巴西血吸虫病病例和死亡分析:2010-2022年流行病学模式和时空分布

Vinícius José de Oliveira, Thiago Alves De Jesus, Bianca de Jesus e Silva, Fernanda Vianna Borges, Allyne Silveira Borges, Wytter Rodrigues Velasco Gomes
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摘要

血吸虫病是一种由一种叫做血吸虫的扁虫引起的寄生虫感染。该病主要发生在发展中国家,特别是卫生条件差、获得清洁水的机会有限的农村地区。血吸虫病是通过接触受污染的淡水传播的,如河流、湖泊和池塘,这些地方是寄生虫幼虫生活的地方。本文的目的是分析巴西血吸虫病病例(2010-2022)和死亡(2010-2020)的流行病学变量。这是一项横断面、描述性和定量的流行病学研究。方法学战略包括分析2010年至2022年期间由 农业通报信息系统(SINAN)和死亡率信息系统(SIM)提供的流行病学公报。报告了93.521例血吸虫病病例,5.495例因感染并发症而死亡。肠道形式是最容易识别的。米纳斯吉拉斯州、圣保罗州、巴伊亚州和Espírito圣州是该病发病率最高的州。年龄在20至39岁之间、受教育程度较低的混合种族男性受影响最大。孕妇感染732例。62.56%的病例经通报疾病治愈,5.88%的病例经通报疾病死亡。总之,采取预防措施和普及教育是有效防治血吸虫病的关键。
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Analysis of schistosomiasis cases and deaths in Brazil: epidemiologic patterns and spatio-temporal distribution, 2010-2022
Schistosomiasis is a parasitic infection caused by a group of flatworms called Schistosoma. The disease is primarily found in developing countries, especially in rural areas with poor sanitation and limited access to clean water. Schistosomiasis is transmitted by contact with contaminated freshwater, such as rivers, lakes, and ponds, where the parasites’ larvae live. The aim of this article was to analyze the epidemiological variables of schistosomiasis cases (2010-2022) and deaths (2010-2020) in Brazil. This is a cross-sectional, descriptive, and quantitative epidemiologic study. The methodological strategy involved the analysis of epidemiological bulletins provided by the Sistema de Informação de Agravos de Notificação (SINAN) and the Sistema de Informação sobre Mortalidade (SIM) from 2010 to 2022. There were 93.521 reported cases of schistosomiasis and 5.495 deaths due to complications of this infection. The intestinal form was the most identified. Minas Gerais, São Paulo, Bahia, and Espírito Santo were the states with the highest prevalence of the disease. Males, of mixed race, aged between 20 and 39 years, and with a low level of education were the most affected. There were 732 cases of infection in pregnant women. Furthermore, 62.56% of the cases evolved to cure and 5.88% evolved to death by the notified disease. In conclusion, it is crucial to adopt prevention measures and access to education to effectively combat schistosomiasis.
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