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
, Luiz Felipe Pinto, Daniel Soranz, and Ruth GlattTable 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.
