%0 Journal Article
%T Tuberculose em munic¨ªpio de porte m¨¦dio do Sudeste do Brasil: indicadores de morbidade e mortalidade, de 1985 a 2003
%A Vendramini
%A Silvia H. F.
%A Gazetta
%A Cl¨¢udia Eli
%A Chiaravalotti Netto
%A Francisco
%A Cury
%A Maria R.
%A Meirelles
%A Edna B.
%A Kuyumjian
%A F¨¢tima G.
%A Villa
%A Tereza C. S.
%J Jornal Brasileiro de Pneumologia
%D 2005
%I Sociedade Brasileira de Pneumologia e Tisiologia
%R 10.1590/S1806-37132005000300010
%X background: tuberculosis is a disease linked to poverty, unequal distribution of wealth, and urbanization, as well as the epidemics of acquired immunodeficiency syndrome epidemic and multidrug resistance. objective: to analyze indicators of tuberculosis morbidity and mortality in the city of s£¿o jos¨¦ do rio preto, brazil from 1985 to 2003, compared with those in the state of s£¿o paulo and in brazil at large, and to determine the relationship between the risk of occurrence and socioeconomic level. method: the following official information systems were utilized: the sistema de informa£¿£¿o de mortalidade (sim, mortality database), the notifica£¿£¿o de tuberculose (epi-tb, tuberculosis notification database), the sistema de informa£¿£¿o de agravos de notifica£¿£¿o (sinan, case-registry database), the departamento de informa£¿£¿o e inform¨¢tica do sistema ¨²nico de sa¨²de (datasus, information department of the brazilian health ministry) and the instituto brasileiro de geografia e estat¨ªstica (ibge, brazilian institute of geography and statistics database). new cases reported in 2003 in the urban area were georeferenced and analyzed. a map of the sectors, each classified as representing one of three socioeconomic classes, was drawn up, showing the respective tuberculosis incidence coefficients. results: comparing brazil as a whole to the state of s£¿o paulo, total incidence coefficients and mortality rates were similar, as were gender-related values. in the city of s£¿o jos¨¦ do rio preto the rates were consistently lower. the proportion of cases presenting tuberculosis/human immunodeficiency virus coinfection varied from 29% to 37%. in 2002, 59% and 65% of tuberculosis-only and coinfected tuberculosis patients, respectively, were under supervised treatment, with a cure rate of 81% and a treatment-abandonment rate of 1%. the risk of developing active tuberculosis was three times higher in the area presenting the lowest socioeconomic levels. conclusion: identification of the areas with
%K tuberculosis
%K epidemiology
%K socioeconomic class
%K supervised treatment
%K infection
%K hiv.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1806-37132005000300010&lng=en&nrm=iso&tlng=en