Variations in the Incidence of Tuberculosis in the States and Regions of Brazil
Keywords:Tuberculosis, Incidence, States and Regions, Brazil, ANOVA.
SETTING: The situation of tuberculosis in the States and Federal District of Brazil. OBJECTIVE: To analyse the incidence of tuberculosis in the States, the Federal District and the five regions of Brazil. DESIGN: Transversal study, composed of diagnosed cases of tuberculosis in the period 2003-2012, in both sexes among residents of the States, recorded in the epidemiological report by the Ministry of Health. The results were obtained using the R-3.2.3 program. RESULTS: Amazonas and Rio de Janeiro presented the highest incidence of tuberculosis, in the country, and hence in the North and Southeast regions, respectively. The Federal District and GoiÃ¡s were responsible for the low incidence in the Centre-West region. Healthcare is decentralised in the States and in practice tuberculosis remains inadequately controlled. The incidence decreased in most States, with minor variations, between 2004 and 2011, but there were significant differences among States and regions, which highlights the need to reassess policies for the control of tuberculosis in accordance with State and regional needs. CONCLUSION: Detailed knowledge of the characteristics of tuberculosis patients and of levels of public health education is of vital importance to public health in Brazil, providing essential information for health policies to be directed toward effective control of the disease. Our study considers the context in the different States, taking into account the patientsâ€™ age and level of education, seeking to facilitate the design of programmes for the eradication of tuberculosis focused on the age groups most likely to suffer the onset of this disease.
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