Time trends in mortality from intestinal infectious diseases among children under five years old, in São Paulo State,

Renata Soares Martins1, Maria Bernadete de Paula Eduardo2, Andréia de Fátima Nascimento3

  • 1Centro de Vigilância Epidemiológica da Secretaria de Estado da Saúde, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde do Estado de São Paulo, São Paulo-SP, Brasil.

Insights

Mortality from intestinal infectious diseases (IID) in children under five decreased significantly in São Paulo State. The IID mortality rate declined annually across most health regions, indicating progress in child health outcomes.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Intestinal infectious diseases (IID) remain a significant cause of mortality in young children globally.
  • Understanding temporal trends in IID mortality is crucial for effective public health interventions.

Purpose of the Study:

  • To analyze time trends in mortality due to intestinal infectious diseases (IID) among children under five years of age.
  • To examine these trends within São Paulo State and its Regional Health Care Networks (RRAS) from 2000 to 2012.

Main Methods:

  • A time series study design was employed.
  • Data on deaths attributed to IID as an underlying, antecedent, or contributory cause were obtained from the Mortality Information System.

Main Results:

  • A total of 2,886 deaths from IID were recorded in São Paulo State during the study period.
  • The overall IID mortality rate demonstrated a significant annual decrease of 10.5% (95% CI: 4.8%; 15.8%).
  • A significant decline in IID mortality rates was observed in 13 out of 17 RRAS, with annual decreases ranging from 8.3% to 16.6%.

Conclusions:

  • The study highlights a significant reduction in IID mortality rates among children under five in São Paulo State.
  • The varying rates of decline across different RRAS suggest potential disparities linked to socio-economic factors and healthcare organization.
Abstract

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