Impact of the COVID-19 pandemic on compulsory notification of meningitis during the first wave of the pandemic in Brazil: an ecological study using P-score

Rocha, Carlos Alberto de Oliveira; Santana, Gibson Barros de Almeida; Leal, Thiago Cavalcanti; Paiva, João Paulo Silva de; Silva, Leonardo Feitosa da; Santos, Lucas Gomes; Nunes, Benício Luiz Bulhões Barros Paula; Carmo, Rodrigo Feliciano do; Souza, Carlos Dornels Freire de

doi:10.1590/1516-3180.2021.0732.15092021

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…In more acute pathologies such as meningitis and COVID-19, non-pharmacological measures to reduce transmissions, such as social isolation, reduction in the number of consultations, and absence of health professionals (infected by the virus), in addition to the fear of the population being assisted in hospitals and health centers, may have influenced the lower number of notifications in 2020. 23 …”

Section: Discussionmentioning

confidence: 99%

Leprosy in children under fifteen years of age in the most hyperendemic municipality in Brazil

Costa,

Menezes,

Guimarães

et al. 2024

Rev. paul. pediatr.

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Objective: To describe leprosy involvement and physical disability profiles in children and adolescents under 15 years old. Methods: Ecological time series study, based on data from the Brazilian Notifiable Diseases Information System, including new cases of leprosy residing in Palmas (TO), from 2001 to 2020. Results: A total of 471 notified cases in children and adolescents under 15 years of age were evaluated, resulting in a detection coefficient of 26.5 per 100,000 inhabitants. Of these, 52% (n=243) were women, 5% (n=24) corresponded to grade two disability, and 36% (n=168) were diagnosed through spontaneous demand. The temporal trend analysis showed a 0.5% reduction in the detection coefficient. There was a significant decrease in the diagnosis of the undetermined and tuberculoid clinical forms and a significant increase in the dimorphous form. Diagnosis through contact examination increased significantly by 13.1% and that through spontaneous demand decreased by 4.9%. The detection coefficient of cases with grade two disability reduced significantly by 7.4% while those with grade one increased by 16.8%. Conclusions: Despite the downward trend in the detection coefficient in children and adolescents under 15 years of age and in cases with grade two disability, other factors indicate failure in the adequate management of leprosy in Palmas.

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Section: Discussionmentioning

confidence: 99%

Leprosy in children under fifteen years of age in the most hyperendemic municipality in Brazil

Costa,

Menezes,

Guimarães

et al. 2024

Rev. paul. pediatr.

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“…In this evaluation of the measles epidemiological surveillance system in Pernambuco, we found that a system with poor timeliness will have its usefulness impaired, in terms of responding to outbreaks in a timely and standardized manner, 22 not achieving its objective of maintaining the elimination of measles through active, sensitive and appropriate surveillance. 1 ) In the case studied, centralization of laboratory diagnosis of measles at the LACEN, located in the state capital, may have contributed to poor timeliness in receiving samples, considering the operational difficulties related to transport and receipt of samples, which only takes place during the day.…”

Section: Discussionmentioning

confidence: 99%

Measles epidemiological surveillance system before and during the COVID-19 pandemic in Pernambuco, Brazil, 2018-2022: a descriptive evaluation

Souza,

Vanderlei,

Frias

2023

Epidemiol. Serv. Saúde

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Objective: To evaluate the measles epidemiological surveillance system, before and during the COVID-19 pandemic in Pernambuco, Brazil. Methods: This was a descriptive evaluation of the quality (duplicity; completeness; consistency), timeliness and usefulness attributed, classified as excellent ≥ 90.0%, regular ≥ 70.0% and < 90.0%, and poor (< 70.0%). Data from the Notifiable Health Conditions Information System and Laboratory Environment Management System were used, before (03/11/2018-03/10/2020) and during (03/11/2020-03/10/2022) the pandemic. Results: 1,548 suspected measles cases were registered (1,469 before and 79 during the pandemic). In the two periods studied, there were 11 and 1 duplicate records, average completeness in filling out the variables was 99.2% and 95.7%, while average consistency was 96.7% and 97.5%, respectively. Timeliness (receipt of samples, 16.2% and 33.0%. Release of results, 1.3% and 1.3%) and usefulness (43.5% and 24.4%) were poor. Conclusion: Quality was classified as excellent in the periods studied, timeliness and usefulness were classified as poor, signaling non-compliance with the purpose of the system.

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“…Consequently, it was not possible to include data from 2021 in our analysis, which could have provided additional insights into ongoing trends. On the other hand, despite the expressed limitations, it is important to highlight that we used an integrated methodological approach involving spatial and spatiotemporal analysis techniques and employed the P-score to estimate the percentage variations in VL notifications, which was the method used in previous studies to analyze the impact of the first year of the COVID-19 pandemic on notifications of leprosy [17], tuberculosis [18], hepatitis C [19], schistosomiasis [20], and meningitis [28]. Taken together, these aspects strengthened the methodological robustness of the study and can be replicated for the analysis of other public health issues.…”

Section: Limitationsmentioning

confidence: 99%

Impact of the COVID-19 Pandemic Surveillance of Visceral Leishmaniasis in Brazil: An Ecological Study

Silveira,

Lima,

dos Santos

et al. 2024

Infectious Disease Reports

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The aim of the study was to assess the impact of the COVID-19 pandemic on the notification of new VL cases in Brazil in 2020. It is an ecological and time-series study (2015–2020) with spatial analysis techniques, whose units of analysis were the 5570 Brazilian municipalities. The study population consisted of all new cases of VL recorded between 2015 and 2020. The P-score was calculated to estimate the percentage variation in new VL cases. Global and local univariate Moran’s Indices and retrospective space–time scan statistics were used in spatial and space–time analyses, respectively. It was expected that there would be 3627 new cases of VL in Brazil in 2020, but 1932 cases were reported (−46.73%). All Brazilian regions presented a negative percentage variation in the registration of new VL cases, with the Southeast (−54.70%), North (−49.97%), and Northeast (−44.22%) standing out. There was spatial dependence of the disease nationwide in both periods, before and during the first year of the COVID-19 pandemic. There was a significant reduction in the incidence of new VL cases in Brazil during the first year of the COVID-19 pandemic. These findings reinforce the need for better preparedness of the health system, especially in situations of new epidemics.

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Impact of the COVID-19 pandemic on compulsory notification of meningitis during the first wave of the pandemic in Brazil: an ecological study using P-score

Cited by 5 publications

References 7 publications

Leprosy in children under fifteen years of age in the most hyperendemic municipality in Brazil

Leprosy in children under fifteen years of age in the most hyperendemic municipality in Brazil

Measles epidemiological surveillance system before and during the COVID-19 pandemic in Pernambuco, Brazil, 2018-2022: a descriptive evaluation

Impact of the COVID-19 Pandemic Surveillance of Visceral Leishmaniasis in Brazil: An Ecological Study

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