Aspectos críticos do controle do dengue no Brasil

Abstract

The aim of this study was to assess the prevalence and severity of dental caries and the need for dental treatment among schoolchildren in two small Brazilian counties. WHO criteria (1986) for the diagnosis of dental caries and treatment needs were adopted. All 6 to 12-year-old schoolchildren in both São João do Sul (n = 803) and Treviso (n = 382), both in the State of Santa Catarina, were invited to participate in the study. The response rate was 96% and 91% respectively. All kappa values for inter- and intra-examiner agreement were greater than 0.62. Prevalence of caries among 6 to 12-year-old children was 62.1% in São João do Sul and 63.6% in Treviso. Mean DMF-T for the same age group was 1.91 and 1.84 respectively. Need for treatment was high in both counties, however it was mainly related to simple clinical procedures. In conclusion, prevalence of dental caries among 6 to 12-year-old schoolchildren was lower in the two small counties studied than in other small communities in Brazil. The need for treatment was great, but it was related to simple clinical procedures. In addition, there is a need to collect further data from small towns to develop an oral health strategy appropriate to such areas.

Spatial Vulnerability to Dengue in a Brazilian Urban Area During a 7-Year Surveillance

“…Such spaces have deserved special attention and priority actions in the vector control programs in the city. 3,4 Cases were georeferenced to the home address, allowing the identification of the corresponding census tract. Green areas were excluded from the area of the census tract to function as a proxy of population density, minimizing the effect of uninhabited sites.…”

“…Failure in control programs was pointed out by several authors. [3][4][5] Many factors are associated with dengue, including those related to the increased likelihood of contact between the vector and the host such as household or population density; factors that promote vector proliferation, including environmental conditions (temperature, humidity and altitude), poor sanitation, or availability of potential breeding sites, besides socioeconomic factors. Several studies have analyzed some of these factors considering different areas, cities or towns, [6][7][8] intra-urban areas, [9][10][11] or even household characteristics.…”

Qualidade dos dados da vigilância epidemiológica da dengue em Belo Horizonte, MG

“…19 Para tanto, precisa ter disponível informação consistente e oportuna, diagnóstico laboratorial otimizado, critério de caso bem definido e profissionais de saúde com um bom conhecimento clí-nico da doença. 16 retamente da qualidade dos dados, influenciada pela proporção de formulários preenchidos adequadamente e pelo cuidado no seu processamento.…”

Dengue: aspectos epidemiológicos e o primeiro surto ocorrido na região do Médio Solimões, Coari, Estado do Amazonas, no período de 2008 a 2009

“…Em 2001, dos 3.567 municípios dos 27 estados brasileiros encontravam-se infestados e a transmissão já ocorria em 2.262 cidades de 24 estados destes. No ano de 2007, somente o Estado de Santa Catarina não apresentou transmissão autóctone 4 .…”

“…Dessas, aproximadamente, 50 milhões encontram-se em regiões tropicais e subtropicais, levando-se em consideração que, atualmente, 2,5 a 3 bilhões de pessoas vivem expostas ao risco de serem infectadas por esta arbovirose 4,6,7 .…”