Volume 27, Number 3—March 2021
Dispatch
Trends in Untreated Tuberculosis in Large Municipalities, Brazil, 2008–2017
Melanie H. Chitwood
, 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
, 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
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.
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Page updated: February 21, 2021
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