Paracoccidioidomycosis mortality in Brazil (1980-1995)

This study analyzes 3,181 deaths from paracoccidioidomycosis in Brazil, based on 16 years of sequential data (from 1980 to 1995). During this period paracoccidioidomycosis showed considerable magnitude and low visibility, representing the eighth most common cause of death from predominantly chronic...

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Main Authors: Ziadir Francisco Coutinho, Delson da Silva, Márcia Lazéra, Valéria Petri, Rosely Magalhães de Oliveira, Paulo C. Sabroza, Bodo Wanke
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2002000500037&lng=en&tlng=en
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author Ziadir Francisco Coutinho
Delson da Silva
Márcia Lazéra
Valéria Petri
Rosely Magalhães de Oliveira
Paulo C. Sabroza
Bodo Wanke
author_facet Ziadir Francisco Coutinho
Delson da Silva
Márcia Lazéra
Valéria Petri
Rosely Magalhães de Oliveira
Paulo C. Sabroza
Bodo Wanke
author_sort Ziadir Francisco Coutinho
collection DOAJ
description This study analyzes 3,181 deaths from paracoccidioidomycosis in Brazil, based on 16 years of sequential data (from 1980 to 1995). During this period paracoccidioidomycosis showed considerable magnitude and low visibility, representing the eighth most common cause of death from predominantly chronic or recurrent types of infectious and parasitic diseases. It also had the highest mortality rate among the systemic mycoses. The mean annual mortality rate was 1.45 per million inhabitants, indicating a downward long-term trend (reduction of 31.28%), while spatial distribution among the different regions and States of Brazil was non-homogenous. The South (with the highest regional rate) and the Southeast showed a downward trend, while the Central West had the second highest rate in the country. At least one-fifth of Brazilian municipalities (or 22.71% of the country's total area) reported deaths from paracoccidioidomycosis. Overall nationwide mortality per area was 3.73/10,000km². The disease was endemic in non-metropolitan areas. The majority of deaths occurred in males (84.75%), and there was a sex ratio of 562 men/100 women. The 30-59-year and over-60-year age groups were the most affected. The study showed that the mortality rate justifies classifying this disease as a major health problem in Brazil.
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spelling doaj.art-21d47e18ea9c4333841a88fd83f186982022-12-22T00:16:42ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X1678-446418514411454S0102-311X2002000500037Paracoccidioidomycosis mortality in Brazil (1980-1995)Ziadir Francisco Coutinho0Delson da Silva1Márcia Lazéra2Valéria Petri3Rosely Magalhães de Oliveira4Paulo C. Sabroza5Bodo Wanke6Fundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzUniversidade Federal de São PauloFundação Oswaldo CruzFundação Oswaldo CruzFundação Oswaldo CruzThis study analyzes 3,181 deaths from paracoccidioidomycosis in Brazil, based on 16 years of sequential data (from 1980 to 1995). During this period paracoccidioidomycosis showed considerable magnitude and low visibility, representing the eighth most common cause of death from predominantly chronic or recurrent types of infectious and parasitic diseases. It also had the highest mortality rate among the systemic mycoses. The mean annual mortality rate was 1.45 per million inhabitants, indicating a downward long-term trend (reduction of 31.28%), while spatial distribution among the different regions and States of Brazil was non-homogenous. The South (with the highest regional rate) and the Southeast showed a downward trend, while the Central West had the second highest rate in the country. At least one-fifth of Brazilian municipalities (or 22.71% of the country's total area) reported deaths from paracoccidioidomycosis. Overall nationwide mortality per area was 3.73/10,000km². The disease was endemic in non-metropolitan areas. The majority of deaths occurred in males (84.75%), and there was a sex ratio of 562 men/100 women. The 30-59-year and over-60-year age groups were the most affected. The study showed that the mortality rate justifies classifying this disease as a major health problem in Brazil.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2002000500037&lng=en&tlng=enparacoccidioidomicosemortalidadeepidemiologiamicose endêmica
spellingShingle Ziadir Francisco Coutinho
Delson da Silva
Márcia Lazéra
Valéria Petri
Rosely Magalhães de Oliveira
Paulo C. Sabroza
Bodo Wanke
Paracoccidioidomycosis mortality in Brazil (1980-1995)
Cadernos de Saúde Pública
paracoccidioidomicose
mortalidade
epidemiologia
micose endêmica
title Paracoccidioidomycosis mortality in Brazil (1980-1995)
title_full Paracoccidioidomycosis mortality in Brazil (1980-1995)
title_fullStr Paracoccidioidomycosis mortality in Brazil (1980-1995)
title_full_unstemmed Paracoccidioidomycosis mortality in Brazil (1980-1995)
title_short Paracoccidioidomycosis mortality in Brazil (1980-1995)
title_sort paracoccidioidomycosis mortality in brazil 1980 1995
topic paracoccidioidomicose
mortalidade
epidemiologia
micose endêmica
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2002000500037&lng=en&tlng=en
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