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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)

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Table 3

Incidence of 5 reportable diseases, by level of education, Amazon region of Brazil*

Education level, y 2001† 2002† 2003 2004 2005 2006
Malaria
<1 3,501.2 2,141.0 2,619.9 2,578.4
1–3 3,934.6 4,199.2 5,393.4 4,420.6
4–7 1674.0 1,883.4 2,313.3 2,041.8
8–11 582.1 682.9 815.3 763.0
>12 1,405.5 1,197.3 1,502.4 1,125.9
Total


2,360.1
2,025.1
2,473.7
2,094.3
Leishmaniasis
<1 146.0 121.3 115.9 100.0 90.7 66.6
1–3 19.9 101.0 144.8 142.6 122.3 96.0
4–7 181.0 120.0 125.1 109.1 95.2 74.2
8–11 31.2 45.1 55.3 47.8 42.0 33.9
>12 24.8 65.0 64.4 43.6 33.3 26.2
Total
95.4
95.0
108.6
95.9
80.8
62.0
Dengue fever
<1 150.2 121.8 101.4 53.4 79.7 78.4
1–3 37.0 114.5 180.8 118.5 171.8 129.9
4–7 405.5 250.5 209.1 112.2 185.9 161.6
8–11 269.5 178.0 228.9 120.1 185.1 156.7
>12 456.8 326.1 405.0 204.2 271.4 226.9
Total
251.0
187.3
205.4
114.3
177.6
151.4
Leprosy
<1 182.8 166.9 147.9 138.7 128.5 100.7
1–3 33.1 110.5 137.2 135.7 126.7 101.0
4–7 175.0 121.0 102.6 94.5 88.4 70.2
8–11 43.6 57.1 63.9 58.5 56.9 42.4
>12 44.8 83.2 88.5 69.7 58.9 45.4
Total
107.2
108.2
105.9
97.7
90.0
69.3
Tuberculosis
<1 107.3 99.4 87.5 82.3 78.4 69.5
1–3 19.2 59.1 76.1 70.4 71.3 65.5
4–7 95.5 64.0 49.8 49.4 47.2 46.0
8–11 38.9 38.4 39.2 44.5 40.9 39.5
>12 43.5 71.4 55.8 54.6 49.5 42.2
Total 63.8 61.1 58.6 57.3 54.3 50.2

*Values were standardized in the Inter-Agency Health Information Network database (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. 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.
†This information was not systematized for malaria in the National Malaria Database in 2001 and 2002.

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