ABSTRACT
OBJECTIVE: to evaluate the Brazilian Laboratorial Environment Management System (GAL) as a data source for the Sentinel Surveillance of Influenza-Like Illness (SSILI). METHODS: this is an evaluation study of GAL, through the analysis of its simplicity, flexibility, data quality, acceptability, representativeness, timeliness, stability and usefulness for SSILI, based on the guide for system evaluation in public health of the Centers for Disease Control and Prevention (Atlanta/GA, USA). RESULTS: in 2011 and 2012, a total of 13,765 exams for respiratory viruses were registered. GAL presented simple structure, flexibility to changes, good data quality, acceptability and timeliness in the access to test results, being representative and stable in 23 Brazilian states. CONCLUSION: the system is useful in meeting the goals of SSILI; however, there are some recommendations for adjustments and for encouraging the adherence by the states that do not use the system yet.
Subject(s)
Influenza, Human/epidemiology , Laboratories , Public Health , Sentinel Surveillance , Adolescent , Adult , Brazil/epidemiology , Child , Child, Preschool , Data Accuracy , Guideline Adherence , Guidelines as Topic , Humans , Infant , Infant, Newborn , Middle Aged , Young AdultABSTRACT
OBJECTIVE: to report the experience of investigating the outbreak of acute diarrhoea (AD) at the XII Indigenous Games in Cuiabá, Mato Grosso, Brazil, 2013. METHODS: data were collected from the Advanced Medical Post's service records of the AD cases, which were defined as 'individual Games participant referring episode of diarrhoea and/or vomiting'; AD attack rates, relative frequencies and measures of the central tendency of sociodemographic and clinical variables, sanitary inspections and results of bromatological samples were calculated. RESULTS: 384 (37%) cases met the definition of AD; the epidemic peaks of the outbreak occurred on the 4th and 7th day of the event and the disease attack rate was 33.5%; sanitary inspection showed evidence of food contamination by coagulase-negative Staphylococci, Bacillus cereus and heat resistant coliforms. CONCLUSION: there an outbreak of AD caused by food contamination.
Subject(s)
Diarrhea/epidemiology , Disease Outbreaks , Foodborne Diseases/epidemiology , Indians, South American/statistics & numerical data , Adolescent , Adult , Age Distribution , Aged , Aged, 80 and over , Brazil/epidemiology , Child , Child, Preschool , Diarrhea/ethnology , Female , Foodborne Diseases/ethnology , Humans , Incidence , Indians, South American/ethnology , Infant , Infant, Newborn , Male , Middle Aged , Sex Distribution , Young AdultABSTRACT
OBJECTIVE: to describe the real-time active surveillance strategy and the profile of health care provided during the 20th FIFA World Cup Brazil 2014 (FWCB), in the host city of Fortaleza, Ceará, Brazil. METHODS: this was a descriptive study with data collected from medical records during the FWCB, between June 8 and July 13, 2014, in pre-selected health care units. RESULTS: there were 2,570 medical assistances related to the FWCB; 56% of the patients were male, 35% were between 20 and 29 years old; 68% were clinical care, and 64% of the individuals were fans/spectators; 94% of the patients were discharged, 3% were referred, 3% were hospitalized and 0.2% died; the advanced medical units were responsible for 79% of the assistances, mainly on game days. CONCLUSION: no public health event of great importance was identified; the active surveillance strategy enabled the monitoring of health situation of those individuals involved in the event.
