Spatial approach to tuberculosis mortality in the city of Cuiabá-MT: scenario of a multicentric study FAPESP

• Grant number: 17/19684-8
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: February 01, 2018
• End date: January 31, 2019
• Field of knowledge: Health Sciences - Collective Health - Public Health
• Principal Investigator: Ricardo Alexandre Arcêncio
• Grantee: Camila da Silva Souza
• Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

Tuberculosis (TB) is currently considered a serious public health problem. In the latest report released by the World Health Organization, estimated that in 2015, 10.4 million people became ill from TB and 1.4 million people died from the disease. In 2014, the "Global strategy and targets for the prevention, care and control of post-2015 tuberculosis" was approved, which is a global plan to combat TB, with the goal of reducing the disease incidence rate to less than 10 cases /100,000 inhabitants and the reduction of deaths by 95% by the year 2035, also counting on intermediate goals for the years 2020, 2025 and 2030. The objective of this project is to analyze the spatial distribution of TB deaths in the city of Cuiabá -MT. This is an ecological study that will use the census tracts as units of analysis. Will be used the data of deaths of the residents of Cuiabá-MT in the study, whose main cause is TB (ICD 10 - A15.0 to A19.9), between 2006 and 2016. Data on sociodemographic and clinical characteristics of the deaths will be collected in the Mortality Information System (SIM) of the Municipal Health Department of Cuiabá. The exploratory analysis of the data will occur through descriptive statistics with measures of central tendency and relative and absolute frequencies for the categorical variables. The geocoding of new TB cases will be performed in the Terraview software (version 4.2.2) by means of the geographical coordinates (latitude and longitude), from the patient's residence address. After that, the age-standardized mortality rate will be calculated, as well as the spatial dependence investigation using the Moran global index (I). With this study, it is considered that it may be possible to contribute for facing the critical situation of tuberculosis in the Midwest and contribute to the improvement of strategies to deal with TB in Cuiabá-MT. (AU)