부산대학교 도서관

An epidemiological analysis of the forms and distribution of Dengue fever in Brazil and worldwide was carried out. The National Program of Dengue Control (NPDC) was evaluated based on the data available at "Diagdengue" an official computerized information system allowing to follow-up the implantation and impact of the Program. A factorial analysis was performed by means of a set of indicators contributing to variability. The indicator scores were added and the cities demanding for prior attention of the NPCD were classified for the construction of an index, which is presented three-monthly for every state, with intervals distributed between 0 and 9. The implantation of the NCPD is irregular. Cities with bad implantation are predominating in the north and northeast of the country. In the second analysis, socio-economic variables of the selected cities were added. For the association tests these cities were classified into two groups: "Bad" and "Good/Very Good", based on the association of the index of building infestation informed in the FAD (Yellow Fever and Dengue) database and the constructed index. Associations were verified based on variance analysis, trend test and trend estimate. It was observed that cities with low rates of illiteracy, efficient garbage collection and high ratio of sanitary installations are correlated with a good classification of the city according to Diagdengue. Key words Dengue, Prevention and control program, Evaluation Avaliou-se a dengue mundial e nacionalmente, atraves de uma analise epidemiologica quanto a distribuicao e formas. Avaliou-se o Programa Nacional de Controle a Dengue (PNCD) quanto a sua implantacao atraves do estudo do Diagdengue. Foi feita uma analise fatorial atraves de um conjunto de indicadores contributivos para a variabilidade. Somou-se os escores dos indicadores e a classificacao dos municipios prioritarios para o PNCD, para a construcao de um indice, apresentando-o por estado e por trimestre, com intervalos distribuidos num intervalo de 0 a 9. A implantacao do PNCD se da de forma irregular, prevalecendo municipios com implantacao ruim na regiao Norte e Nordeste. Na segunda analise, agregou-se a variaveis socioeconomicas dos municipios selecionados. Para os testes de associacao, agrupou-se em duas classes: "ruim" e "bom/muito bom". Considerou-se a associacao entre o indice de infestacao predial informados no banco de dados do FAD e o indice construido. Foram usados para a verificacao de associacao testes de analise variancia, teste de tendencia e estimativa de razoes de chance. Observou-se que municipios com baixo analfabetismo, alta coleta de lixo, alta proporcao de instalacoes sanitarias estao correlacionados com uma boa classificacao do municipio em relacao ao Diagdengue. Palavras-chave Dengue, Programa de prevencao e controle, Avaliacao
Introducao A dengue constitui-se, provavelmente, na mais importante arbovirose que afeta o homem no continente americano. O mosquito transmissor, o Aedes aegypti, e encontrado atualmente numa extensao que vai desde [...]