Análise do Programa de Controle da Tuberculose no estado do Pará, Brasil, de 2005 a 2014

Dilma Costa de Oliveira Neves; Luana de Oliveira Loureiro; Nathalya Pinheiro Paiva; Maria Deise de Oliveira Ohnishi; Claudia Daniela Tourão Ribeiro

doi:10.5123/S2176-62232018000400005

Authors

Dilma Costa de Oliveira Neves Centro Universitário do Estado do Pará, Belém, Pará, Brasil
Luana de Oliveira Loureiro Centro Universitário do Estado do Pará, Belém, Pará, Brasil
Nathalya Pinheiro Paiva Centro Universitário do Estado do Pará, Belém, Pará, Brasil
Maria Deise de Oliveira Ohnishi Centro Universitário do Estado do Pará, Belém, Pará, Brasil
Claudia Daniela Tourão Ribeiro Centro Universitário do Estado do Pará, Belém, Pará, Brasil

DOI:

https://doi.org/10.5123/S2176-62232018000400005

Keywords:

Tuberculosis, Incidence, Program Evaluation, Ecological Studies

Abstract

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.