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. 2013 Mar-Apr;17(2):218-33.
doi: 10.1016/j.bjid.2013.01.005. Epub 2013 Mar 7.

Tuberculosis in Brazil: last ten years analysis - 2001-2010

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Tuberculosis in Brazil: last ten years analysis - 2001-2010

Gisele Pinto de Oliveira et al. Braz J Infect Dis. 2013 Mar-Apr.

Abstract

Objective: To describe tuberculosis epidemiological situation in Brazil, as well as program performance indicators in 2001-2010 period, and discuss the relationship between changes observed and control measures implemented in this century first decade.

Methods: It is a descriptive study, data source was the Information System for Notifiable Diseases (Sinan), Mortality Information System (SIM), Unified Health System Hospital Information System (SIH/SUS) and TB Multidrug-resistant Surveillance System (MDR-TB/SS). Indicators analyzed were organized into four major groups: TB control program (TCP) coverage and case detection; morbidity; treatment and TCP performance; and mortality.

Results: In the years analyzed there was a decrease in the number of new cases and incidence rate, mortality reduction (relative and absolute), and improvement in TB detection and diagnosis, as well in TB/HIV coinfection and drug resistance. However, little progress was found in contact investigation, diagnosis in primary care and TB cure rate.

Discussion: Results showed many advances in tuberculosis control in the 10 years analyzed, but it also points to serious obstacles that need to be solved so Brazil can eliminate tuberculosis as a public health problem.

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Figures

Fig. 1
Fig. 1
Tuberculosis crude incidence rate (Sinan-TB) – Brazil, 2001–2010. Source: Sinan-TB.
Fig. 2
Fig. 2
Number of multidrug resistant tuberculosis cases – Brazil, 2001–2010. Source: Multidrug Resistant Surveillance System (TBMR/SS).

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