Spatial Distribution of Tuberculosis and its Relationship with Public Policies of Primary Care in the Mesoregion of the Northeast Paraense-PA-Brazil in the period from 2015 to 2019

Abstract

Tuberculosis is considered a serious public health problem. Therefore, this work aimed to analyze the spatial distribution of tuberculosis and its relationship with primary health care public policies in the Pará’s northeastern mesoregion, on the period from 2015 to 2019. This is an ecological, descriptive and cross-sectional study that used data available on digital platforms. Choropletics maps were made to visualize the distribution of the disease in the region, where geoprocessing techniques were used. The statistical significance analyzes were performed with the chi-square test: expected equal proportions. The most affected epidemiological profile was male individuals, between 20 and 59 years old, brown in color and with schooling up to elementary school. A non-homogeneous spatial distribution of the disease was observed among the 49 municipalities belonging to the region, which were being related to the number of Basic Health Units (BHU). As for vaccination coverage, it was observed that most of the municipalities belonging to this region were below the national goal of immunization by BCG. Furthermore, such data provide a better comprehension of the spatial distribution of tuberculosis in the region, being important for the construction of epidemiological scenarios and public health policies in this particular area.

Keywords: Tuberculosis. Epidemiology. Geoprocessing.

Author Biographies

Adriana Veiga da Conceição Silva, Universidade do Estado do Pará (UEPA)

Acadêmica de medicina

Universidade do Estado do Pará (UEPA)

Luiz Carlos Sousa de Castro, Universidade do Estado do Pará (UEPA)

Acadêmico de medicina.

Universidade do Estado do Pará (UEPA).

Juan Andrade Guedes , Universidade do Estado do Pará (UEPA)

Engenheiro Cartógrafo e Agrimensor.

Laboratório de Epidemiologia e Geoprocessamento da Amazônia (EPIGEO/UEPA), Belém, Pará, Brasil- mestre em saúde, ambiente e sociedade na Amazônia.

Rafael Aleixo Coelho de Oliveira, Universidade do Estado do Pará (UEPA)

Engenheiro ambiental.

Laboratório de Epidemiologia e Geoprocessamento da Amazônia da Universidade do Estado do Pará/EPIGEO/UEPA, mestre em saúde, ambiente e sociedade na Amazônia.

Claudia do Socorro Carvalho Miranda, Universidade do Estado do Pará (UEPA)

Bióloga / Biomédica.

Laboratório de Epidemiologia e Geoprocessamento da Amazônia (EPIGEO/UEPA), doutora em biologia parasitária na Amazônia (PPGBPA/UEPA).

Alan Luz Tembra, Universidade do Estado do Pará (UEPA)

Acadêmico de medicina.

Universidade do Estado do Pará (UEPA).

Matheus Marinho Rios, Universidade do Estado do Pará (UEPA)

Acadêmico de medicina.

Universidade do Estado do Pará (UEPA).

Nelson Veiga Gonçalves, Universidade do Estado do Pará (UEPA)

Docente, Epidemiologista.

Universidade Federal Rural da Amazônia, Instituto Ciberespacial, Belém, Pará, Brasil/ Universidade do Estado do Pará, Centro de Ciências Biológicas e da Saúde, Departamento de Saúde Comunitária, Laboratório de Epidemiologia e Geoprocessamento da Amazônia (EPIGEO/UEPA), Belém, Pará, Brasil.

Published
2021-06-07