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Paracoccidioidomycosis mortality in Brazil (1980-1995)
Coutinho, Ziadir Francisco; Silva, Delson da; Lazéra, Márcia; Petri, Valéria; Oliveira, Rosely Magalhães de; Sabroza, Paulo C; Wanke, Bodo.
  • Coutinho, Ziadir Francisco; Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Centro de Saúde Escola Germano Sinval Faria. Rio de Janeiro. BR
  • Silva, Delson da; Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Endemias Samuel Pessoa. Rio de Janeiro. BR
  • Lazéra, Márcia; Fundação Oswaldo Cruz. Centro de Pesquisa Hospital Evandro Chagas. Serviço de Micologia. Rio de Janeiro. BR
  • Petri, Valéria; Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Dermatologia. São Paulo. BR
  • Oliveira, Rosely Magalhães de; Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Endemias Samuel Pessoa. Rio de Janeiro. BR
  • Sabroza, Paulo C; Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Endemias Samuel Pessoa. Rio de Janeiro. BR
  • Wanke, Bodo; Fundação Oswaldo Cruz. Centro de Pesquisa Hospital Evandro Chagas. Serviço de Micologia. Rio de Janeiro. BR
Cad. saúde pública ; 18(5): 1441-1454, set.-out. 2002. mapas, tab, graf
Article in English | LILACS | ID: lil-327833
RESUMO
This study analyzes 3,181 deaths from paracoccidioidomycosis in Brazil, based on 16 years of sequential data (from 1980 to 1995). During this period paracoccidioidomycosis showed considerable magnitude and low visibility, representing the eighth most common cause of death from predominantly chronic or recurrent types of infectious and parasitic diseases. It also had the highest mortality rate among the systemic mycoses. The mean annual mortality rate was 1.45 per million inhabitants, indicating a downward long-term trend (reduction of 31.28 percent), while spatial distribution among the different regions and States of Brazil was non-homogenous. The South (with the highest regional rate) and the Southeast showed a downward trend, while the Central West had the second highest rate in the country. At least one-fifth of Brazilian municipalities (or 22.71 percent of the country's total area) reported deaths from paracoccidioidomycosis. Overall nationwide mortality per area was 3.73/10,000km². The disease was endemic in non-metropolitan areas. The majority of deaths occurred in males (84.75 percent), and there was a sex ratio of 562 men/100 women. The 30-59-year and over-60-year age groups were the most affected. The study showed that the mortality rate justifies classifying this disease as a major health problem in Brazil
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Paracoccidioidomycosis / Epidemiology / Mortality Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Cad. saúde pública Journal subject: Public Health / Toxicology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Paracoccidioidomycosis / Epidemiology / Mortality Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Cad. saúde pública Journal subject: Public Health / Toxicology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Universidade Federal de São Paulo/BR