RESUMO
OBJECTIVE: to analyze the distribution of tuberculosis cases in the state of Paraná, Brazil, between 2018 and 2021. METHODS: this was an ecological study using secondary data obtained from compulsory notifications; detection rates per 100,000 inhabitants were described according to health regions in the state; percentage changes between 2018-2019 and 2020-2021 were calculated. RESULTS: a total of 7,099 cases were registered. The highest rates were observed in the health regions of Paranaguá (52.4/100,000 in 2018-2019; 38.2/100,000 in 2020-2021) and Foz do Iguaçu (34.4/100,000 in 2018-2019; 20.5/100,000 in 2020-2021), and the lowest rates in Irati (6.3/100,000 in 2018-2019; 8.8/100,000 in 2020-2021) and Francisco Beltrão (8.5/100,000 in 2018-2019; 7.6/100,000 in 2020-2021); in 2020-2021, it could be seen a decrease in percentage changes in 18 health regions, while there was an increase in four of them, especially Foz do Iguaçu (-40.5%) and Cianorte (+53.6%). CONCLUSION: high rates were found in the coastal and triple border regions; and there was a decline in detection rates in the pandemic period.
Assuntos
Pandemias , Tuberculose , Humanos , Brasil/epidemiologia , Tuberculose/epidemiologiaRESUMO
Objetivo: analisar a distribuição dos casos de tuberculose no Paraná, Brasil, entre 2018 e 2021. Métodos: estudo ecológico, sobre dados secundários oriundos de notificações compulsórias; descrição das taxas de detecção por 100 mil habitantes segundo regiões de saúde do estado; cálculo das variações percentuais entre 2018-2019 e 2020-2021. Resultados: foram registrados 7.099 casos, observando-se maiores taxas nas regionais de Paranaguá (52,4/100 mil em 2018-2019; 38,2/100 mil em 2020-2021) e Foz do Iguaçu (34,4/100 mil em 2018-2019; 20,5/100 mil em 2020-2021), e menores em Irati (6,3/100 mil em 2018-2019; 8,8/100 mil em 2020-2021) e Francisco Beltrão (8,5/100 mil em 2018-2019; 7,6/100 mil em 2020-2021); em 2020-2021, houve queda nas variações percentuais dessas taxas em 18 regionais e aumento em quatro, destacando-se, respectivamente, Foz do Iguaçu (-40,5%) e Cianorte (+53,6%). Conclusão: foram observadas taxas elevadas nas regionais do litoral e da tríplice fronteira; houve declínio das taxas de detecção no período pandêmico.
Objective: to analyze the distribution of tuberculosis cases in the state of Paraná, Brazil, between 2018 and 2021. Methods: this was an ecological study using secondary data obtained from compulsory notifications; detection rates per 100,000 inhabitants were described according to health regions in the state; percentage changes between 2018-2019 and 2020-2021 were calculated. Results: a total of 7,099 cases were registered. The highest rates were observed in the health regions of Paranaguá (52.4/100,000 in 2018-2019; 38.2/100,000 in 2020-2021) and Foz do Iguaçu (34.4/100,000 in 2018-2019; 20.5/100,000 in 2020-2021), and the lowest rates in Irati (6.3/100,000 in 2018-2019; 8.8/100,000 in 2020-2021) and Francisco Beltrão (8.5/100,000 in 2018-2019; 7.6/100,000 in 2020-2021); in 2020-2021, it could be seen a decrease in percentage changes in 18 health regions, while there was an increase in four of them, especially Foz do Iguaçu (-40.5%) and Cianorte (+53.6%). Conclusion: high rates were found in the coastal and triple border regions; and there was a decline in detection rates in the pandemic period.
Objetivo: analizar la distribución de casos de tuberculosis en Paraná de 2018 a 2021. Métodos: estudio ecológico utilizando datos secundarios de notificaciones obligatorias. Se describieron las tasas de detección por 100.000 habitantes según las regiones de salud de Paraná. Se calcularon los cambios porcentuales entre 2018-2019 y 2020-2021. Resultados: se registraron 7.099 casos, observándose tasas más altas en las regiones de Paranaguá (52,4/100.000 en 2018-2019 y 38,2/100.000 en 2020-2021) y Foz do Iguaçu (34,4/100.000 en 2018-2019 y 20,5/100.000 en 2020-2021) y menor en Irati (6,3/100.000 en 2018-2019 y 8,8/100.000 en 2020-2021) y Francisco Beltrão (8,5/100.000 en 2018-2019 y 7,6/100.000 en 2020-2021). En 2020-2021, hubo descenso en 18 regiones y aumento en cuatro, con destaque para Foz do Iguaçu (-40,5%) y Cianorte (+53,6%). Conclusión: se encontraron altas tasas para las regiones de la costa y la triple frontera, además de una disminución en la detección durante el período de pandemia.
