Determinantes sociais e a tuberculose de 2008 a 2012, na Regional de Ceilândia - Distrito Federal

Abstract

Introduction: An emergence and resurgence of diseases in the world are associated with interactions with phenomena of environmental degradation, urbanisation, and social issues. Other factors contributing to tuberculosis are gender, agglomeration of people and ethnic minorities. Objective: To analyse an association of determinants and an incidence of tuberculosis in the Regional of Ceilândia, from 2008 to 2012. Methodology: The study was conducted in Ceilândia-DF. This is a cross-sectional study, carried out with a total of 302 tuberculosis patients, reported in the registration system of the DF Tuberculosis Program. Regarding the information base, data from the SINAN-DF/Epidemiological Surveillance, Federal District Planning Company (CODEPLAN) and Brazilian Institute of Geography and Statistics (IBGE) were used. The analysis included the incidence of tuberculosis by regional health area and was correlated with socio-demographic indicators, results of the clinical form and laboratory tests. The spatial analysis of the cases was performed by the residence address of the patient. The cases were evaluated by the Google Earth software and ArcGIS. Approval in the Ethics Committee of SES-DF, Opinion No. 1,037,141. Results: There were more cases among males, people in adulthood, with up to 8 years of schooling, brown and black. There were more cases of tuberculosis in the pulmonary form and positive sputum smear microscopy. The main closing situation was healing. The Health Center 02 of Ceilândia (CSC 2) had the highest incidence rate of new cases of tuberculosis and the largest Inverse distance weighted (IDW) in the year 2012 (between 10.4 and 12 people). The disordered growth of the Sol Nascente has led to more cases of tuberculosis. Conclusion: It was observed that the population of Ceilândia presents a high risk of contracting tuberculosis and the population of the Health Center 02 of Ceilândia is the one that is most at risk of having Tuberculosis, due to the migration of the population to the favela of Sol Nascente.