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Volume 15, Number 4—April 2009
THEME ISSUE
The Amazon Region

Synopsis

High Incidence of Diseases Endemic to the Amazon Region of Brazil, 2001–2006

Gerson PennaComments to Author , Luiz Felipe Pinto, Daniel Soranz, and Ruth Glatt
Author affiliations: University of Brasília, Brasília, Brazil (G. Penna); Serra dos Órgãos Education Foundation, Rio de Janeiro, Brazil (L.F. Pinto, D. Soranz); Federal Ministry of Health, Brasília (R. Glatt)

Main Article

Table 2

Incidence and hospitalization rate, by age group, for 5 reportable diseases, Amazon region of Brazil*

Age group, y 2001
2002
2003
2004
2005
2006
Incid. Hosp. Incid. Hosp. Incid. Hosp. Incid. Hosp. Incid. Hosp. Incid. Hosp.
Malaria
0–4 1,745.9 68.1 1,481.5 55.0 1,545.5 54.0 1,682.3 55.6 2,185.0 58.4 2,057.8 51.4
5–14 1,591.2 45.1 1,339.3 34.2 1,714.9 28.6 1,920.3 33.3 2,610.5 33.9 2,428.9 26.8
15–29† 1,464.4 87.1 1,280.5 66.9 2,227.1 63.2 2,465.4 68.6 2,967.1 70.0 2,573.0 52.9
30–49 86.5 64.9 2,118.1 59.0 2,376.7 62.3 2,869.0 60.9 2,469.6 47.0
50–69 76.7 57.1 1,558.5 48.2 1,813.2 51.8 2,326.1 57.8 2,025.7 42.7
>70 58.4 43.3 689.9 41.0 788.4 47.9 1,102.7 63.5 964.5 41.0
Total
1,529.6
72.7

1,319.4
55.5

1,898.5
50.8

2,119.2
55.0

2,661.4
56.5

2,364.9
43.8
Leishmaniasis
0–4 28.6 11.4 32.6 10.0 44.2 11.5 43.8 10.8 39.6 16.5 33.5 16.6
5–14 37.0 2.6 37.0 2.2 45.9 1.7 42.2 2.1 34.1 2.7 29.2 3.0
15–29 106.1 2.1 108.3 2.2 131.1 1.6 117.9 1.8 97.6 2.0 75.4 2.0
30–49 113.7 2.5 116.4 2.4 135.1 2.6 124.0 2.1 106.0 2.3 84.1 2.6
50–69 97.2 4.0 99.9 4.0 107.3 4.3 98.3 3.4 92.4 3.7 75.3 3.2
>70 68.3 58.0 66.9 43.3 76.6 40.7 68.9 47.7 62.6 63.3 61.2 41.0
Total
79.9
5.0

81.8
4.3

97.3
4.2

88.9
4.3

75.7
5.6

60.7
5.2
Dengue fever
0–4 86.7 8.4 48.1 13.0 57.8 15.1 29.4 10.1 38.4 13.3 44.4 12.0
5–14 152.3 21.7 96.7 30.0 112.1 32.7 52.9 21.3 87.7 28.6 85.7 25.7
15–29 347.0 55.8 199.4 72.2 235.3 74.3 123.8 50.0 197.8 65.7 165.4 51.8
30–49 423.5 64.8 259.2 85.9 298.0 81.0 165.3 55.3 256.9 72.4 221.5 56.0
50–69 358.2 82.2 251.4 109.0 275.4 109.6 154.7 71.8 227.7 91.1 216.3 68.4
>70 258.7 88.6 160.2 115.7 168.6 114.9 105.0 91.1 157.1 113.7 151.6 78.9
Total
283.8
46.6

173.0
61.6

199.6
61.8

106.6
41.8

166.4
54.6

147.9
43.3
Leprosy
0–4 3.2 0.0 5.6 0.0 4.6 0.1 4.3 0.0 3.3 0.0 2.7 0.1
5–14 33.1 0.6 35.5 0.7 35.1 0.6 33.5 0.5 31.4 0.2 23.5 0.4
15–29 91.4 3.6 94.1 3.9 98.0 3.5 91.1 3.6 80.8 3.4 63.0 4.7
30–49 129.8 8.6 135.3 8.7 133.3 7.5 124.7 9.0 119.0 7.2 94.8 8.0
50–69 186.7 22.4 185.6 23.4 183.6 19.8 184.8 18.8 175.6 13.0 144.9 16.1
>70 145.4 31.5 157.1 40.8 148.3 26.9 152.3 20.4 153.4 19.7 127.4 19.7
Total
84.8
5.8

87.9
6.2

88.0
5.1

83.8
5.2

78.0
4.2

61.9
5.1
Tuberculosis
0–4 10.8 2.3 10.8 3.1 10.2 3.8 9.4 5.5 7.9 6.4 6.9 1.1
5–14 8.7 1.7 8.4 1.3 7.6 1.6 7.4 1.5 7.4 1.4 6.5 0.6
15–29 58.0 9.0 56.2 7.6 55.5 11.6 55.8 12.8 51.5 9.4 48.2 5.8
30–49 77.7 15.8 77.1 14.8 78.2 16.3 75.5 16.8 72.7 14.5 70.0 12.5
50–69 109.3 27.6 107.9 21.9 105.3 25.4 108.6 26.8 109.7 24.0 106.4 21.2
>70 144.4 33.4 145.2 32.2 127.5 32.8 141.6 37.6 136.2 35.1 134.3 26.6
Total 51.3 10.1 50.5 8.9 49.6 10.8 49.5 11.7 47.4 10.0 45.1 7.2

*Values were standardized by the Inter-Agency Health Information Network (Pan American Health Organization, 2008) (11) for each disease. Malaria: annual parasitic index/100,000 population; leishmaniasis, dengue fever, and tuberculosis: incidence rate/100,000 population; leprosy: detection coefficient/100,000 population. Incid., incidence; Hosp., hospitalization rate/100,000 population. Data for malaria were obtained from the National Malaria Database (2001 and 2002) and Information System of Epidemiological Surveillance of Malaria (2003–2005), and data for the other diseases were obtained from the National Notifiable Disease Information System/Secretariat of Health Surveillance/Ministry of Health. Incidence data were obtained from the Brazilian Institute of Geography and Statistics, and hospitalization data were obtained from the Hospitalization Information System/Ministry of Health.
†For malaria in 2001 and 2002, this age group corresponds to >15 years of age because the Ministry of Health used this age group to tabulate the data.

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