Análise espacial da tuberculose infantil no Espírito Santo no período de 2000 a 2007

Abstract

Considered a serious problem of public health and reaching 9 million people, the infantile Tb is responsible for 15% of the notifications of Tb. The focus of the PNCT is the identification of the adult with Tb, leaving the minors of 15 years to the edge of the studies, diagnosis and treatment. The space analysis, through the geoprocessament and of the systems of geographic information, comes to quantify the exposition of the illness and to display the main causes related to the geographic space. This study it had as objective to analyze the space distribution of the chilhood Tb in the Espirito Santo, of 2000 the 2007, according to city of notification. An ecological study was delineated that used the database of the SINAN and the digital mesh of the state of the GEOBASES. The correction of the taxes epidemiologists had been carried through with the local mobile average, SMOOTH LEBayes and. The index of Moran was calculated for the evaluation of the autocorrelations between the incidences of bordering quarters. High taxes of incidence had been found in the Region Metropolitan of Vitória and northeast region, and decreases taxes were in the serrana region; data these, similar study of endemic disease of Tb in State, what it confirms that the infantile Tb is, directly, influenced for the endemic disease of Tb and that, possibly, its transmission occurs through intradomiciliares contacts. The fact of the tax of incidence of the infantile Tb to be well above of the endemic disease of Tb, mainly in the Great Victory, demonstrates the lack of control of the illness. Since the child has the recent transmission, then, she does not have the control of the carrying adult of the Koch bacillus, thus, is needed to prioritize action of control of the illness, detention of cases and institution of the quimioprofilaxy in children.