História, epidemiologia e controle da malária na região de Campinas, Estado de São Paulo, Brasil, 1980 a 2000

Abstract

It is a retrospective descriptive study about 3314 notified cases of malaria in Superintendência de Controle de Endemias, Campinas, an area that covers 88 cities and 5.366.081 inhabitants, during 80's and 90's. The region data were compared to national statistics looking at disease history and control program impact in endemic areas. It was observed a decrease in notified cases in Campinas region, while over the same period incidence in Amazonia was increasing. The highest prevalence was in men (83%) between 20 and 49 years old, mainly from Rondônia, Pará and Mato Grosso State; 59% were diagnosed in three first days of symptoms. It was suggested the impact of educational campaigns addressed to risk population and health professionals in the Campinas region. In no endemic areas, early diagnostic and treatment are a great challenge because it may extend patient access and proper heath care decreasing lethality and impeding local transmission. It can also facilitate integration among vector control, epidemiologic surveillance and attendance to patients.

Malária autóctone notificada no Estado de São Paulo: aspectos clínicos e epidemiológicos de 1980 a 2007

“…A maior parte trata-se de relatos bem descritos de focos de autoctonia nas décadas de 80 e 90 [16][17][18][19][20] . Em 2004, foi publicado um estudo sobre os aspectos da vigilância epidemiológica de todos os casos de malária no Estado de São Paulo no período de 1983 a 2003 7 , incluindo considerações sobre a malária autóctone.…”

Imported malaria in a non-endemic area: the experience of the university of Campinas hospital in the Brazilian Southeast

“…The region was formerly endemic for malaria, with a great number of autochthonous cases in the early decades of the 20th century [5]. In the 1960s, the Malaria Eradication Campaign led to a sharp drop in the number of autochthonous cases and, from 1980 to 2000, only one autochthonous case was reported in the Campinas region (6) [6]. Here, a retrospective case series is presented that analyses 263 medical charts for the clinical and epidemiological characteristics of malaria cases treated at HC-UNICAMP from January 1998 to April 2011.…”

Malária em região não endêmica no estado do Paraná

“…Em áreas não endêmicas, a assistência médica, a vigilância epidemiológico-entomológica oportuna e ações de educação em saúde são as estratégias prioritárias para diminuir a gravidade dos casos e impedir o estabelecimento de focos de transmissão 5 . De acordo com o SINAN, no período de 2007 a 2011, a taxa de letalidade da Malária se apresentou maior nas regiões não endêmicas.…”