Abstract
Abstract Objective: To analyze the incidence of tuberculosis in indigenous and non-indigenous residents in the state of Pará from 2005-2013. Method: An ecological study was performed with data from SINAN, stratified for the 13 existing Regional Health Centers in Pará. The tuberculosis incidence rates were calculated for indigenous and non-indigenous populations in the 13 regions and maps were prepared to visualize the magnitude of the occurrence of tuberculosis. Results: Significant differences in the incidence of tuberculosis were found among non-indigenous and indigenous populations, reaching 7,812/100,000 inhabitants and 118/100,000 inhabitants respectively. Conclusion: Tuberculosis was distributed heterogeneously among the indigenous and non-indigenous populations. Moreover, it was possible to identify areas with high risk for this disease. It is important to note that knowledge about priority areas for tuberculosis control can help health service management to improve indicators that assess this disease and to develop different policies for indigenous peoples.
Highlights
Tuberculosis (TB) is a relevant endemic disease that affects indigenous populations.[1]
The present study aimed to spatially identify and describe the occurrence of tuberculosis in indigenous and non-indigenous populations living in the state of Pará between 2005 and 2013, aiming to contribute to greater disease control, as it indicates regional health centers and the respective cities with higher incidence of tuberculosis in indigenous and non-indigenous populations
Among the indigenous and non-indigenous populations living in the state of Pará between 2005 and 2013, there were 31,071 new cases of TB, reaching an annual mean of 3,452 reports.When these cases were stratified, 98.6% (n=30,666) corresponded to non-indigenous individuals
Summary
Tuberculosis (TB) is a relevant endemic disease that affects indigenous populations.[1] According to the Programa Nacional de Controle da Tuberculose (PNCT - Brazilian Program on Tuberculosis Control), this group is considered to be vulnerable to such disease.[2] Scientific evidence[3,4,5] indicates that the incidence of TB is high in these populations, reaching rates[3,4,5,6,7] that are ten times higher than those found in the general Brazilian population. 1.5 million individuals died of this disease.[8] According to the 2015 Epidemiological Bulletin,[9] the TB incidence rate for the general population was 44.4/100,000 inhabitants in Northern Brazil and 39.2/100,000 inhabitants in the state of Pará, higher than the Brazilian mean of 33.5/100,000 inhabitants
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