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BEPA. Boletim Epidemiológico Paulista (Online)

On-line version ISSN 1806-4272


IBANES, Aline Santos  and  JUNIOR, Nivaldo Carneiro. Analysis of epidemiological trends of tuberculosis rates in São Paulo’s metropolitan region, SP, in view of directly observed treatment strategy from 2001 to 2008. BEPA, Bol. epidemiol. paul. (Online) [online]. 2014, vol.11, n.122, pp. 1-16. ISSN 1806-4272.

Facing high tuberculosis incidence rates worldwide particularly in low social developed countries, the World Health Organization (WHO) publishes in 1994 the Directed Observed Treatment Short Course (DOTS) that is considered nowadays as an effective strategy on tuberculosis control in large proportions. DOTS has been applied in Brazil in 1998 prioritizing cities with high tuberculosis incidence rates, a great deal of those in São Paulo’s Metropolitan Region (SPMR). The objective was to study the epidemiological trends of tuberculosis rates in view of DOTS strategy in SPMR from 2001 to 2008 by descriptive and retrospective survey based on quantitative analysis. Data from 39 cities of the SPMR have been collected from National System of Notifiable Diseases (NSND) from 2001 to 2008, handling the following variables: input type, HIV association, under DOTS strategy or not and outcome. The variables as accumulated incidence, cure and abandon percentage were graded and classified according to their variation in the period. From those 39 cities studied 56,41% were classified as good evolution; 38,46% of the cities were classified as stable evolution and 5,13% classified as bad evolution. A few cities may have had an inaccurate analysis because they have presented incomplete data to NSDN. Tuberculosis control implementation policies are submitted to so many factors that contribute to positive or negative outcomes on tuberculosis control.

Keywords : Tuberculosis; Directly Observed Therapy; Epidemiological Trends.

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