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Abstract INTRODUCTION: We evaluated the performance of Bayesian vector autoregressive (BVAR) and Holt’s models to forecast the weekly COVID-19 reported cases in six units of a large hospital. METHODS: Cases reported from epidemiologic weeks (EW) 12-37 were selected as the training period, and from EW 38-41 as the test period. RESULTS: The models performed well in forecasting cases within one or two weeks following the end of the time-series, but forecasts for a more distant period were inaccurate. CONCLUSIONS: Both models offered reasonable performance in very short-term forecasts for confirmed cases of COVID-19.

https://doi.org/10.1590/0037-8682-0762-2020 334 downloads

Prevalence of virological and serological markers of SARS-CoV-2 infection in the population of Ribeirão Preto, Southeast Brazil: an epidemiological survey
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Martinez, Edson Zangiacomi

; Passos, Afonso Dinis Costa

; Fabbro, Amaury Lelis Dal

; Silva, Anderson Soares da

; Escarso, Andreia Cássia

; Pazin-Filho, Antônio

; Fonseca, Benedito Antônio Lopes da

; Maciel, Benedito Carlos

; Araújo, Daniel Cardoso de Almeida e

; Clé, Diego Villa

; Gaspar, Gilberto Gambero

; Santos, Jair Lício Ferreira dos

; Ferreira, Janise Braga Barros

; Souza, João Paulo

; Mello, Luane Marques de

; Santos, Luciane Loures dos

; Passos, Luzia Márcia Romanholi

; Siconelli, Márcio Junio Lima

; Cavalli, Ricardo de Carvalho

; Santana, Rodrigo de Carvalho

; Calado, Rodrigo do Tocantins

; Scarpelini, Sandro

; Bollela, Valdes Roberto

; Floriano, Vitor Gonçalves

; Bellissimo-Rodrigues, Fernando

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e0210-2021

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: This epidemiological household survey aimed to estimate the prevalence of the current and past SARS-CoV-2 infections in Ribeirão Preto, a municipality of southeast Brazil. METHODS: The survey was conducted in two phases using a clustered sampling scheme. The first phase spanned May 1-3 and involved 709 participants. The second phase spanned June 11-14, 2020, and involved 646 participants. RESULTS: During the first phase, RT-PCR performed on nasopharyngeal swabs was positive at 0.14%. The serological tests were positive in 1.27% of the patients during the first phase and 2.79% during the second phase. People living in households with more than five members had a prevalence of 10.83% (95%CI: 1.58-74.27) higher than those living alone or with someone other. Considering the proportion of the positive serological test results with sex and age adjustments, approximately 2.37% (95%CI: 1.32-3.42) of the population had been cumulatively infected by mid-June 2020, which is equivalent to 16,670 people (95%CI: 9,267-24,074). Considering that 68 deaths from the disease in the residents of the city had been confirmed as at the date of the second phase of the survey, the infection fatality rate was estimated to be 0.41% (95%CI: 0.28-0.73). Our results suggest that approximately 88% of the cases of SARS-CoV-2 infection at the time of the survey were not reported to the local epidemiological surveillance service. CONCLUSIONS: The findings of this study provide in-depth knowledge of the COVID-19 pandemic in Brazil and are helpful for the preventive and decision-making policies of public managers.

https://doi.org/10.1590/0037-8682-0210-2021 117 downloads

Are SARS-CoV-2 reinfection and Covid-19 recurrence possible? a case report from Brazil
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Bonifácio, Lívia Pimenta

; Pereira, Ana Paula Sulino

; Araújo, Daniel Cardoso de Almeida e

; Balbão, Viviane da Mata Pasti

; Fonseca, Benedito Antônio Lopes da

; Passos, Afonso Dinis Costa

; Bellissimo-Rodrigues, Fernando

Revista da Sociedade Brasileira de Medicina Tropical

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2020, Volume 53 elocation e20200619

Abstract: En | Text: En | PDF: En

Abstract With the large number of individuals infected and recovered from Covid-19, there is intense discussion about the quality and duration of the immunity elicited by SARS-CoV-2 infection, including the possibility of disease recurrence. Here we report a case with strong clinical, epidemiological and laboratorial evidence of, not only reinfection by SARS-CoV-2, but also clinical recurrence of Covid-19.

https://doi.org/10.1590/0037-8682-0619-2020 5960 downloads

Prevalence and risk factors of toxoplasmosis among adults in a small Brazilian city
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Passos, Afonso Dinis Costa

; Bollela, Valdes Roberto

; Furtado, João Marcelo Fortes

; Lucena, Moisés Moura de

; Bellissimo-Rodrigues, Fernando

; Paula, Jayter Silva

; Melo, Laura Valdiane Luz

; Rodrigues, Maria de Lourdes Veronese

Revista da Sociedade Brasileira de Medicina Tropical

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dec 2018, Volume 51 N. 6 Pages 781 - 787

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: The prevalence of Toxoplasma gondii infection varies markedly among different populations, especially depending on factors related to socioeconomic development and eating habits. Cássia dos Coqueiros is a small city in Brazil with rural characteristics and increased risk factors traditionally associated with T. gondii infection. METHODS: We carried out a cross-sectional study involving 970 inhabitants aged 18 years or more, selected from patients of the local health unit and home visits in urban and rural areas. Each participant completed a survey with questions regarding demographic, socioeconomic, and risk factors for toxoplasmosis. Blood samples from participants were tested for presence of IgG and IgM antibodies against T. gondii using a chemiluminescent microparticle immunoassay. RESULTS: The prevalence of IgG and IgM antibodies was 62.3% and 2.5%, respectively. Variables that proved to be independent predictors of infection were age, low levels of education, and previous diagnosis of toxoplasmosis. CONCLUSIONS: The high prevalence of toxoplasmosis serological markers in this adult population highlights the need to promote preventive practices, especially those directed toward women of childbearing age, in this part of Brazil.

https://doi.org/10.1590/0037-8682-0214-2017 1956 downloads

Basal core promoter and precore mutations among hepatitis B virus circulating in Brazil and its association with severe forms of hepatic diseases
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Chachá, Silvana Gama Florencio

; Gomes-Gouvêa, Michele Soares

; Malta, Fernanda de Mello

; Ferreira, Sandro da Costa

; Villanova, Márcia Guimarães

; Souza, Fernanda Fernandes

; Teixeira, Andreza Correa

; Passos, Afonso Dinis da Costa

; Pinho, João Renato Rebello

; Martinelli, Ana de Lourdes Candolo

Memórias do Instituto Oswaldo Cruz

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sep 2017, Volume 112 N. 9 Pages 626 - 631

Abstract: En | Text: En | PDF: En

BACKGROUND In Brazil, few studies have investigated the prevalence of infection with the precore (PC) and basal core promoter (BCP) mutants of the hepatitis B virus (HBV). OBJECTIVES This study aimed to analyse the frequency of PC and BCP mutations among patients infected with HBV and to evaluate the association between the variants and advanced hepatic disease. METHODS A total of 161 patients infected with HBV were studied. To identify PC and BCP mutations, a 501-bp fragment of HBV DNA was amplified and sequenced. FINDINGS PC and BCP regions from HBV strains were successfully amplified and sequenced in 129 and 118 cases, respectively. PC and BCP mutations were detected in 61.0% and 80.6% of the cases, respectively. The A1762T/G1764A variant was identified in 36.7% of the patients with grade 1 and 2 liver fibrosis (29/79) and in 81.8% of the patients with grade 3 and 4 liver fibrosis (9/11) (p < 0.01); in 76.9% of the patients with cirrhosis (10/13) and in 38.1% of the patients without cirrhosis (40/105) (p = 0.01); and in 77.8% of the patients with hepatocellular carcinoma (HCC) (7/9) and in 39.4% of the patients without HCC (43/109) (p = 0.03). MAIN CONCLUSIONS A high prevalence of HBV PC and BCP mutants was found. The A1762T/G1764A variant was independently associated with advanced forms of liver fibrosis, hepatic cirrhosis, and HCC.

https://doi.org/10.1590/0074-02760160540 914 downloads

Distribution of HBV subgenotypes in Ribeirão Preto, Southeastern Brazil: a region with history of intense Italian immigration
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Chachá, Silvana Gama Florencio

; Gomes-Gouvêa, Michele Soares

; Malta, Fernanda de Mello

; Ferreira, Sandro da Costa

; Villanova, Márcia Guimarães

; Souza, Fernanda Fernandes

; Teixeira, Andreza Correa

; Passos, Afonso Dinis da Costa

; Pinho, João Renato Rebello

; Martinelli, Ana de Lourdes Candolo

Brazilian Journal of Infectious Diseases

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aug 2017, Volume 21 N. 4 Pages 424 - 432

Abstract: En | Text: En | PDF: En

Abstract Hepatitis B virus (HBV) is distributed worldwide, with geographical variations regarding prevalence of the different genotypes. The aim of this study was to determine the HBV genotypes and subgenotypes circulating in Southeast Brazil and compare the genetic sequences found with HBV sequences previously described in the world. Sequences from 166 chronic HBV carriers were analyzed using the fragment constituted by 1306 base pairs comprising surface and polymerase regions of the HBV genome. The sequences obtained were submitted to phylogenetic analysis. HBV subgenotypes A1, A2, D1-D4, F2a, and F4 were found. HBV genotype D was the most frequent, found in 99 patients (58.4%). Within this group, subgenotype D3 was the most prevalent, in 73 patients (42.9%). HBV genotype A was identified in 58 (36%) patients, subgenotype A1, in 48 (29.8%) subjects. Genotype F was identified in 9 (5.4%). According to the phylogenetic analysis, the sequences found were grouped with sequences from Europe, Asia and Middle East (subgenotypes D1, D2, D3) and sequences from Latin America and Africa (subgenotype A1). HBV D3 grouped in different clusters inside D3 clade, several of them with sequences isolated in Italy. We also identified eight families whose relatives were infected with the same HBV subgenotype, most with high similarity between sequences. In conclusion, the distribution of the HBV sequences obtained interweaved with sequences from other continents, corresponding to regions from where many immigrants came to this region, in accordance to the hypothesis that the HBV detected over there were brought during the colonization times.

https://doi.org/10.1016/j.bjid.2017.01.011 755 downloads

Uma agenda de pesquisa para a Atenção Primária à Saúde no estado de São Paulo, Brasil: o estudo ELECT
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Orlandin, Eduardo Antônio de Sousa

; Moscovici, Leonardo

; Franzon, Ana Carolina Arruda

; Passos, Afonso Dinis Costa

; Fabbro, Amaury Lelis Dal

; Vieira, Elisabeth Meloni

; Bellissimo-Rodrigues, Fernando

; Gusso, Gustavo Diniz Ferreira

; Ferreira, Janise Braga Barros

; Marques, João Mazzoncini de Azevedo

; Ribeiro, Luciana Cisoto

; Santos, Luciane Loures dos

; Demarzo, Marcelo Marcos Piva

; Fontão, Paulo Celso Nogueira

; Souza, João Paulo

Interface - Comunicação, Saúde, Educação

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jun 2017, Volume 21 N. 61 Pages 349 - 361

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

A consolidação da Atenção Primária à Saúde (APS) requer políticas públicas embasadas por evidências científicas. Este artigo apresenta o estudo ELECT, cujo objetivo foi identificar temas prioritários de pesquisa para a fortalecimento da APS no estado de São Paulo, Brasil. Com a participação de especialistas e de um grupo focal com usuários, foi obtida uma lista com os vinte principais obstáculos, bem como dez temas de pesquisa prioritários, na APS. Os resultados apontam para problemas e temas de pesquisas relacionados à: organização da gestão, capacitação de profissionais e gestores, valorização profissional, criação de mecanismos de colaboração entre equipes de saúde e informatização dos recursos. Espera-se, assim, estimular o debate no contexto da APS sobre o papel da priorização de pesquisas, seus obstáculos e proposições de pesquisa. Almeja-se, também, estimular a adoção de modelos mais participativos de seleção de temas de pesquisa.

The consolidation of Primary Health Care (PHC) requires public policies based on scientific evidence. This paper presents the ELECT study, aimed to identify priority research themes for strengthening PHC in the state of Sao Paulo, Brazil. A list of the twenty main obstacles and ten priority research themes in PHC were obtained with participation of specialists and a focus group with users. The results point to problems and research issues related to organizational management, training of professionals and managers, professional development, creation of cooperation mechanisms between health teams and computerization of resources. It is expected to stimulate debate in the context of the PHC on the role of research prioritization, its obstacles and research propositions. It also aims to encourage the adoption of more participatory models of selection of research topics.

La solidificación de la Atención Primaria de Salud (APS) requiere políticas públicas con base en evidencias científicas. Este artículo presenta el estudio ELECT, cuyo objetivo fue identificar temas prioritarios de investigación para el fortalecimiento de la APS en el estado de São Paulo. Con la participación de especialistas y de un grupo de opinión formado por usuarios, se obtuvo una lista con los veinte principales obstáculos, así como diez temas de investigación prioritarios en la APS. Los resultados señalan problemas y temas de investigación relacionados a la organización de la gestión, la capacitación de profesionales y gestores, la valorización profesional, la creación de mecanismos de colaboración entre equipos de salud e informatización de los recursos. Se espera por lo tanto incentivar el debate en el contexto de la APS sobre el papel de la priorización de investigaciones, sus obstáculos y propuestas de investigación. Se anhela también incentivar la adopción de modelos más participativos de selección de temas de investigación.

https://doi.org/10.1590/1807-57622016.0103 434 downloads

Uma agenda de pesquisa para a Atenção Primária à Saúde no estado de São Paulo, Brasil: o estudo ELECT
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Orlandin, Eduardo Antônio de Sousa

; Moscovici, Leonardo

; Franzon, Ana Carolina Arruda

; Passos, Afonso Dinis Costa

; Fabbro, Amaury Lelis Dal

; Vieira, Elisabeth Meloni

; Bellissimo-Rodrigues, Fernando

; Gusso, Gustavo Diniz Ferreira

; Ferreira, Janise Braga Barros

; Marques, João Mazzoncini de Azevedo

; Ribeiro, Luciana Cisoto

; Santos, Luciane Loures dos

; Demarzo, Marcelo Marcos Piva

; Fontão, Paulo Celso Nogueira

; Souza, João Paulo

Interface - Comunicação, Saúde, Educação

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jun 2017, Volume 21 N. 61 Pages 349 - 361

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/1807-57622016.0103 2901 downloads

Caracterização das notificações de violência em crianças no município de Ribeirão Preto, São Paulo, no período 2006-2008
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Farias, Marilurdes Silva

; Souza, Cesário da Silva

; Carneseca, Estela Cristina

; Passos, Afonso Dinis Costa

; Vieira, Elisabeth Meloni

Epidemiologia e Serviços de Saúde

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dec 2016, Volume 25 N. 4 Pages 799 - 806

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo OBJETIVO: descrever os casos de violência contra crianças notificados no município de Ribeirão Preto-SP, Brasil. MÉTODOS: estudo descritivo com dados do Sistema de Vigilância de Violências e Acidentes (VIVA) da Secretaria Municipal de Saúde de Ribeirão Preto-SP, Brasil, no período de 2006 a 2008. RESULTADOS: foram registrados 498 casos de violência contra crianças (0-9 anos) no período, com elevação no número de notificações, de 112 em 2006 a 197 em 2008, 79,3% das notificações foram provenientes da área da Saúde, a maioria das crianças era do sexo feminino (56,4%) e apresentava idade entre dois e cinco anos (mais de 60%); prevaleceram agressores do sexo masculino (53,6%), com destaque para a figura paterna (22,7%); agressões físicas foram as mais frequentes (59,2%) e o local de maior ocorrência foi a casa da família (75,5%). CONCLUSÃO: predominaram vítimas do sexo feminino, agredidas por homens, predominantemente pais e outros familiares, na casa da família.

Abstract OBJECTIVE: to describe the cases of violence against children reported in Ribeirão Preto-SP, Brazil. METHODS: this was a descriptive study using data provided by the Violence and Accidents Surveillance System (VIVA), of the Municipal Health Department of Ribeirão Preto-SP, Brazil, from 2006 to 2008. RESULTS: a total of 498 cases of violence against children (0-9 years old) were reported in the period, with an increase in the number of notifications, from 112 in 2006 to 197 in 2008; 79.3% of the notifications came from the Health area; and most children were female (56.4%), aged between two and five years old (over 60%); most aggressors were male (53.6%) and the father figure stood out (22.7%); physical aggressions were the most frequent (59.2%) and the most frequent place of the occurrence was the family household (75.5%). CONCLUSION: most victims were female, abused by men, mostly fathers and other family members, at the family household.

Resumen OBJETIVO: describir los casos de violencia contra niños notificados en el municipio de Ribeirão Preto-SP, Brasil. MÉTODOS: estudio descriptivo con datos del Sistema de Vigilancia de Violencias y Accidentes (VIVA) de la Secretaria Municipal de Salud de Ribeirão Preto-SP, de 2006 a 2008. RESULTADOS: se registraron 498 casos de violencia infantil (de 0 a 9 años) en dicho periodo, aumentando las notificaciones de 112 en 2006 y 197 en 2008, siendo el 79,3% provenientes del área de salud; la mayoría de los niños era de sexo femenino (56,4%) de edad entre dos y cinco años (más de 60%); prevalecieron agresores de sexo masculino (53,6%), destacándose la figura paterna (22,7%); las agresiones físicas fueran las más practicadas (59,2%) y el lugar de mayor ocurrencia fue la casa de la familia (75.5%). CONCLUSIÓN: predominaron víctimas de sexo femenino agredidas por hombres, en gran parte padres y otros familiares en casa de la familia.

https://doi.org/10.5123/s1679-49742016000400013 3182 downloads

10.

Caracterização das notificações de violência em crianças no município de Ribeirão Preto, São Paulo, no período 2006-2008
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Farias, Marilurdes Silva

; Souza, Cesário da Silva

; Carneseca, Estela Cristina

; Passos, Afonso Dinis Costa

; Vieira, Elisabeth Meloni

Epidemiologia e Serviços de Saúde

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dec 2016, Volume 25 N. 4 Pages 799 - 806

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.5123/s1679-49742016000400013 386 downloads

11.

Incidence and causes of lower-limb amputations in the city of Ribeirão Preto from 1985 to 2008: evaluation of the medical records from 3,274 cases
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Barbosa, Bruna Maria Bueno

; Monteiro, Rosane Aparecida

; Sparano, Lucas Françolin

; Bareiro, Rodolfo Fabiano Niz

; Passos, Afonso Dinis Costa

; Engel, Edgard Eduard

Revista Brasileira de Epidemiologia

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jun 2016, Volume 19 N. 2 Pages 317 - 325

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Objetivo: Identificar as tendências temporais de causas traumáticas e não traumáticas de amputações de membros inferiores, e os efeitos do envelhecimento da população, do aumento de violência no trânsito, da política de saúde pública do programa de controle de diabetes e das leis de controle do uso de álcool em motoristas sobre as taxas de amputações. Método: Foram analisados os dados das folhas de alta de pacientes submetidos a amputações de todos os 32 hospitais localizados na região de Ribeirão Preto, Brasil, de 1985 a 2008. Resultado: De 3.274 amputações de membros inferiores, 95,2% estavam relacionadas a causas não traumáticas, principalmente complicações do diabetes mellitus. Câncer (2,8%) e causas congênitas (1,3%) foram incluídos neste grupo. Apenas 4,8% estavam relacionados às causas traumáticas. A taxa média de amputação traumática foi de 1,5 amputações por 100.000 habitantes, com uma ligeira tendência de aumento nos últimos 5 anos. As causas não traumáticas mostraram uma taxa média de 30 amputações por 100.000 habitantes e mantiveram-se relativamente constantes durante todo o período. As causas não traumáticas foram predominantes em pacientes com mais de 60 anos, e as amputações traumáticas ocorreram mais frequentemente em pacientes com menos de 39 anos. Conclusão: A taxa total de amputações e as taxas de amputações traumáticas e não traumáticas permaneceram praticamente constantes durante o período de estudo. O impacto das políticas de controle do diabetes e da introdução de leis de repressão do uso de álcool no trânsito não pode ser identificado nas taxas de amputação.

ABSTRACT: Objective: It was to identify trends of traumatic and non-traumatic causes of lower limb amputations, as well as the role played by population aging, traffic violence increase, public health policy of diabetes control program and drivers anti-alcohol laws on these amputations. Method: Hospitalization data recorded in the discharge forms of 32 hospitals located in the region of Ribeirão Preto, Brazil, from 1985 to 2008 were analyzed. Result: A total of 3,274 lower-limb amputations were analyzed, of which 95.2% were related to non-traumatic causes, mainly infectious and ischemic complications of diabetes mellitus. Cancer (2.8%) and congenital (1.3%) causes were included in this group. Only 4.8% were related to traumatic causes. Traumatic amputation average rate was 1.5 amputations in 100,000 habitants with a slight tendency of increase in the last 5 years. Non-traumatic causes showed an average rate of 30.0 amputations for 100,000 habitants and remained relatively constant during the whole period. Non-traumatic were much more predominant in patients older than 60 years and traumatic amputations occurred more frequently in patients younger than 39 years. Conclusion: The overall rates of amputation and the rates of traumatic and non-traumatic amputations remained nearly constant during the study period. The impact of diabetes control policies and the introduction of traffic safety laws could not be identified on the amputation rates.

https://doi.org/10.1590/1980-5497201600020009 591 downloads

12.

Incidence and causes of lower-limb amputations in the city of Ribeirão Preto from 1985 to 2008: evaluation of the medical records from 3,274 cases
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Barbosa, Bruna Maria Bueno

; Monteiro, Rosane Aparecida

; Sparano, Lucas Françolin

; Bareiro, Rodolfo Fabiano Niz

; Passos, Afonso Dinis Costa

; Engel, Edgard Eduard

Revista Brasileira de Epidemiologia

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jun 2016, Volume 19 N. 2 Pages 317 - 325

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1980-5497201600020009 1837 downloads

13.

Knowledge and practices related to dengue and its vector: a community-based study from Southeast Brazil
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Alves, Adorama Candido

; Fabbro, Amaury Lelis dal

; Passos, Afonso Dinis Costa

; Carneiro, Ariadne Fernanda Tesarin Mendes

; Jorge, Tatiane Martins

; Martinez, Edson Zangiacomi

Revista da Sociedade Brasileira de Medicina Tropical

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apr 2016, Volume 49 N. 2 Pages 222 - 226

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: This study investigated the knowledge of users of primary healthcare services living in Ribeirão Preto, Brazil, about dengue and its vector. METHODS: A cross-sectional survey of 605 people was conducted following a major dengue outbreak in 2013. RESULTS: Participants with higher levels of education were more likely to identify correctly the vector of the disease. CONCLUSIONS: The results emphasize the relevance of health education programs, the continuous promotion of educational campaigns in the media, the role of the television as a source of information, and the importance of motivating the population to control the vector.

https://doi.org/10.1590/0037-8682-0240-2015 3257 downloads

14.

Epidemiological study of hepatitis B and C in a municipality with rural characteristics: Cássia dos Coqueiros, State of São Paulo, Brazil
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Melo, Laura Valdiane Luz

; Silva, Marcondes Alves Barbosa da

; Perdoná, Gleici da Silva Castro

; Nascimento, Margarida Maria Passeri

; Secaf, Marie

; Monteiro, Rosane Aparecida

; Martinelli, Ana de Lourdes Candolo

; Passos, Afonso Dinis Costa

Revista da Sociedade Brasileira de Medicina Tropical

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dec 2015, Volume 48 N. 6 Pages 674 - 681

Abstract: En | Text: En | PDF: En

Abstract: INTRODUCTION: Hepatitis B and C viral infections remain an important cause of global morbidity and mortality. Studies have been conducted in population groups of large cities, leaving gaps in the knowledge regarding the situation in small municipalities. We aimed to measure the prevalence of hepatitis B and C markers and presence of infection-associated factors. METHODS: All inhabitants of Cássia dos Coqueiros aged ≥18 years who agreed to participate in the research were included. We collected blood as well as information via a questionnaire between March 2011 and December 2013. Univariate and multivariate analyses were conducted. RESULTS: Among the 1,001 participants, 41 (4.1%) participants had a serological profile of hepatitis B viral exposure, and only one (0.1%) participant was considered a virus carrier. The frequency of isolated antibody to hepatitis B virus surface antigen (anti-HBs) markers was 17.8% for the overall population. In the multivariate analysis, hepatitis B virus (HBV) infection was associated with age, birth outside the State of São Paulo, history of hepatitis, ≥2 sexual partners in the last 6 months, and tattoos. Four (0.4%) participants had a serological profile of hepatitis C viral exposure. However, after confirmation using viral ribonucleic acid (RNA) evaluation, only one (0.1%) individual remained positive. CONCLUSIONS: The positivity rates for hepatitis B and C were low, despite greater sexual freedom and the recent emergence of illicit drugs, as observed by the health personnel working in Cássia dos Coqueiros.

https://doi.org/10.1590/0037-8682-0222-2015 2460 downloads

15.

Hepatitis B and C in a Brazilian deaf community
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Pacher, Bianca Messenberg

; Costa, Marina Ribeiro Barreto da

; Nascimento, Margarida Maria Passeri do

; Moura, Maria Cecilia de

; Passos, Afonso Dinis Costa

Revista da Sociedade Brasileira de Medicina Tropical

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- SciELO Analytics

oct 2015, Volume 48 N. 5 Pages 603 - 606

Abstract: En | Text: En | PDF: En

ABSTRACTINTRODUCTION:Although deaf people are exposed to hepatitis B and C risk factors, epidemiological studies regarding these diseases in deaf people are lacking.METHODS:After watching an explanatory digital versatile disc (DVD) in Brazilian Sign Language, 88 deaf people were interviewed and tested for hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs), hepatitis B core antibody (anti-HBc), and hepatitis C virus antibody (anti-HCV).RESULTS:The prevalence of hepatitis B markers was 8%; they were associated with incarceration and being born outside the State of São Paulo. No cases of hepatitis C were identified.CONCLUSIONS:Participants showed a substantial lack of knowledge regarding viral hepatitis, indicating a need for public policies that consider linguistic and cultural profiles.

https://doi.org/10.1590/0037-8682-0058-2015 1478 downloads

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