TY - JOUR
T1 - Pulmonary tuberculosis in São Luis, State of Maranhão, Brazil
T2 - Space and space-time risk clusters for death (2008-2012)
AU - Santos Neto, Marcelino
AU - Yamamura, Mellina
AU - Garcia, Maria Concebidada Cunha
AU - Popolin, Marcela Paschoal
AU - Rodrigues, Ludmila Barbosa Bandeira
AU - Chiaravalloti Neto, Francisco
AU - Fronteira, Inês
AU - Arcêncio, Ricardo Alexandre
N1 - WOS:000352735300012
PY - 2015
Y1 - 2015
N2 - Introduction: The objective was to identify space and space-time risk clusters for the occurrence of deaths in a priority city for the control of tuberculosis (TB) in the Brazilian Northeast. Methods: Ecological research was undertaken in the City of São Luis/ Maranhão. Cases were considered that resulted in deaths in the population living in the urban region of the city with pulmonary TB as the basic cause, between 2008 and 2012. To detect space and space-time clusters of deaths due to pulmonary TB in the census sectors, the spatial analysis scan technique was used. Results: In total, 221 deaths by TB occurred, 193 of which were due to pulmonary TB. Approximately 95% of the cases (n=183) were geocoded. Two significant spatial clusters were identified, the first of which showed a mortality rate of 5.8 deaths per 100,000 inhabitants per year and a high relative risk of 3.87. The second spatial cluster showed a mortality rate of 0.4 deaths per 100,000 inhabitants per year and a low relative risk of 0.10. A significant cluster was observed in the space-time analysis between 11/01/2008 and 04/30/2011, with a mortality rate of 8.10 deaths per 100,000 inhabitants per year and a high relative risk (3.0). Conclusions: The knowledge of priority sites for the occurrence of deaths can support public management to reduce inequities in the access to health services and permit an optimization of the resources and teams in the control of pulmonary TB, providing support for specific strategies focused on the most vulnerable populations.
AB - Introduction: The objective was to identify space and space-time risk clusters for the occurrence of deaths in a priority city for the control of tuberculosis (TB) in the Brazilian Northeast. Methods: Ecological research was undertaken in the City of São Luis/ Maranhão. Cases were considered that resulted in deaths in the population living in the urban region of the city with pulmonary TB as the basic cause, between 2008 and 2012. To detect space and space-time clusters of deaths due to pulmonary TB in the census sectors, the spatial analysis scan technique was used. Results: In total, 221 deaths by TB occurred, 193 of which were due to pulmonary TB. Approximately 95% of the cases (n=183) were geocoded. Two significant spatial clusters were identified, the first of which showed a mortality rate of 5.8 deaths per 100,000 inhabitants per year and a high relative risk of 3.87. The second spatial cluster showed a mortality rate of 0.4 deaths per 100,000 inhabitants per year and a low relative risk of 0.10. A significant cluster was observed in the space-time analysis between 11/01/2008 and 04/30/2011, with a mortality rate of 8.10 deaths per 100,000 inhabitants per year and a high relative risk (3.0). Conclusions: The knowledge of priority sites for the occurrence of deaths can support public management to reduce inequities in the access to health services and permit an optimization of the resources and teams in the control of pulmonary TB, providing support for specific strategies focused on the most vulnerable populations.
KW - Death
KW - Pulmonary tuberculosis
KW - Spatio-temporal and spatial analysis
UR - http://www.scopus.com/inward/record.url?scp=84926324860&partnerID=8YFLogxK
U2 - 10.1590/0037-8682-0290-2014
DO - 10.1590/0037-8682-0290-2014
M3 - Article
C2 - 25860467
AN - SCOPUS:84926324860
SN - 0037-8682
VL - 48
SP - 69
EP - 76
JO - Revista Da Sociedade Brasileira De Medicina Tropical
JF - Revista Da Sociedade Brasileira De Medicina Tropical
IS - 1
ER -
