Tuberculosis in Brazil: the impact of the COVID-19 pandemic

Maia, Célia Márcia Fernandes; Martelli, Daniella Reis Barbosa; Silveira, D M; Oliveira, Eduardo A.; Martelli, Hercílio

doi:10.36416/1806-3756/e20220082

Cited by 8 publications

(3 citation statements)

References 8 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Paralelo a essas modificações na política de saúde, o cenário pandêmico também impactou negativamente na assistência prestada aos indivíduos acometidos pela TB 37 , 38 e, possivelmente, os avanços alcançados no período investigado para a infraestrutura e o processo de trabalho adequado ao cuidado da TB foram afetados e até mesmo descontinuados. Dados do Ministério da Saúde apontam um crescimento tanto no número de pessoas que abandonaram o tratamento quanto no número de óbitos em decorrência da TB 5 , 10 .…”

Section: Discussionunclassified

“…Dados do Ministério da Saúde apontam um crescimento tanto no número de pessoas que abandonaram o tratamento quanto no número de óbitos em decorrência da TB 5 , 10 . Durante esse período, os esforços dos serviços de saúde foram redirecionados para o atendimento a pacientes com COVID-19; dessa forma, os serviços essenciais de assistência ao paciente com TB foram restringidos, devido à redução de recursos financeiros, profissionais e insumos 37 , 38 . Em vista desses aspectos, preocupa a maneira como o sistema de saúde lidará com os impactos da pandemia e reestruturará os serviços de diagnóstico e tratamento da TB, com vistas a alcançar as metas estabelecidas pelo PNCT.…”

Section: Discussionunclassified

See 1 more Smart Citation

Tendência temporal da avaliação do manejo adequado para diagnóstico e tratamento da tuberculose na atenção primária à saúde no Brasil entre 2012-2018

Picanço,

Dutra,

Saes

2024

Cad. Saúde Pública

View full text Add to dashboard Cite

Resumo: O objetivo do estudo foi analisar a presença de infraestrutura e processo de trabalho adequados na atenção primária à saúde (APS) para o diagnóstico, o monitoramento e o tratamento da tuberculose (TB) no Brasil de 2012 a 2018. Estudo de tendência temporal realizado com dados das unidades básicas de saúde (UBS) avaliadas nos ciclos I (2012), II (2014) e III (2018) do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Foi empregada a regressão de mínimos quadrados ponderada por variância para estimar as mudanças anuais, em pontos percentuais da infraestrutura e processo de trabalho adequado da TB em relação à macrorregião, ao porte do município e ao Índice Municipal de Desenvolvimento Humano e cobertura da Estratégia Saúde da Família. A amostra foi composta por 13.842 UBS e 17.202 equipes de saúde no ciclo I, 24.055 UBS e 29.778 equipes no II e 28.939 UBS e 37.350 equipes no III. Observou-se melhora gradual na proporção de infraestrutura e processo de trabalho ao atendimento da TB ao longo dos três ciclos do PMAQ-AB; contudo, nenhum local está integralmente adequado. A maior tendência de infraestrutura adequada foi verificada na Região Sul e no ano de 2018, em que 76,5% das UBS tinham todos os instrumentos para o cuidado à TB. A maior tendência de processo de trabalho adequado foi na Região Norte e no ano de 2018, em que 50,8% das equipes tinham a totalidade de itens para o cuidado à TB. O Programa Nacional de Controle da Tuberculose e o PMAQ-AB contribuíram para tais avanços, mas ainda é necessário o fomento de políticas públicas que garantam a melhoria contínua da assistência à TB na APS e a eficácia das medidas de controle e prevenção da doença.

show abstract

Section: Discussionunclassified

Tendência temporal da avaliação do manejo adequado para diagnóstico e tratamento da tuberculose na atenção primária à saúde no Brasil entre 2012-2018

Picanço,

Dutra,

Saes

2024

Cad. Saúde Pública

View full text Add to dashboard Cite

show abstract

“…Given this, in 2020 there was a drastic decrease in the number of diagnosed cases and, consequently, in the notification of favorable or unfavorable outcomes. According to the WHO, there were around 1.4 million fewer cases of TB that were not detected or treated in 2020, a 21% reduction compared to 2019 [ 33 ]. In Brazil, in 2020 the average number of reported TB cases decreased by around 6.5 cases compared to the period from 2017 to 2019, with the exception of the Northern Region of the country [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Unsuccessful tuberculosis treatment outcomes across Brazil's geographical landscape before and during the COVID-19 pandemic: are we truly advancing toward the sustainable development/end TB goal?

Tavares,

Berra,

Alves

et al. 2024

Infect Dis Poverty

View full text Add to dashboard Cite

Background Tuberculosis is one of the most significant infectious diseases for global public health. The reallocation of healthcare resources and the restrictions imposed by the COVID-19 pandemic have hindered access to TB diagnosis and treatment. Increases in unfavorable outcomes of the disease have been observed in Brazil. The objective of this study was to analyze the spatial distribution of unfavorable TB treatment outcomes in Brazil before and during the pandemic. Methods An ecological study with spatial analysis was conducted with all 5569 municipalities in Brazil. All reported cases of tuberculosis between January 2010 and December 2021, as well as reported cases of COVID-19 from February 2020 to December 2021, were included. The outcomes studied encompass loss to follow-up, drug-resistant tuberculosis, and death. The Getis Ord GI* technique was employed to assess spatial association, and the Kernel density estimator was used to identify areas with concentrated increases or decreases in outcomes. Bivariate Local Moran's I was used to examine the spatial association between outcomes and COVID-19 incidence. The study was approved by the Research Ethics Committee of Ribeirão Preto Nursing School, University of São Paulo. Results There were 134,394 cases of loss to follow-up, 10,270 cases of drug resistance, and 37,863 deaths. Clusters of high and low values were identified for all three outcomes, indicating significant changes in the spatial distribution patterns. Increases in concentrations were observed for lost to follow-up cases in the Southeast, while reductions occurred in the Northeast, South, and Midwest. Drug-resistant tuberculosis experienced an increase in the Southern and Southeastern regions and a decrease in the Northeast and South. TB-related deaths showed notable concentrations in the Midwest, Northeast, South, and Southeast. There was an increase in high occurrence clusters for deaths after 2020 and 2021 in the Northeast. Conclusions The pandemic has brought additional challenges, emphasizing the importance of enhancing efforts and disease control strategies, prioritizing early identification, treatment adherence, and follow-up. This commitment is vital for achieving the goal of tuberculosis elimination.

show abstract

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Marco,

Ahmedov,

Castro

2024

Preprint

View full text Add to dashboard Cite

Background: This thematic scoping review of publications sought to understand the global impact of COVID-19 on tuberculosis (TB), interpret the scope of resonating themes, and offer policy recommendations to stimulate TB recovery and future pandemic preparedness. Data Sources: Publications were captured from three search engines, PubMed, EBSCO, and Google Scholar, and applicable websites written in English from January 1, 2020, to April 30, 2023. Study Selection: Our scoping review was limited to publications detailing the impact of COVID-19 on TB. Original research, reviews, letters, and editorials describing the deleterious and harmful––yet sometimes positive–– impact of COVID-19 (sole exposure) on TB (sole outcome) were included. The objective was to methodically categorize the impacts into themes through a comprehensive review of selected studies to provide significant health policy guidance. Data Extraction: Two authors independently screened citations and full texts, while the third arbitrated when consensus was not met. All three performed data extraction. Data Synthesis/Results: Of 1,755 screened publications, 176 (10%) covering 39 countries over 41 months met the inclusion criteria. Ten principal themes were established, which encompassed TB’s care cascade, patient-centered care, psychosocial issues, and health services: 1) case-finding and notification (n=45; 26%); 2) diagnosis and laboratory systems (n=19; 10.7%) 3) prevention, treatment, and care (n=22; 12.2%); 4) telemedicine/telehealth (n=12; 6.8%); 5) social determinants of health (n=14; 8%); 6) airborne infection prevention and control (n=8; 4.6%); 7) health system strengthening (n=22; 13%); 8) mental health (n=13; 7.4%); 9) stigma (n=11; 6.3%); and 10) health education (n=10; 5.7%). Limitations: Heterogeneity of publications within themes. Conclusions: We identified ten globally generalizable themes of COVID-19’s impact on TB. These thematic areas will guide evidence-informed policies to strengthen comprehensive global responses, recovery for TB, and future airborne pandemic preparedness.

show abstract

Tuberculosis in Brazil: the impact of the COVID-19 pandemic

Cited by 8 publications

References 8 publications

Tendência temporal da avaliação do manejo adequado para diagnóstico e tratamento da tuberculose na atenção primária à saúde no Brasil entre 2012-2018

Tendência temporal da avaliação do manejo adequado para diagnóstico e tratamento da tuberculose na atenção primária à saúde no Brasil entre 2012-2018

Unsuccessful tuberculosis treatment outcomes across Brazil's geographical landscape before and during the COVID-19 pandemic: are we truly advancing toward the sustainable development/end TB goal?

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Contact Info

Product

Resources

About