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 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.
