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Published on: September 5, 2017
Tuberculosis in Brazil: last ten years analysis - 2001-2010
Gisele Pinto de Oliveira1, Ana Wieczorek Torrens, Patrícia Bartholomay
1Tuberculosis National Control Program, Secretariat of Health Surveillance, Ministry of Health of Brazil, Brasília, DF, Brazil. giselepoliveira@gmail.com
Summary
Brazil saw improved tuberculosis (TB) control, with fewer cases and deaths from 2001-2010. However, challenges remain in diagnosis and treatment, hindering TB elimination as a public health issue.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Tuberculosis (TB) remains a significant global health concern.
- Effective control strategies are crucial for reducing disease burden.
- Monitoring epidemiological trends and program performance is vital for public health interventions.
Purpose of the Study:
- To analyze the epidemiological situation of tuberculosis in Brazil between 2001 and 2010.
- To evaluate the performance of TB control programs during this period.
- To correlate observed changes with implemented control measures.
Main Methods:
- A descriptive study utilizing data from the Information System for Notifiable Diseases (Sinan), Mortality Information System (SIM), SIH/SUS, and MDR-TB/SS.
- Analysis of key indicators including TB control program (TCP) coverage, case detection, morbidity, treatment outcomes, and mortality.
- Indicators were categorized into four main groups for comprehensive evaluation.
Main Results:
- A decrease in new TB cases and incidence rates was observed.
- Significant reductions in TB-related mortality (relative and absolute) were achieved.
- Improvements noted in TB detection, diagnosis, TB/HIV coinfection management, and drug resistance surveillance.
- Limited progress identified in contact investigation, primary care diagnosis, and TB cure rates.
Conclusions:
- The study highlights substantial advancements in TB control in Brazil over the decade.
- Persistent challenges in specific program areas require targeted interventions.
- Addressing these obstacles is essential for achieving the goal of eliminating tuberculosis as a public health problem.
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