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Volume 27, Number 3—March 2021
Dispatch

Trends in Untreated Tuberculosis in Large Municipalities, Brazil, 2008–2017

Melanie H. ChitwoodComments to Author , Daniele M. Pelissari, Gabriela Drummond Marques da Silva, Patricia Bartholomay, Marli Souza Rocha, Denise Arakaki-Sanchez, Mauro Sanchez, Ted Cohen, Marcia C. Castro, and Nicolas A. Menzies
Author affiliations: Yale School of Public Health, New Haven, Connecticut, USA (M.H. Chitwood, T. Cohen); Ministry of Health, Brasília, Brazil (D.M. Pelissari, P. Bartholomay, M.S. Rocha, D. Arakaki-Sanchez); Oswaldo Cruz Foundation, Minas Gerais, Brazil (G.D. Marques da Silva); University of Brasília, Brasília (M. Sanchez); Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA (M.C. Castro, N.A. Menzies)

Main Article

Table

Reported cases and estimated burden of TB in state capitals of Brazil, 2017

Municipality Case notifications/100,000 population* Incidence/100,000 population (95% CI) Fraction of cases treated (95% CI) Untreated TB/100,000 population (95% CI)†
Rio Branco 82.7 83.5 (75.0–92.9) 0.940 (0.879–0.979) 5.07 (1.72–10.7)
Maceió 47.2 55.6 (50.5–61.6) 0.853 (0.779–0.908) 8.23 (4.80–13.4)
Manaus 114 125 (118–133) 0.910 (0.855–0.946) 11.4 (6.51–19.2)
Macapá 39.0 39.9 (34.7–46.3) 0.893 (0.798–0.956) 4.34 (1.64–8.92)
Salvador 54.6 65.3 (60.6–71.9) 0.842 (0.765–0.898) 10.4 (6.31–16.8)
Fortaleza 63.7 70.8 (66.7–75.8) 0.899 (0.849–0.938) 7.17 (4.25–11.3)
Vitória 36.3 39.4 (34.3–44.9) 0.947 (0.883–0.984) 2.10 (0.604–5.00)
Goiânia 17.1 19.4 (17.3–21.7) 0.895 (0.815–0.953) 2.05 (0.883–3.80)
São Luís 64.5 77.2 (70.8–85.0) 0.844 (0.771–0.902) 12.1 (7.20–19.1)
Belo Horizonte 23.6 25.3 (23.2–27.7) 0.926 (0.861–0.97) 1.88 (0.702–3.73)
Campo Grande 38.7 42.4 (38.3–47.2) 0.916 (0.847–0.964) 3.58 (1.45–6.98)
Cuiabá 68.6 79.6 (68.9–103) 0.854 (0.650–0.947) 12.2 (3.82–35.7)
Belém 103 125 (116–138) 0.818 (0.744–0.872) 23.0 (15.1–34.8)
João Pessoa 47.9 51.0 (45.8–57.1) 0.908 (0.824–0.962) 4.78 (1.83–9.80)
Recife 98.4 118 (110–129) 0.839 (0.770–0.892) 19.0 (12.1–29.5)
Teresina 27.6 32.3 (28.8–36.6) 0.906 (0.817–0.966) 3.07 (1.04–6.45)
Curitiba 17.0 19.3 (17.4–21.6) 0.909 (0.829–0.962) 1.78 (0.693–3.57)
Rio de Janeiro 99.8 104 (101–109) 0.953 (0.917–0.977) 4.93 (2.33–8.98)
Natal 54.0 58.3 (52.9–64.8) 0.884 (0.809–0.940) 6.81 (3.36–11.9)
Porto Velho 75.9 81 (73.6–89.5) 0.937 (0.869–0.978) 5.19 (1.71–11.2)
Boa Vista 44.0 41 (35.4–47.1) 0.934 (0.865–0.976) 2.73 (0.914–5.99)
Porto Alegre 92.9 106 (99.2–115) 0.879 (0.817–0.924) 12.9 (7.65–20.8)
Florianópolis 39.3 45.4 (40.5–51.1) 0.941 (0.868–0.983) 2.71 (0.752–6.51)
Aracaju 39.1 42 (37.6–47.3) 0.905 (0.829–0.960) 4.02 (1.59–7.77)
São Paulo 56.5 59.7 (57.5–62.5) 0.944 (0.904–0.972) 3.33 (1.6–6.04)
Palmas 6.28 11.6 (9.34–14.3) 0.910 (0.786–0.974) 1.06 (0.279–2.75)
Rio Branco 82.7 83.5 (75.0–92.9) 0.940 (0.879–0.979) 5.07 (1.72–10.7)

*Excluding notifications for misdiagnosis, reengagement in care, and deceased persons.
†Untreated TB is the product of incidence × (1 − fraction treated), rounded up.

Main Article

Page created: January 20, 2021
Page updated: February 21, 2021
Page reviewed: February 21, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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