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1.
Rev Esp Salud Publica ; 922018 Nov 15.
Artigo em Espanhol | MEDLINE | ID: mdl-30420591

RESUMO

By mid-2015, an increase in the number of cases of microcephaly among newborns and neurologic disorders was detected in the Northwest of Brazil, which was possibly associated with Zika virus infection. Later on, this phenomenon was also observed in several Latin-American countries. In February 2016, the World Health Organization (WHO) on this basis, declared a Public Health Emergency of International Concern. From that moment on, several measures were adopted to achieve the epidemic control at both international and national levels. The WHO launched a strategic response plan based on case detection, infection control and treatment, as well as, the research and development of new vector control tools, diagnostic tests and vaccines. In Europe both surveillance and vector control systems were reinforced. The countries reporting most cases were France, Spain and the United Kingdom. In Spain, due to the high probability of case importation based on the close relationships with Latin-America, numerous measures were adopted to achieve a rapid response and an optimal control. Those included: the implementation of an active surveillance in collaboration with several experts, institutions and scientific societies; entomologic surveillance enhancement; the development of communication activities and recommendations for both healthcare workers and general population.


Assuntos
Controle de Doenças Transmissíveis , Epidemias , Infecção por Zika virus/epidemiologia , Zika virus , Adulto , Aedes , Animais , Surtos de Doenças/prevenção & controle , Vetores de Doenças , Europa (Continente) , Feminino , Geografia , Humanos , Recém-Nascido , América Latina , Masculino , Microcefalia/etiologia , Gravidez , Saúde Pública , Espanha , Organização Mundial da Saúde
2.
Rev. esp. salud pública ; 92: 0-0, 2018. tab, mapas
Artigo em Espanhol | IBECS | ID: ibc-177575

RESUMO

A mediados del 2015 se detectó en el noroeste de Brasil un incremento en el número de casos de microcefalia en recién nacidos y de alteraciones neurológicas, que se asociaron con una posible infección por el virus Zika y que más adelante comenzaría a observarse en otros países de Latinoamérica. En febrero de 2016 la Organización Mundial de la Salud (OMS) declaró esta situación como una Emergencia de Salud Pública de Importancia Internacional (ESPII) y desde ese momento se llevaron a cabo numerosas medidas para el control de la epidemia tanto a nivel internacional, como nacional en los diferentes países. La OMS lanzó un Plan de respuesta estratégico basado en la detección de casos, control de la infección y tratamiento, así como en la investigación y desarrollo de herramientas para el control de mosquitos, test diagnósticos y vacunas. En Europa se reforzaron los sistemas de vigilancia así como de control de los vectores, siendo los países que más casos notificaron: Francia, España y el Reino Unido. En España debido a la alta probabilidad de importación de casos por la estrecha relación con Latinoamérica, se llevaron a cabo numerosas medidas que permitieron una rápida respuesta y un óptimo control, que incluyeron: la puesta en marcha de una vigilancia activa en la que colaboraron diversos profesionales, organismos y sociedades científicas; el refuerzo de actividades de vigilancia entomológica; el desarrollo de actividades de comunicación y la elaboración de recomendaciones dirigidas a profesionales sanitarios y a la población general


By mid-2015, an increase in the number of cases of microcephaly among newborns and neurologic disorders was detected in the Northwest of Brazil, which was possibly associated with Zika virus infection. Later on, this phenomenon was also observed in several Latin-American countries. In February 2016, the World Health Organization (WHO) on this basis, declared a Public Health Emergency of International Concern. From that moment on, several measures were adopted to achieve the epidemic control at both international and national levels. The WHO launched a strategic response plan based on case detection, infection control and treatment, as well as, the research and development of new vector control tools, diagnostic tests and vaccines. In Europe both surveillance and vector control systems were reinforced. The countries reporting most cases were France, Spain and the United Kingdom. In Spain, due to the high probability of case importation based on the close relationships with Latin-America, numerous measures were adopted to achieve a rapid response and an optimal control. Those included: the implementation of an active surveillance in collaboration with several experts, institutions and scientific societies; entomologic surveillance enhancement; the development of communication activities and recommendations for both healthcare workers and general population


Assuntos
Humanos , Zika virus/patogenicidade , Infecção por Zika virus/epidemiologia , Atenção à Saúde , Microcefalia/epidemiologia , Espanha/epidemiologia , Mosquitos Vetores/patogenicidade , Aedes/patogenicidade , Saúde do Viajante , Complicações na Gravidez , Síndrome de Guillain-Barré/epidemiologia
3.
Rev Esp Salud Publica ; 88(5): 555-67, 2014 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-25327266

RESUMO

Dengue has become a major public health problem worldwide. Ae. albopictus, vector responsible for transmission, was first detected in Catalonia in 2004. Since then, it has established along Mediterranean coast. The aim of this paper is to describe the risk of importation and possible autochthonous transmission of dengue virus in Spain, qualitatively reviewing factors that could influence the emergence of dengue in our country, and the implications for public health. No autochthonous transmission has occurred in our country to date, but infected travelers coming from endemic countries are arriving to Spain constantly. The transmission of this disease could occur on the Mediterranean coast. Transmission would be more likely in the warmer months due to cultural habits and higher vector densities. While most of the population would be susceptible, given the characteristics of the disease, the impact on health's population would be low. The main public health strategy to reduce the risk of importation and possible dengue transmission should focus on primary prevention, to prevent interaction of the virus, vector and human. These three components must be addressed in a comprehensive and multisectoral plan of action, intensifying some activities in the areas of greatest risk. Coordination of public health from all sectors involved is essential for the proper functioning of this integrated response plan for vector-borne diseases.


Assuntos
Aedes , Vírus da Dengue , Dengue/transmissão , Vetores de Doenças , Animais , Dengue/prevenção & controle , Humanos , Saúde Pública , Risco , Espanha , Especificidade da Espécie
4.
Rev. esp. salud pública ; 88(5): 555-567, sept.-oct. 2014. ilus
Artigo em Espanhol | IBECS | ID: ibc-124320

RESUMO

El dengue se ha convertido en un importante problema de salud pública mundial. Ae. albopictus, vector competente para su transmisión, se detectó por primera vez en Cataluña en 2004. Desde entonces se ha establecido por la costa Mediterránea. El objetivo del artículo es describir el riesgo de importación y posible transmisión del dengue en España, revisando cualitativamente los factores que podrían influir en su emergencia en nuestro país, así como las implicaciones que tendría a nivel de salud pública. Aunque el virus no circula actualmente en España, constantemente llegan personas infectadas procedentes de países endémicos. La transmisión de esta enfermedad podría ocurrir en la costa mediterránea. Sería más probable en los meses más cálidos por los hábitos socioculturales y las mayor presencia del vector.Aunque la mayoría de la población es susceptible, el impacto en la salud de la población sería bajo dadas las características de la enfermedad. La estrategia fundamental de salud pública para reducir el riesgo de importación y posible transmisión del dengue debe enfocarse a la prevención primaria para evitar la interacción del virus, el vector y los seres humanos. Estos tres componentes deben abordarse dentro de un plan de acción integral y multisectorial, intensificando algunas actividades en las zonas de mayor riesgo. La coordinación desde salud pública de todos los sectores implicados es imprescindible para el correcto funcionamiento de este plan integral de respuesta ante enfermedades transmitidas por vectores (AU)


Dengue has become a major public health problem worldwide. Ae. albopictus, vector responsible for transmission, was first detected in Catalonia in 2004. Since then, it has established along Mediterranean coast. The aim of this paper is to describe the risk of importation and possible autochthonous transmission of dengue virus in Spain, qualitatively reviewing factors that could influence the emergence of dengue in our country, and the implications for public health. No autochthonous transmission has occurred in our country to date, but infected travelers coming from endemic countries are arriving to Spain constantly. The transmission of this disease could occur on the Mediterranean coast. Transmission would be more likely in the warmer months due to cultural habits and higher vector densities. While most of the population would be susceptible, given the characteristics of the disease, the impact on health’s population would be low. The main public health strategy to reduce the risk of importation and possible dengue transmission should focus on primary prevention, to prevent interaction of the virus, vector and human. These three components must be addressed in a comprehensive and multisectoral plan of action, intensifying some activities in the areas of greatest risk. Coordination of public health from all sectors involved is essential for the proper functioning of this integrated response plan for vector-borne diseases (AU)


Assuntos
Humanos , Dengue/transmissão , Controle de Doenças Transmissíveis/métodos , Vírus da Dengue/patogenicidade , Dengue/epidemiologia , Fatores de Risco , Risco Ajustado , Vetores de Doenças , Espanha , Controle Sanitário de Viajantes , Prevenção Primária/organização & administração , Doenças Negligenciadas/epidemiologia
5.
Eur J Public Health ; 24(4): 637-40, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24503376

RESUMO

Emergence and re-emergence of arboviral disease in new areas of southern Europe is becoming a public health problem. Since Aedes albopictus was first detected in 2004 in Catalonia, it has spread along the Spanish Mediterranean coast. Results of an entomological surveillance carried out by the Spanish Ministry of Health to monitor the expansion of Ae. albopictus along the Spanish Mediterranean coast between 2009 and 2012 are presented. Besides the new locations in Valencia and Murcia regional communities, it was identified in five municipalities in the Balearic Islands in 2012. A comprehensive plan aiming the control of invasive vector-borne diseases including entomological surveillance should be considered.


Assuntos
Aedes , Animais , Ecossistema , Região do Mediterrâneo/epidemiologia , Dinâmica Populacional/estatística & dados numéricos , Vigilância da População , Espanha/epidemiologia
6.
Rev. esp. salud pública ; 86(6): 555-564, nov.-dic. 2012.
Artigo em Espanhol | IBECS | ID: ibc-107927

RESUMO

En España la leishmaniasis es una zoonosis endémica presente en la mayor parte del territorio peninsular e Islas Baleares. El parásito que se detecta es la Leishmania infantum y el principal reservorio es el perro. Los vectores competentes para transmitir el parásito son los flebotomos, de los que existen dos especies distribuidas por todo el territorio peninsular e Islas Baleares. En este artículo se revisa la situación actual y el comportamiento de la leishmaniasis en España. Se analiza y compara la información sobre la enfermedad procedente de las altas hospitalarias y de la Red Nacional de Vigilancia Epidemiológica así como los factores de riesgo identificados en estudios anteriores que facilitan la transmisión. Desde 2009 está teniendo lugar un brote en el suroeste de la Comunidad de Madrid, destacando el elevado número de casos, cerca de 400 y la detección de un nuevo reservorio, la liebre. Las condiciones que pueden incrementar la incidencia de la leishmaniasis están asociadas al aumento del número de vectores infectados, al de la densidad del flebotomo, al de hospedadores o la aparición de nuevos reservorios en un área geográfica. Esta infección tiene una dinámica de transmisión compleja y para responder oportunamente a los brotes debe estar previamente desarrollado un plan de acción integral y multisectorial en el que participen todas las instituciones involucradas. Ante un brote, es importante estudiar los factores que condicionan la transmisión del lugar y adaptar el plan de acción a sus características específicas(AU)


In Spain, leishmaniasis is an endemic zoonosis present in most of the Iberian Peninsula and the Balearic Islands. The parasite detected is Leishmania infantum and the main reservoir is the dog. Competent vectors to transmit the parasite are sandflies, of which there are two species distributed throughout the Iberian Peninsula and the Balearic Islands. This article reviews the current situation and the behaviour of leishmaniasis in Spain. It analyzes and compares information about the disease from hospital discharges and from the National Epidemiological Surveillance Network. It also analyses the risk factors that facilitate transmission identified in previous studies. Since 2009 an outbreak is occurring in the southwest part of the Community of Madrid, with a significant number of cases, about 400 and the detection of a new reservoir, the hare. The conditions that can increase the incidence of leishmaniasis are linked to the increase number of infected vectors, increase sandfly density, increase hosts or the appearance of new reservoirs in a geographic area. This infection has got a complex transmission dynamic. To timely respond to outbreaks a comprehensive and multisectoral action plan should be developed joined by all the institutions involved in the preparation and response. Before an outbreak occurs, it is important to study all the factors affecting the transmission in that place and to adapt the action plan to the specific characteristics(AU)


Assuntos
Humanos , Masculino , Feminino , Leishmaniose/epidemiologia , Leishmaniose/prevenção & controle , Leishmania infantum/isolamento & purificação , Fatores de Risco , Monitoramento Epidemiológico/organização & administração , /epidemiologia , Ecossistema , Mudança Climática/estatística & dados numéricos , Sistemas de Informação/estatística & dados numéricos , Sistemas de Informação , Espanha/epidemiologia , Mudança Climática/mortalidade , /prevenção & controle , Monitoramento Epidemiológico/normas , Monitoramento Epidemiológico/estatística & dados numéricos , Monitoramento Epidemiológico/tendências , Sistemas de Informação/organização & administração , Controle de Vetores
7.
Rev Esp Salud Publica ; 86(6): 555-64, 2012 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-23325131

RESUMO

In Spain, leishmaniasis is an endemic zoonosis present in most of the Iberian Peninsula and the Balearic Islands. The parasite detected is Leishmania infantum and the main reservoir is the dog. Competent vectors to transmit the parasite are sandflies, of which there are two species distributed throughout the Iberian Peninsula and the Balearic Islands. This article reviews the current situation and the behaviour of leishmaniasis in Spain. It analyzes and compares information about the disease from hospital discharges and from the National Epidemiological Surveillance Network. It also analyses the risk factors that facilitate transmission identified in previous studies. Since 2009 an outbreak is occurring in the southwest part of the Community of Madrid, with a significant number of cases, about 400 and the detection of a new reservoir, the hare. The conditions that can increase the incidence of leishmaniasis are linked to the increase number of infected vectors, increase sandfly density, increase hosts or the appearance of new reservoirs in a geographic area. This infection has got a complex transmission dynamic. To timely respond to outbreaks a comprehensive and multisectoral action plan should be developed joined by all the institutions involved in the preparation and response. Before an outbreak occurs, it is important to study all the factors affecting the transmission in that place and to adapt the action plan to the specific characteristics.


Assuntos
Leishmania infantum , Leishmaniose Visceral/epidemiologia , Distribuição por Idade , Animais , Reservatórios de Doenças/parasitologia , Reservatórios de Doenças/veterinária , Doenças do Cão/epidemiologia , Doenças do Cão/parasitologia , Doenças do Cão/transmissão , Cães , Feminino , Lebres/parasitologia , Humanos , Incidência , Leishmaniose Visceral/parasitologia , Leishmaniose Visceral/transmissão , Leishmaniose Visceral/veterinária , Masculino , Phlebotomus/parasitologia , Psychodidae/parasitologia , Fatores de Risco , Distribuição por Sexo , Espanha/epidemiologia , Zoonoses/epidemiologia , Zoonoses/parasitologia , Zoonoses/transmissão
8.
Rev. esp. salud pública ; 83(5): 711-724, sept.-oct. 2009. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-74752

RESUMO

Fundamento: El virus varicela zoster puede causar dosenfermedades, la varicela y el herpes zóster. La vacuna frentea la varicela se incorporó en España en 2005 para personassusceptibles de entre 10 y 14 años. En 2007 se aprobó una propuestade vigilancia de la varicela y herpes zóster que permitieradetectar posibles cambios en los patrones de distribuciónpor edad, en la gravedad y complicaciones. El objetivo de estetrabajo es conocer la carga de enfermedad por varicela antes ydespués de la vacunación.Método: Se analizan los datos agregados (casos e incidencia)de varicela y herpes zóster en España en el sistema CMBDpara 1997-2003 y 2005-2007, así como la mortalidad por estaenfermedad a nivel nacional para e período1999-2006.Resultados: El 88,1% de los casos de varicela se da enpersonas menores de 15 años. En el CMBD se registró un promedioanual de 1.311 ingresos. No se observaron cambios significativosen la distribución por edad, sexo ni complicacionesdurante los ingresos en ninguno de los períodos estudiados. El32-36% anual ingresó por un motivo diferente a varicela. Lamortalidad osciló entre 4 y 14 individuos/año, el 80% mayoresde 14 años. El 64% de los casos notificados de herpes zósterfueron mayores de 50 años. La tasa media anual de ingresospor fue de 2,5 por 100.000 habitantes sin diferencias por sexo.La tasa media anual de defunciones fue 0,31 por millón dehabitantes.Conclusiones: En España la varicela tuvo una disminucióngeneralizada durante 2005-2007, pero es difícil valorar elimpacto de la vacunación por la falta de cifras de coberturavacunal y porque este período coincide con el inmediato a laúltima onda epidémica, cuyo máximo se registró en 2004(AU)


Background. Varicella virus can cause two differentdiseases: chickenpox and herpes zoster. In 2005 varicellavaccine has been introduced in the Spanish nationalvaccination schedule for 10-14 years old non-immune people,in order to reduce the severity of the disease. In 2007 a newsurveillance protocol with aggregate data for chickenpox andherpes zoster was approved in order to detect any change inage distribution, severity and complications of the chickenpoxand herpes zoster cases. The aim of this study is to know theburden of diseases (in the last ten years).Methods. Number of cases, hospitalization and incidencefor chickenpox and herpes zoster were study for two periods1997-2003 and 2005-2007. Analysis for 1996-2007 fatal caseswas done too. We decided to remove year 2004 because theextremely high chickenpox incidence registered. Sources ofdata: RENAVE (Spanish Surveillance Network), Spanishhospital surveillance system (CMBD), and mortality registries.Results. Chickenpox incidence decreased since 2005, butan increasing trend was detected in hospitalisation with anaverage of 1,311 hospitalizations every year. For the 32%-36%of hospitalized cases, the main diagnosis was not chickenpox.4-14 deaths per year have been detected; 80% of them wereolder than 14 years. Annual rate of herpes zosterhospitalization was 2.5 per 100,000 inhabitants, similar in bothsexes. Case fatality rate per year was 0.31 per millioninhabitants. No significant changes were detected in age andsex in complicated cases between the two periods. 88% ofchickenpox cases were younger than 15 years old and 64% ofherpes zoster older than 50 years in 2007.Conclusions. Chickenpox has been decreasing during2005-2007 in Spain...(AU)


Assuntos
Humanos , Varicela/prevenção & controle , Herpes Zoster/prevenção & controle , Vacina contra Herpes Zoster/administração & dosagem , Vacina contra Varicela/administração & dosagem , Varicela/epidemiologia , Herpesvirus Humano 3/patogenicidade , Herpes Zoster/epidemiologia , Impactos na Saúde
9.
Rev Esp Salud Publica ; 83(5): 711-24, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-20111819

RESUMO

BACKGROUND: Varicella virus can cause two different diseases: chickenpox and herpes zoster. In 2005 varicella vaccine has been introduced in the Spanish national vaccination schedule for 10-14 years old non-immune people, in order to reduce the severity of the disease. In 2007 a new surveillance protocol with aggregate data for chickenpox and herpes zoster was approved in order to detect any change in age distribution, severity and complications of the chickenpox and herpes zoster cases. The aim of this study is to know the burden of diseases (in the last ten years). METHODS: Number of cases, hospitalization and incidence for chickenpox and herpes zoster were study for two periods 1997-2003 and 2005-2007. Analysis for 1996-2007 fatal cases was done too. We decided to remove year 2004 because the extremely high chickenpox incidence registered. SOURCES OF DATA: RENAVE (Spanish Surveillance Network), Spanish hospital surveillance system (CMBD), and mortality registries. RESULTS: Chickenpox incidence decreased since 2005, but an increasing trend was detected in hospitalisation with an average of 1,311 hospitalizations every year. For the 32%-36% of hospitalized cases, the main diagnosis was not chickenpox. 4-14 deaths per year have been detected; 80% of them were older than 14 years. Annual rate of herpes zoster hospitalization was 2.5 per 100,000 inhabitants, similar in both sexes. Case fatality rate per year was 0.31 per million inhabitants. No significant changes were detected in age and sex in complicated cases between the two periods. 88% of chickenpox cases were younger than 15 years old and 64% of herpes zoster older than 50 years in 2007. CONCLUSIONS: Chickenpox has been decreasing during 2005-2007 in Spain. The impact of vaccination is difficult to asses, because of a peak registered in 2004 but also because the lack of vaccination coverage information for this period and the case-data information is available only for the last year.


Assuntos
Vacina contra Varicela , Varicela/epidemiologia , Varicela/prevenção & controle , Adolescente , Adulto , Varicela/complicações , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Rev. cuba. salud pública ; 15(1-2): 51-63, ene.-jun. 1989. ilus
Artigo em Espanhol | CUMED | ID: cum-4925

RESUMO

Se analiza la mortalidad por accidentes en un período de 15 años (1970 a 1984) en nuestro país. Se distribuyeron los casos por sexo, grupos de edad y tipo de accidente. Los datos iniciales se procesaron y se obtuvieron las tasas y distribuciones porcentuales, la tendencia para los diferentes tipos de accidentes y los años potenciales de vida perdidos por estos. Se encontró que el sexo masculino fue 2 veces y media más afectado por todos los tipos de accidentes, excepto en los causados por fuego que es 1,4 veces más frecuente en las mujeres y las caídas accidentales, que son también ligeramente más frecuentes en éstas; el riesgo a morir por un accidente es mayor en las personas de 70 años y más; los accidentes qye ocasionaron mayor número de víctimas fueron los accidentes del tránsito (44% del total) y las caídas accidentales (19%). La mayor cantidad de años de vida perdidos en las 5 primeras causas de muerte corresponde a los accidentes (34%)


Assuntos
Humanos , Acidentes , Mortalidade , Epidemiologia Descritiva , Cuba
11.
Rev. cuba. salud pública ; 15(1/2): 51-63, ene.-jun. 1989. ilus
Artigo em Espanhol | LILACS | ID: lil-78407

RESUMO

Se analiza la mortalidad por accidentes en un período de 15 años (1970 a 1984) en nuestro país. Se distribuyeron los casos por sexo, grupos de edad y tipo de accidente. Los datos iniciales se procesaron y se obtuvieron las tasas y distribuciones porcentuales, la tendencia para los diferentes tipos de accidentes y los años potenciales de vida perdidos por estos. Se encontró que el sexo masculino fue 2 veces y media más afectado por todos los tipos de accidentes, excepto en los causados por fuego que es 1,4 veces más frecuente en las mujeres y las caídas accidentales, que son también ligeramente más frecuentes en éstas; el riesgo a morir por un accidente es mayor en las personas de 70 años y más; los accidentes qye ocasionaron mayor número de víctimas fueron los accidentes del tránsito (44% del total) y las caídas accidentales (19%). La mayor cantidad de años de vida perdidos en las 5 primeras causas de muerte corresponde a los accidentes (34%)


Assuntos
Humanos , Acidentes , Epidemiologia Descritiva , Mortalidade , Cuba
12.
Rev. cuba. hig. epidemiol ; 23(3): 230-6, jul.-sep. 1985. ilus, tab
Artigo em Espanhol | CUMED | ID: cum-1987

RESUMO

Se expone el análisis de los datos de mortalidad, morbilidad (consultas médicas) y resultados de los exámenes serológicos realizados en el año 1983. Se hace evidente que la situación de la mortalidad representa un mayor riesgo en la población de ancianos, en tanto que en los niños menores de 5 años de edad se mantienen cifras favorables. Se informa que en el cuarto trimestre del año se produjo una elevación epidémica del número de consultas por enfermedades respiratorias agudas (ERA), sobre todo en los niños, lo que fue atribuido a la circulación del virus respiratorio sincitial (VRS). Se expresa que en los adultos ha continuado el predominio de los virus de la gripe A (H3N2), con una actividad algo apreciable de los virus A (H1M1) en algunos colectivos de la población joven (AU)


Assuntos
Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , HISTORIA DE LA MEDICINA DEL SIGLO 20 , Influenza Humana/mortalidade , Influenza Humana/epidemiologia , Pneumonia/epidemiologia , Adenovírus Humanos , Infecções Respiratórias/epidemiologia , Pneumonia/mortalidade
13.
Rev. cuba. hig. epidemiol ; 23(3): 230-6, jul.-sept. 1985. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-44336

RESUMO

Se expone el análisis de los datos de mortalidad, morbilidad (consultas médicas) y resultados de los exámenes serológicos realizados en el año 1983. Se hace evidente que la situación de la mortalidad representa un mayor riesgo en la población de ancianos, en tanto que en los niños menores de 5 años de edad se mantienen cifras favorables. Se informa que en el cuarto trimestre del año se produjo una elevación epidémica del número de consultas por enfermedades respiratorias agudas (ERA), sobre todo en los niños, lo que fue atribuido a la circulación del virus respiratorio sincitial (VRS). Se expresa que en los adultos ha continuado el predominio de los virus de la gripe A (H3N2), con una actividad algo apreciable de los virus A (H1M1) en algunos colectivos de la población joven


Assuntos
Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , História do Século XX , Influenza Humana/epidemiologia , Influenza Humana/mortalidade , Pneumonia/epidemiologia , Adenovírus Humanos , Pneumonia/mortalidade , Infecções Respiratórias/epidemiologia
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