Tuberculosis in prison inmates in Southern Brazil: investigating the epidemiological and operational indicators
Rev. Soc. Bras. Med. Trop
; 55: e0052, 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1406960
Responsible library:
BR1.1
ABSTRACT
ABSTRACT Background:
Tuberculosis is a worldwide public health problem and is more prevalent in specific populations, such as prisoners. The aim of this study was to analyze the epidemiological and operational indicators of tuberculosis in prisoners in a southern region of Brazil.Methods:
This was a descriptive, observational study, utilizing secondary data from the Notifiable Diseases Information System on tuberculosis cases diagnosed in prisoners in the state of Rio Grande do Sul, southern Brazil, from 2014 to 2018. Prisoner data used to calculate incidence were extracted from reports by the National Penitentiary Department.Results:
From 2014 to 2018, 3,557 tuberculosis cases were reported in Rio Grande do Sul prisoners. The incidence rate of tuberculosis in prisoners was 1,235/100,000 individuals in 2014 and 1,430/100,000 individuals in 2018. The proportion of new TB cases tested for HIV was high, 83.4% in this period; among those tested, 12.9% were HIV coinfected. The proportion of new cases of pulmonary tuberculosis confirmed by laboratory criteria was 52.6% in this period. In total, 18.4% of new pulmonary tuberculosis cases were initiated on directly observed treatment in this period, and 36.4% of contacts of new cases of pulmonary tuberculosis with laboratory confirmation were examined. Among retreatment pulmonary tuberculosis cases, 82.4% were laboratory-confirmed.Conclusions:
Tuberculosis incidence is increasing on a per-capita and absolute basis in Rio Grande do Sul. Laboratory confirmation, HIV testing, directly observed treatment, and contact investigation rates were all low, indicating the need to improve medical and public health measures for tuberculosis control in prisons.
Full text:
Available
Collection:
International databases
Health context:
Sustainable Health Agenda for the Americas
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SDG3 - Health and Well-Being
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Neglected Diseases
Health problem:
Goal 6: Information systems for health
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Target 3.3: End transmission of communicable diseases
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Neglected Diseases
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Tuberculosis
Database:
LILACS
Type of study:
Observational study
Country/Region as subject:
South America
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Brazil
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2022
Document type:
Article
Affiliation country:
Brazil
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United States
Institution/Affiliation country:
Secretaria Estadual da Saúde/BR
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Stanford University/US
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Superintendência dos Serviços Penitenciários/BR
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Universidade Federal de Mato Grosso do Sul,/BR
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Universidade Federal do Rio Grande/BR
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Universidade de Santa Cruz do Sul/BR