Temporal trend in the incidence of human visceral leishmaniasis in Brazil.

Autor: Santos Júnior CJD; Programa de Pós- Graduação em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil. claudiojunior@usp.br., Santos MMD; Universidade Estadual do Rio Grande do Norte. Caicó RN Brasil., Lins FCCO; Universidade Estadual de Ciências da Saúde de Alagoas. Maceió AL Brasil., Silva JP; Instituto Federal de Alagoas. Maceió AL Brasil., Lima KC; Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte. Natal RN Brasil.
Jazyk: angličtina
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2023 Sep; Vol. 28 (9), pp. 2709-2719. Date of Electronic Publication: 2023 Jan 27.
DOI: 10.1590/1413-81232023289.15422022
Abstrakt: It is an ecological study that analyzed the time trend of visceral leishmaniasis incidence rates in Brazil using segmented time regression by joinpoints. There was a decreasing incidence rate of this disease in the country with an average annual percent change (AAPC) of -5 (CI95%: -9.1; -0.6) and a reduction of 1.69 cases/100 thousand inhabitants in 2007, and 0.91/100 thousand inhabitants in 2020. The Central-West region showed the highest reduction percent (AAPC: -9.1; CI95%: -13.8; -4.3), followed by the Southeast region (AAPC: -8.7; -14.6; -2.5). The North and South regions showed the largest number of joinpoints in the time series. The highest incidences were recorded in the male population, however, stable (AAPC: 2.14; CI95%: -8.3; 0). In the age group analysis, the trend was decreasing for the groups from 0 to 4 years old (AAPC: -7.7; CI95%: -12.6; -2.4), 5 to 9 years old (AAPC: -7.3; CI95%: -13.6; -0,4) and 10 to 14 years old (AAPC: -5.5; CI95%: -10.3; -0.3). It was found that although Visceral Leishmaniasis is an endemic disease in Brazil, there was a decrease in its incidence rate from 2007 to 2020.
Databáze: MEDLINE