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Abstract Objective After the Covid-19 pandemics hit Brazil and sanitary measures were adopted to contain its dissemination, pediatric hospital admissions were apparently fewer than usual. The authors aimed to describe the time trends of public hospital admissions of children and adolescents due to respiratory infections (RIs) in São Paulo State, Brazil, before and after the adoption of sanitary measures to contain the dissemination of Covid-19. Methods Ecological, time-series study on the monthly average number of admissions per day of children and adolescents (< 16 years) admitted to public hospitals of São Paulo due to acute RIs between January 2008 and March 2021. Data from 2008 to 2019 were used to adjust the statistical model, while data from 2020 and 2021 were compared to the values predicted by the model. Results In 2020 and 2021, the number of hospital admissions was significantly lower than predicted by the time series. However, lethality was three times higher in these years, compared to the previous, and six times higher in patients with Covid-19, compared to those without the disease. Hospitalization costs in 2020 and 2021 were lower than in previous years. Conclusions These findings suggest that the sanitary measures adopted to contain the dissemination of Covid-19 also effectively reduce the transmission of other respiratory viruses. Policymakers and administrators can use this knowledge as a guide to planning preventative interventions that could decrease the number and severity of RIs and related hospital admissions in children and adolescents, decreasing the burden on the public health system.
RESUMO
Com o objetivo de fornecer informações sobre o câncer do colo do útero (CCU), usando canais de comunicação presentes nos smartphones, o estudo apresentado neste artigo caracterizou o padrão de uso desses canais e a preferência de recebimento de informações de 395 mulheres, foco do programa de rastreio do CCU do município de Maringá (PR). Entre essas mulheres, 89% possuem celulares e 65% com acesso à internet. Entre as entrevistadas que utilizam a internet, 46% usam para acessar redes sociais, 45% para fazer pesquisas e 33% para ler notícias. Entre as que utilizam as redes sociais, 55% têm acesso ao Facebook e 56% ao WhatsApp. A porcentagem das que preferem receber informações por meio de panfletos é de 52%e, para 48% delas, os médicos são os profissionais mais indicados para darem as informações. Embora haja significativa utilização dos canais de comunicação presentes nos smartphones, muitas mulheres ainda preferem receber informações sobre o CCU através dos métodos tradicionais de educação em saúde.
In order to provide information about cervical cancer using the communication channels present in the smartphones, the study presented in this article characterized the pattern of use of these channels and the preference of receiving information from 395 women who take part in in the cervical cancer screening program of the city of Maringá (PR).. 89% of those women have cellular phones and 65% have access tothe internet. Among those interviewed using the internet, 46% use to access social networking, 45% to research, and 33% to read news. Among those who use social networkings, 55% have access to Facebookand 56% to WhatsApp. Nevertheless, 52% prefer to receive information through pamphlets and for 48% of them doctors are the best professionals who give the information. Although there is significant use of the communication channels present in smartphones, many women still prefer to receive information about the cervical cancer through traditional methods of health education.
Con el fin de proporcionar información sobre el cáncer de cuello uterino utilizando los canales de comunicación presentes en los teléfonos inteligentes, el estudio presentado en este artículo caracterizó el patrón de uso de estos canales y la preferencia de recibir información de 395 mujeres que participan en el programa de rastreio del cáncer de cuello uterino del municipio de Maringá (PR). El 89% de esas mujeres tienen teléfonos celulares y el 65% tienen acceso a Internet. Entre los entrevistados que utilizan internet, el 46% utiliza para acceder a redes sociales, el 45% a investigación y el 33% a noticias. Entre los que utilizan redes sociales, el 55% tiene acceso a Facebook y el 56% a WhatsApp. Sin embargo, el 52% prefiere recibir información a través de folletos y para el 48% de ellos los médicos son los mejores profesionales que dan lainformación. Aunque existe un uso significativo de los canales de comunicación presentes en los teléfonos inteligentes, muchas mujeres todavía prefieren recibir información sobre el cáncer cervical a través de los métodos tradicionales de educación sanitaria.