Uso de indicadores de nível local para análise espacial da morbidade por diarreia e sua relação com as condições de vida

Abstract

Uso de indicadores de nível local para análise espacial da morbidade por diarreia e sua relação com as condições de vidaUse of local level indicators for the spatial analysis of morbidity due to diarrhea and its relation with lifestyle conditions

Risco de interpretação falaciosa das internações por condições sensíveis à atenção primária em contextos locais, Itaboraí, Rio de Janeiro, Brasil, 2006-2011

“…Studies in Espírito Santo (2005-2009) and Minas Gerais (1998)(1999)(2000)(2001)(2002)(2003)(2004)) that included gastroenteritis among the leading causes of admissions for PCSCs found that the disease was highly prevalent in areas with heavily concentrated poverty and precarious sanitation 16,39 . Precarious sanitation conditions are typical in Itaboraí, where an association has been reported between admissions for diarrhea in children and factors like disordered urban growth and increasing population density in peripheral urban and rural areas 40 .…”

Doenças diarreicas e hospitalizações em menores de cinco anos no estado de Pernambuco, Brasil, nos anos de 1997 e 2006

“…Diarrheal disease in children under five years of age is still at significant levels, generating high morbidity and mortality statistics, influencing the demands of health services in a major way and thereby representing a priority public health problem 6,15,16,23 .…”

“…Next to health promotion actions, and specific protection offered by Oral Rehydration Therapy (ORT), which alone represented a historic breakthrough in reducing the level of damage (especially deaths) caused by diarrhea, the widespread use of which is calculated to represent a reduction of between 61% and 75%, in the hospitalization rates for diarrhea between 1980 and 2008 3,6 . Brazil has kept up with international trends with regards to the reduction of deaths due to diarrhea, but it seems the same is not the case in terms of prevalence and as a reason for hospital admission, probably due to the inadequacy of the actions employed 15,16 . Based on data from the Unified Health System (SUS), which evaluates the time trends of overall mortality and hospital deaths in children under the age of five, Mendes (2013) noted a slow reduction in levels between 2000 and 2010.…”

Children's Environment in Brazil: From Domestic (Indoor) to Regional Threats

“…Researchers identified that precarious households [63,65], the lack of a sewage system [65,69], rudimentary lavatories, lack of a garbage collection [48,50,53,58,62] and the use of no potable water [60] are variables that influence the morbimortality rate of children under 5 years of age due to water-transmitted illnesses, like diarrhea [57]. In this sence, cities with a low Human Development Index (HDI) have the highest mortality coefficients due to diarrheal disease [49] with 20% of the children in those regions having a deficit of > 2 standard-deviations for the height/ age index [55], leading these children to chronic malnutrition [62].…”

“…Even though diarrheal diseases represent the second most common cause for hospital admissions in children under 5 years of age [48], researches have seen a considerable decrease in morbimortality caused by those illnesses. The factors that may have contributed to that decrease were the increase in purchasing power and consequently the betterment of living conditions [54] and the increase in the coverage of basic sanitation services [56,59].…”