ABSTRACT
BACKGROUND AND AIM: Dengue is a viral febrile infectious disease characterized by mild symptoms that can progress to dengue hemorrhagic fever (DHF). Due to socioeconomic and environmental reasons, it is a significant public health problem in Brazil with high morbidity rates among children. The objective is to analyze the epidemiological behavior of dengue and DHF hospitalizations in Brazil and point out the importance of health surveillance. METHOD(S): Data were collected from the Sistema de Informacoes Hospitalares of the Brazilian Ministry of Health. The study population was children from zero to 14 years old diagnosed with classic dengue and/or DHF from January 2008 to November 2021 in Brazil. The variables analyzed were hospitalizations and deaths over the years, hospitalization time and expenses. RESULT(S): A total of 192,424 hospitalizations for dengue and DHF were reported, of which 95.3% were considered medical emergencies. Its epidemiological behavior has fluctuated over the years, with an increase of 162.0% between 2017 and 2019, followed by a decreasing trend starting in 2020. Despite the low mortality rate (0.24%), this scenario was responsible for $12,347,942.38 in expenses and a total of 652,552 hospitalization days. CONCLUSION(S): Dengue is responsible for a major socioeconomic impact on Brazilian's public health system since its severe cases require intensive care to avoid shock, organ failure and death. Due to COVID-19 pandemic and population's fear of contamination in medical facilities, underreporting of arboviruses cases was observed. Since early diagnosis and monitoring are predictors of good prognosis, it is crucial to encourage notification, epidemiological surveillance and sanitary hygiene measures.
ABSTRACT
Objective: To analyze the epidemiological aspects of COVID-19 in Brazilian nursing professionals. Methodology: Cross-sectional and quantitative study, based on secondary data in the public domain, from the Nursing Observatory of the Federal Nursing Council. Data were collected in November 2020 and imported into the STATA version 12.0 program. Descriptive statistical analysis was performed, with absolute numbers and frequency measures. Results and discussion: 38,628 Nursing professionals with suspected COVID-19 were notified, 52.4% with confirmed diagnosis and a predominance of technicians (62.9%). The prevalent age group among deaths was higher (41 to 60 years) than among those infected (31 to 40 years), while the female gender was quantitatively dominant in both, despite the higher lethality rate among men (4.5%). Mortality / 1,000 professionals was high in Amapa, Acre, Mato Grosso and Rondonia. The peak in the daily number of new cases (525) occurred in July 2020, while the number of deaths (18) in September, a month in which there was a downward trend in the variation in the growth rate of the moving average between the new cases, the which is not evident in the variable of the moving average between deaths. This scenario has a strong relationship with the precarious working conditions, lack of PPE, physical and emotional overload and the outcomes of the fast hiring and qualification for the management of patients with COVID-19. Conclusion: Understanding the situation of vulnerability experienced by these workers in the pandemic context reveals the need to target effective health actions aimed at this group.
ABSTRACT
Objective: To analyze the epidenniological aspects of COVID-19 in Brazilian nursing professionals. Methodology: Cross-sectional and quantitative study, based on secondary data in the public domain, from the Nursing Observatory of the Federal Nursing Council. Data were collected in November 2020 and innported into the STATA version 12.0 program. Descriptive statistical analysis was performed, with absolute numbers and frequency measures. Results and discussion: 38,628 Nursing professionals with suspected COVID-19 were notified, 524% with confirmed diagnosis and a predominance of technicians (62.9%). The prevalent age group among deaths was higher (41 to 60 years) than among those infected (31 to 40 years), while the female gender was quantitatively dominant in both, despite the higher lethality rate among men (4.5%). Mortality / 1,000 professionals was high in Amapa, Acre, Mato Grosso and Rondonia. The peak in the daily number of new cases (525) occurred in July 2020, while the number of deaths (18) in September, a month in which there was a downward trend in the variation in the growth rate of the moving average between the new cases, the which is not evident in the variable of the moving average between deaths. This scenario has a strong relationship with the precarious working conditions, lack of PPE, physical and emotional overload and the outcomes of the fast hiring and qualification for the management of patients with COVID-19. Conclusion: Understanding the situation of vulnerability experienced by these workers in the pandemic context reveals the need to target effective health actions aimed at this group.