Asthma mortality among Brazilian children up to 19 years old between 1980 and 2007

Prietsch, Sílvio O. M.; Zhang, Linjie; Catharino, Alessandra Rodrigues; Vauchinski, Larissa; Rodrigues, Felipe

doi:10.2223/jped.2215

Cited by 9 publications

(5 citation statements)

References 9 publications

(9 reference statements)

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“…The present study reveals a temporal trend of reduction in the SAMR in Brazilian children and adolescents, corroborating the findings of other studies carried out in different age groups. 7 , 8 , 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“… 11 However, in the present study, most (68.1%) asthma deaths occurred in children under 5 years of age, 45% of which were observed in children between 1 and 4 years of age, a fact also observed in another Brazilian study. 8 Therefore, the authors considered it essential to include this age group in the current analysis. The methodological limitations for a more accurate diagnosis should not lead us to ignore this sad reality, especially in low-income countries and regions, where this group represents a higher proportion of asthma mortality in childhood and adolescence.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Asthma mortality in children and adolescents of Brazil over a 20-year period

Pitchon

Alvim

Andrade

et al. 2020

Jornal de Pediatria

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Asthma mortality in children and adolescents of Brazil over a 20-year period

Pitchon

Alvim

Andrade

et al. 2020

Jornal de Pediatria

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“…However, there is no minimum number recommended by the WHO in the specific case of medical specialists [ 8 ]. The number and type of specialists respond to several factors such as the epidemiological profile of the population under study, type of health system, the demographic composition of the population, patient demand, advances in technology, medical knowledge and planning in medical residencies [ 25 – 28 , 37 ]. So, what is the correct number of doctors?…”

Section: Discussionmentioning

confidence: 99%

Medical specialist distributions in Ecuador: a geographical and temporal analysis of data from 2000 to 2017

Rodríguez

Romero-Sandoval

Sandoval

et al. 2022

BMC Health Serv Res

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Background Knowledge of medical specialists' numbers and geographical distribution are essential for planning health services and health workforce supply. However, although the distribution of physicians is a significant concern for society and policymakers in Ecuador, no studies have evaluated the distribution of specialists in the country. This study aimed to explore the geographical and temporal distribution of medical specialists in Ecuador over 18 years from 2000 to 2017 and analyse its implications for health planning and medical training. Methods We conducted an ecological time-series study based on the National Statistical Register of Resources and Health Activities data. This register provides administrative information for health professionals working in public and private health institutions. Rates of medical specialists by year, geographical area, and speciality were estimated. We used joint-point analyses to identify time trends for medical specialists and physicians in training. Results From 2000 to 2017, medical specialists grew from 2737 to 10,929. The rate of medical specialists per 10,000 population increased from 4 in 2000 to 10.3 in 2017. Based on Joint point analysis, two temporal trends were identified. Between 2000 to 2015, specialists increased by 4.1% per year, and between 2015 and 2017, they increased by 20% per year. For the entire study period, three cities (Quito, Guayaquil, and Cuenca) accounted for more than 50% of the specialists in the country. However, medical specialists in other cities and rural areas increased from 37% in 2000 to 46% in 2017. The provinces of Esmeraldas, Carchi, Bolívar and Los Ríos presented rates of less than 6 specialists per 10,000 population by 2017. Of the 46 medical specialities identified by 2017, three represented more than 30% of the professionals (gynaecology 12%, paediatrics 11% and family and community health 8.4%). Conclusions This study shows that the number of medical specialists in Ecuador has increased significantly over the last two decades, although with inequalities in the distribution of specialists between provinces and regions. The results of this study provide background for the Ecuadorian health system when introducing Human Resources of Health (HRH) policies.

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“…The ASBAI created the Online Anaphylaxis Register . Analysis of these cases revealed food (35%), insect stings (30%), and drugs (23%) as the main etiological agents of severe reactions in children and adolescents.…”

Section: Anaphylaxismentioning

confidence: 99%

“…According to the database of DATASUS (National Unified Health System – SUS), in the period 1980–2007, 9051 deaths due to asthma occurred in children and adolescents, but almost 70% in children younger than 5 yr . Mortality rates have reduced in all pediatric age groups, but more pronounced in children from 1 to 4 yr, ranging from 2.95 deaths in 1980 to 0.85 deaths per 100,000 in 2007.…”

Section: Burden and Costs Of Pediatric Allergic Diseasesmentioning

confidence: 99%

Pediatric allergy and immunology in Brazil

Rosário-Filho

Jacob

Solé

et al. 2013

Pediatric Allergy Immunology

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The subspecialty of pediatric allergy and immunology in Brazil is in its early years and progressing steadily. This review highlights the research developed in the past years aiming to show the characteristics of allergic and immunologic diseases in this vast country. Epidemiologic studies demonstrated the high prevalence of asthma in infants, children, and adolescents. Mortality rates and average annual variation of asthma hospitalization have reduced in all pediatric age groups. Indoor aeroallergen exposure is excessively high and contributes to the high rates of allergy sensitization. Prevalence of food allergy has increased to epidemic levels. Foods (35%), insect stings (30%), and drugs (23%) are the main etiological agents of anaphylaxis in children and adolescents. Molecular diagnosis of primary immunodeficiencies (PID) showed a high incidence of fungal infections including paracoccidioidomycosis in X-linked hyper-IgM syndrome, and the occurrence of BCG adverse reactions or other mycobacterial infections in patients with chronic granulomatous disease. Education in pediatric allergy and immunology is deficient for medical students, but residency programs are effective in training internists and pediatricians for the practice of allergy. The field of PID requires further training. Last, this review is a tribute to Prof. Dr. Charles Naspitz, one of the pioneers of our specialty in Brazil.

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Asthma mortality among Brazilian children up to 19 years old between 1980 and 2007

Cited by 9 publications

References 9 publications

Asthma mortality in children and adolescents of Brazil over a 20-year period

Asthma mortality in children and adolescents of Brazil over a 20-year period

Medical specialist distributions in Ecuador: a geographical and temporal analysis of data from 2000 to 2017

Pediatric allergy and immunology in Brazil

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