Descriptive profile of the occurrence of arboviruses in Governador Valadares, Minas Gerais, Brazil

J. F. D. De Almeida, W. A. Alves
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Abstract

Objective : The objectives of this study were to analyse the clinical-demographic profile of arbovirus cases in Governador Valadares, Minas Gerais, Brazil, between 2015 and 2016, and the incompleteness of notifications. Methods : A descriptive and cross-sectional study of arboviruses was performed using secondary data. All reported autochthonous probable cases (confirmed and suspected) of Dengue, Chikungunya and Zika were included. Results : In total, 4,207 cases (dengue), 3,310 (zika) and 130 (chikungunya) were reported; the annual incidence rates (per 100,000 inhabitants) were 752.1 cases (dengue), 24.3 (chikungunya) and 591.8 (zika). February was the month with the highest notification for 3 arboviruses and female individuals were the most frequently affected. The most frequent age range for dengue was between 21 and 30 years old (20.3%), for chikungunya was over 50 years old (23.5%) and for zika was under 10 years old (28.6%). The most incident symptoms in dengue were fever (3.2%), headache (2.9%) and myalgia (2.6%), in chikungunya were arthralgia (46.6%), exanthema (37.5%) and myalgia (29.4%); for zika, the symptoms weren’t reported in the notification form. Very poor or poor completeness were verified in 77.4% (dengue), 34.6% (chikungunya), 22.2% (zika). Conclusions : The clinical-demographic profile of arboviruses in Governador Valadares is represented by women, aged between 21 and 40 years old, with complaints of fever, headache, myalgia and, particularly in chikungunya, arthralgia. The high percentage of unfilled fields in notification forms for 3 arboviruses is a serious limitation for public health actions against them.
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巴西米纳斯吉拉斯州瓦拉达雷斯州长虫媒病毒发生的描述性概况
目的:本研究的目的是分析2015年至2016年巴西米纳斯吉拉斯州瓦拉达雷斯州长虫媒病毒病例的临床人口统计学特征,以及报告的不完整性。方法:利用二手资料对虫媒病毒进行描述性和横断面研究。包括所有报告的登革热、基孔肯雅热和寨卡的本地可能病例(确诊和疑似)。结果:共报告登革热4207例、寨卡3310例、基孔肯雅热130例;年发病率(每10万居民)为752.1例(登革热)、24.3例(基孔肯雅热)和591.8例(寨卡)。2月是3种虫媒病毒报告最高的月份,女性个体最常受感染。登革热最常见的年龄范围为21至30岁(20.3%),基孔肯雅热最常见的年龄范围为50岁以上(23.5%),寨卡最常见的年龄范围为10岁以下(28.6%)。登革热的主要症状为发热(3.2%)、头痛(2.9%)和肌痛(2.6%),基孔肯雅热的主要症状为关节痛(46.6%)、湿疹(37.5%)和肌痛(29.4%);对于寨卡病毒,通知表格中没有报告症状。77.4%(登革热)、34.6%(基孔肯雅)和22.2%(寨卡)的完全性非常差或较差。结论:瓦拉达雷斯州长虫媒病毒的临床人口统计学特征以年龄在21岁至40岁之间的妇女为代表,她们有发热、头痛、肌痛,特别是在基孔肯雅病中有关节痛。3种虫媒病毒通报表格中未填写字段的比例很高,严重限制了针对它们采取的公共卫生行动。
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