This article is a Preprint
Preprints are preliminary research reports that have not been certified by peer review. They should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Preprints posted online allow authors to receive rapid feedback and the entire scientific community can appraise the work for themselves and respond appropriately. Those comments are posted alongside the preprints for anyone to read them and serve as a post publication assessment.
Epidemiology of human rabies in the state of Ceará, Brazil, 1970-2019 / Epidemiología de la rabia humana en el estado de Ceará, Brasil, 1970-2019 / Epidemiologia da raiva humana no estado do Ceará, 1970-2019
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-1448
Responsible library:
BR1.1
ABSTRACT
Objective:
To describe the epidemiology of cases of human rabies in Ceará State, Brazil, 1970-2019.Methods:
We analyzed secondary data from the State Department of Health and the reference hospital.Results:
Of 171 cases, 75.7% occurred in males, 60.0% in <19 year-olds, and 56.0% in urban areas. Rabies was transmitted by dogs in 74.0%, marmosets in 16.7% and bats in 7.3%. Between 1970 and 1978, there was an increase of cases (by Joinpoint Regression Program, annual percentage change [APC] = 13.7 95%CI 4.6;41.5), and 1978-2019 a decrease (APC = -6.7 95%CI -8.8;-5.9). There was a reduction of transmission by dogs (71 cases, last case in 2010) and an increase by sylvatic animals (5 cases since 2005).Conclusion:
This study demonstrates changes of transmission dynamics of rabies during the last years, with reduction of transmission by dogs and relative increase of transmission by sylvatic animals.RESUMO
Objetivo:
Descrever os casos de raiva humana no estado do Ceará, Brasil, no período 1970-2019.Métodos:
Estudo descritivo, sobre dados secundários da Secretaria da Saúde e do hospital de referência do Ceará.Resultados:
Dos 171 casos, 75,7% ocorreram em homens, 60,0% nas idades até 19 anos e 56,0% em áreas urbanas. O cão foi agente transmissor em 74,0% dos casos, sagui em 16,7% e morcego em 7,3%. Entre 1970 e 1978, houve crescimento do número de casos (pelo Joinpoint Regression Program, percentual da mudança anual [APC] = 13,7 IC95% 4,6;41,5); e entre 1978 e 2019, redução (APC = -6,7 IC95% -8,8;-5,9). Houve redução da transmissão por cães (71 casos; último caso em 2010) e aumento relativo por mamíferos silvestres (5 casos a partir de 2005).Conclusão:
O estudo evidencia mudança na dinâmica da transmissão da raiva no período observado, com redução da transmissão por cão e incremento de casos por animais silvestres.
Full text:
Available
Collection:
Preprints
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Neglected Diseases
/
Zoonoses
Database:
SciELO Preprints
Type of study:
Screening study
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2020
Document type:
Preprint
