis in Brazil: a growth portrait of the treponemic epidemic]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2020</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde e Ambiente</collab>
<article-title xml:lang=""><![CDATA[Sífilis 2023]]></article-title>
<source><![CDATA[Bol Epidemiol [Internet]]]></source>
<year>2023</year>
<numero>n. esp</numero>
<issue>n. esp</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cavalcante]]></surname>
<given-names><![CDATA[ANM]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[MAL]]></given-names>
</name>
<name>
<surname><![CDATA[Nobre]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[RLF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fatores associados ao seguimento não adequado de crianças com sífilis congênita]]></article-title>
<source><![CDATA[Rev Saude Publica]]></source>
<year>2019</year>
<volume>53</volume>
<numero>95</numero>
<issue>95</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital syphilis]]></article-title>
<source><![CDATA[Semin Perinatol]]></source>
<year>2018</year>
<volume>42</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>176-84</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mateus]]></surname>
<given-names><![CDATA[DBV]]></given-names>
</name>
</person-group>
<source><![CDATA[Prevalência de sífilis congênita na região centro-oeste no período de 2011 a 2015]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Brasília (DF) ]]></publisher-loc>
<publisher-name><![CDATA[Centro Universitário de Brasília, Faculdade de Ciências da Educação e Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Ministério da Saúde (BR). Secretaria de Atenção à Saúde</collab>
<source><![CDATA[Atenção à saúde do recém-nascido: guia para os profissionais de saúde [Internet]]]></source>
<year>2014</year>
<edition>2. ed. atual</edition>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Michelow]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
<name>
<surname><![CDATA[Wozniak]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Em tempo: a persistência da sífilis congênita no Brasil - Mais avanços são necessários!]]></article-title>
<source><![CDATA[Rev Paul Pediatr]]></source>
<year>2016</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>251-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[IMCC]]></given-names>
</name>
<name>
<surname><![CDATA[Arbage]]></surname>
<given-names><![CDATA[MJC]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nordeste do Pará: configuração atual e aspectos identitários]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[IMCC]]></given-names>
</name>
<name>
<surname><![CDATA[Rangel-Vasconcelos]]></surname>
<given-names><![CDATA[LGT]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<source><![CDATA[Nordeste paraense: panorama geral e uso sustentável das florestas secundárias]]></source>
<year>2017</year>
<page-range>19-58</page-range><publisher-loc><![CDATA[Belém ]]></publisher-loc>
<publisher-name><![CDATA[EDUFRA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde</collab>
<article-title xml:lang=""><![CDATA[Sífilis 2021]]></article-title>
<source><![CDATA[Bol Epidemiol [Internet]]]></source>
<year>2021</year>
<numero>n. esp</numero>
<issue>n. esp</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Shimizu]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[AIA]]></given-names>
</name>
<name>
<surname><![CDATA[Hamann]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidência da sífilis congênita no Brasil e sua relação com a Estratégia Saúde da Família]]></article-title>
<source><![CDATA[Rev Saude Publica]]></source>
<year>2012</year>
<volume>46</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>479-86</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lafetá]]></surname>
<given-names><![CDATA[KRG]]></given-names>
</name>
<name>
<surname><![CDATA[Martelli Jr]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Silveira]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Paranaíba]]></surname>
<given-names><![CDATA[LMR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sífilis materna e congênita, subnotificação e difícil controle]]></article-title>
<source><![CDATA[Rev Bras Epidemiol]]></source>
<year>2016</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>63-74</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[ASS]]></given-names>
</name>
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[JU]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Who was affected by the shortage of penicillin for syphilis in Rio de Janeiro, 2013-2017?]]></article-title>
<source><![CDATA[Rev Saude Publica]]></source>
<year>2020</year>
<volume>54</volume>
<page-range>109</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[JMR]]></given-names>
</name>
<name>
<surname><![CDATA[Dantas]]></surname>
<given-names><![CDATA[FCS]]></given-names>
</name>
<name>
<surname><![CDATA[Pena]]></surname>
<given-names><![CDATA[LTG]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[LI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sífilis: um panorama epidemiológico do Brasil e do município de Volta Redonda/RJ]]></article-title>
<source><![CDATA[Braz J Hea Rev]]></source>
<year>2018</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>128-47</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Domingues]]></surname>
<given-names><![CDATA[RMSM]]></given-names>
</name>
<name>
<surname><![CDATA[Szwarcwald]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Souza Jr]]></surname>
<given-names><![CDATA[PRB]]></given-names>
</name>
<name>
<surname><![CDATA[Leal]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalência de sífilis na gestação e testagem pré-natal: estudo nascer no Brasil]]></article-title>
<source><![CDATA[Rev Saude Publica]]></source>
<year>2014</year>
<volume>48</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>766-74</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
