Spatial Patterns of Co-Infection and Tuberculosis/HIV in Ceara, Brazil

Abstract

Introduction: The tuberculosis and human immunodeficiency virus (HIV) spatial analysis, based on Morbidity and Mortality date, Contributes to the knowledge of socio-environmental risks and the identification of the most vulnerable areas. Purpose: Identify the spatial distribution tuberculosis and VERIFY Conglomerates of the existence of tuberculosis and tuberculosis/HIV coinfection cases. Methods: Ecological study with spatial analysis of tuberculosis cases. The population was composed by tuberculosis cases in Patients older than 15 years, between the years of 2005 and 2014, that lived in Ceará. The data collection was made in the SINAN and in the Mortality Information System (SIM), being informed the diagnoses and deaths Caused by tuberculosis between 2005 and 2014. Results and Discussions: The spatial analysis Showed the concentration of Municipalities with high risk for tuberculosis in the Health Regions of Sobral, Fortaleza, Caucaia, Maracanaú, Cascavel and Itapipoca. In the spatial autocorrelation two clusters of high risk for tuberculosis Were identified. The concentration of municipalities with high risks for tuberculosis/HIV coinfection are described in the Macro regions of Health and Sobral Fortress, and in the municipalities of Tauá acid, and Orós Jaguaribe, the spatial correlation two clusters identified in the mentioned macro regions. Conclusion: This study priorities defined geographic areas for the control of tuberculosis mortality and morbidity and Showed That the geographic information system technology can be used by health managers in the planning and monitoring program actions of tuberculosis.