Distribuição espacial do risco de infecções respiratórias agudas em Angola, no período 2016-2019: uma previsão de contágio por COVID-19

Eusébio Manuel; Helga Freitas Reis; Sandra López Lamezón

doi:10.54580/R0202.02

Authors

Eusébio Manuel Direcção Nacional de Saúde Pública Author https://orcid.org/0000-0003-1133-8341
Helga Freitas Reis Direcção Nacional de Saúde Pública Author https://orcid.org/0000-0003-2581-2438
Sandra López Lamezón Direcção Nacional de Saúde Pública Author https://orcid.org/0000-0001-5233-3809

DOI:

https://doi.org/10.54580/R0202.02

Keywords:

Stratification, Morbidity, Mortality, Respiratory diseases, Risk of Infections, Angola

Abstract

The increase in cases and deaths from acute respiratory infections is a social and economic problem in Angola. With the aim to stratify the occurrence of acute respiratory illnesses, a cross-sectional descriptive study was carried out from 2016 to 2019. This study assessed how the morbidity and mortality variables changed at a national, provincial, and municipal level. Statistical sources were provided with the provincial reports, sickness forms, and district health information software. The morbidity and mortality rates were calculated, strata of high, medium, and low strata were identified. The results were presented on maps. In morbidity, 55.6% of provinces had a high risk, 22.2% with moderate risk and low in each one; in the municipalities, 50% had high risk, 35.2% moderate and 14.7% low. In 5.5% of the provinces the risk of death was high, in 55.5% moderate and in 44.4% below in the municipalities, 38.4% high risk, 33.3% moderate and 28.2% low. In the stratification, it was identified a high risk of morbidity at a provincial and municipality level, although in terms of mortality, there was a predominance of moderate risk in the provinces, and high and moderate in the municipalities. This information is useful for health authorities in the process of organizing and planning of services, in the distribution of human resources and materials for a greater coverage and effectiveness of intersectoral actions in the prevention and control of these diseases.

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References

Alegret M. (2006). Propuesta metodologica para la incorporacion mas efectiva del analisis espacial en Ciencias de la salud. (Tesis de doctorado, ENSAP). Disponível em: http://tesis.sld.cu/index.php?P=FullRecord&ID=76&ReturnText=Search+Results&ReturnTo=index.php%3FP%3DAdvancedSearch%26Q%3DY%26FK%3Dmilagro%2Balegret%26RP%3D5%26SR%3D0%26ST%3DQuick

Angola. Centro de Processamento de dados epidemiológicos. (2019). Boletim Anual Epidemiológico. Luanda: Imprensa Nacional.

Cardoso M; Alicemaria P. (2004). Doenças respiratórias agudas em serviços de saúde entre 1996 e 2001. Revista de saúde Pública. 38(3), 346 – 350.

Collejo Rosabal, Y., Martínez Orozco, D., Leyva Provance, S., Vargas Cruz, I., & Zaldívar Suárez, N. (2020). Estratificación epidemiológica de enfermedades seleccionadas. Granma. 2018. MULTIMED, 24(3), 569 – 584.

Denecir, D. (2011). Geografia Da Saúde No Brasil: Arcabouço Téorico-Epistemológicos. (Teses de doutorado, Universidade Federal de Paraná). Recuperado de : https://acervodigital.ufpr.br/bitstream/handle/1884/26567/Tese+Completa.pdf?sequence=1

García, C, Alfonso Aguilar, P. (2013). (2013). Estratificación epidemiológica de riesgo. Revista Archivo Médico de Camagüey, 17(6), 762-783.

García, C, Alfonso Aguilar, P. (2013). Vigilancia epidemiológica en salud. Revista Archivo Médico de Camagüey, 17(6), 784-805.

González, A., Miquel A., Rodríguez , D., Hernández l, M., Sánchez , L., Mediavilla Herrera, I. (2017). Concordancia y utilidad de un sistema de estratificación para la toma de decisiones clínicas. Atencion Primaria, 49(4), 240–247. https://doi.org/10.1016/j.aprim.2016.04.009

Jackson, S., Mathews, K. H., Pulanic, D., Falconer, R., Rudan, I., Campbell, H., & Nair, H. (2013). Risk factors for severe acute lower respiratory infections in children: a systematic review and meta-analysis. Croatian medical journal, 54(2), 110–121. https://doi.org/10.3325/cmj.2013.54.110

León, P, Fariña, Ana T, Goslin C, Leonor L, Sánchez G. (2013). Experiencias en las etapas de control y sostenibilidad de la epidemia de Dengue. Revista Cubana de Medicina General Integral. 29(4), 270-287.

Loke YK, Kwok CS, Niruban A, Myint PK. (2010). Value of severity scales in predicting mortality from community-acquired pneumonia: systematic review and meta-analysis. Thorax. 65 (10). 884-90. http://dx.doi.org/10.1136/thx.2009.134072

Moore, PC., Huang, C., Rodriguez, A., Wiebe, R., Siegel, J. (2013). Presenting Signs and Symptoms of Rapidly Progressing Severe Pneumonia in the Pediatric Emergency Department. Emergency Med.; 3 (2), 2-4.

Organización Panamericana de la Salud. (2019). Manual de estratificaciónsegún el riesgo de Malaria y eliminación de focos de transmisión. OPS. Recuperado de: https://www.paho.org/hq/index.php?option=com_docman&view=download&slug=malaria-technical-advisory-group-session-8-2019-only-in-spanish&Itemid=270&lang=en

Orueta, J., Astrabudua. C. S., Uribe, O. S. Estratificación poblacional. Resultados en salud. (2017). Osakidetza, Recuperado de : https://www.fundacionsigno.com/ponencias_escorial_2017/El_Escorial_Estratificacion_Ion_Orueta_26_oct_2017.pdf

Solé-Violán, J., de Castro, F. v., García-Laorden, M. I., Blanquer, J., Aspa, J., Borderías, L., Briones, M. L., Rajas, O., Carrondo, I. M., Marcos-Ramos, J. A., Ferrer Agüero, J. M., Garcia-Saavedra, A., Fiuza, M. D., Caballero-Hidalgo, A., & Rodriguez-Gallego, C. (2010). Genetic variability in the severity and outcome of community-acquired pneumonia. Respiratory medicine, 104(3), 440–447. https://doi.org/10.1016/j.rmed.2009.10.009

Varela,T., Giovacchini, C.; Angeleri, P.; Morales, M.; Fabbri, C.; Luppo, V. (2019). Elaboración de criterios epidemiológicos para estratificar por departamento el riesgo poblacional de dengue grave. Rev Argent Salud Pública.10(39). 38-41.

Verdasquera D, Pérez, K., Norales, A., Vázquez A. (2013). Estratificación del riesgo de enfermar y morir por leptospirosis humana. Revista Cubana de Medicina Tropical, 65(2), 191-201.

Wonodi, C. B., Deloria-Knoll, M., Feikin, D. R., DeLuca, A. N., Driscoll, A. J., Moïsi, J. C., Johnson, H. L., Murdoch, D. R., O'Brien, K. L., Levine, O. S., Scott, J. A. (2012). Evaluation of risk factors for severe pneumonia in children: the Pneumonia Etiology Research for Child Health study. Clinical infectious. 54 Suppl 2(Suppl 2), 124–S131. https://doi.org/10.1093/cid/cir1067