Abstract
The objective of this study was to characterize tuberculosis mortality trends in the Municipality of São Paulo, Brazil, from 1900 to 1997. Standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. These measures were submitted to time-series analysis. We verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. In 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. The period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. Recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of Mycobacterium and HIV co-infection, besides loss of quality in specific health programs.
Highlights
Resumo Com o objetivo de caracterizar tendências da mortalidade por tuberculose no Município de São Paulo, Brasil, 1900-1997, foram calculados e estratificados por gênero e grupo etário os coeficientes padronizados de mortalidade e as razões de mortalidade proporcional, por intermédio de dados providos por agências governamentais
The chronicler reflects the great change in the profile of urban dissemination of tuberculosis in Brazil, with a heavy reduction of indicators for the disease from the mid-century onward, as confirmed by the mortality rates calculated in the present study
Folley & Miller (1993) stated that the white plague was on the rise and were the first to record its association with AIDS in Europe
Summary
Resumo Com o objetivo de caracterizar tendências da mortalidade por tuberculose no Município de São Paulo, Brasil, 1900-1997, foram calculados e estratificados por gênero e grupo etário os coeficientes padronizados de mortalidade e as razões de mortalidade proporcional, por intermédio de dados providos por agências governamentais. The chronicler reflects the great change in the profile of urban dissemination of tuberculosis in Brazil, with a heavy reduction of indicators for the disease from the mid-century onward, as confirmed by the mortality rates calculated in the present study. As deaths from tuberculosis continues to increase worldwide, the WHO (1996, 1997) has emphasized the importance of local studies and measures in the global fight against the disease. Civil registries and censuses from these periods recorded such demographic shifts in a reasonably regular and reliable manner. These data files have not yet been sufficiently explored for public health studies
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