O INSTITUTO PAULISTA DE ESTUDOS E PESQUISA EM OFTALMOLOGIA-IPEPO (INSTITUTO DA VISÃO), DOOU 1.000 UNIDADES DE ÓCULOS PARA LEITURA (GRAUS 2,5 E 3,5) PARA A POPULAÇÃO DE MONTE NEGRO CADASTRADA NO SUS. A PROCURA TEM SIDO MUITO GRANDE E A POPULAÇÃO ELOGIA MUITO A INICIATIVA.
EM NOME DO ICB5/USP E DA POPULAÇÃO, AGRADECEMOS FORMALMENTE AO PROF. RUBENS BELFORT JR, DIRETOR PRESIDENTE DO IPEPO, PELO APOIO E ATENÇÃO.
ATENÇÃO: HERPES ZOSTER EM CRIANÇAS!!!
Herpes zoster (HZ) incidence among only children with past varicella infection is higher than previously reported, according to findings of a national population-based study published online February 23 in Pediatrics. Children contracting varicella at 2 years of age or younger have an even greater incidence of HZ. "Studies regarding HZ among children are limited, and no previous population-based epidemiologic studies of pediatric HZ among only those infected with varicella have been published," write Su-Ying Wen, MD, and Wen-Liang Liu, PhD, from Taipei City Hospital in Taiwan. "The aim of this study was to establish population-based pediatric HZ data from only those who had varicella infection and assess the early effect of routine varicella vaccinations on the incidence of pediatric zoster." The retrospective cohort included children younger than 12 years with varicella infections between 2000 and 2006. The investigators also included vaccinated children without medically attended varicella between 2004 (when a routine varicella vaccination program began) and 2006. Follow-up for a diagnosis of HZ occurred through December 2008. Overall, 428 of 27,517 children with medically attended varicella developed HZ, for an incidence of HZ of 262.1 per 100,000 person-years. HZ also occurred in 106 of 25,132 vaccinated children without medically attended varicella, for an incidence of 93.3 per 100,000 person-years. The mean time from varicella infection to HZ was 4.12 years. Compared with children diagnosed with varicella at age 2 years or older, those diagnosed with varicella at age younger than 2 years had a higher incidence of HZ (P < .001) and shorter time between varicella infection and HZ (P = .04). Children diagnosed with varicella between 2 and 8 years of age had an 85% greater risk for HZ after the vaccination program began compared with before initiation of the vaccination program (relative risk, 1.85 at 3 years of follow-up; P = .03). Risk for HZ was more than twice as high in children with varicella infections than in vaccinated children without a history of varicella (relative risk, 2.31 at 4 years of follow-up; P < .001). "The HZ incidence increased for children contracting varicella aged <2 years," the study authors write. "After a vaccination program, the HZ risk increased for those contracting varicella aged ≥2 years." The researchers also found that children given systemic antiviral treatment for varicella had a greater risk of developing HZ than those who did not receive antiviral treatment. The authors note several study limitations, including unreported cases of HZ resulting in an underestimated incidence, reliance on physician diagnosis coding, and limited duration of follow-up. "The results of the current study may serve as baseline data for the early effects of varicella vaccinations on pediatric HZ," the study authors conclude. "Long-term studies are required to monitor the impact of a varicella vaccination program on pediatric HZ." This study received no external funding. The study authors have disclosed no relevant financial relationships. Pediatrics.
Published online February 23, 2015. Abstract
THE NEW CHALLENGE: THE AGING PROCESS IN THE BRAZILIAN AMAZONIA
Henrique Schroeder Coelho1, Poliana Andrade1, Juliana de Souza Almeida Aranha Camargo1, Sergio de Alemida Basano1,2, Ricardo Godoi Mattos Ferreira3, Mariana de AndradeCoelho4, Rubens Belfort Jr4, Leandro Diehl5, Pedro Gordan6, Antonio Sergio Ferraudo7, Luís Marcelo Aranha Camargo1,8
1- Sao Lucas Medicine College, 2-Rondonia Secretary of Health of Rondonia, 3-Oswaldo Cruz Foundation-Rondonia, 4-Federal University of Sao Paulo, 5- State University of Londrina, 6- Catholic University of Parana, 7-State University of Sao Paulo, 8- University of Sao Paulo
There are few studies on the aging process in Brazil but no one focusing on the Brazilian Amazonia. In order to gain information about this issue, the University of Sao Paulo Research Unit in the state of Rondonia investigated the health status of more than 90% of the 412 elders over 59 years living in the urban area of Monte Negro city (63o 22´W, 13o 44´S). To this purpose, a cross-sectional study was done in July 2013, plus a review of all the death certificates of Monte Negro´s citizens between 2002-2011. These are preliminary results of cohort study that will follow up this group for the next 10 years. The initial results are shocking. Males accounted for 50.1% of the sample. Only 3.4% were born in the Amazon region and 48.6% were from Southeastern Brazil having arrived in Rondonia in the early seventies. More than 45% have never attended school. Regarding mortality information, more than 50% of the deaths were due to chronic non-transmissible diseases (CNTD) (cardiovascular disease, cancer and stroke), 30% were due to deaths linked to violent causes (mostly motorbike crashes), 18% were related to unknown causes and only 2% were related to infectious diseases. These figures are grossly like the profile of developed countries. The cross-sectional study gives us some more important information about the health status of this group: 70.6% have arterial hypertension and only 60% are receiving adequate medication. Dyslipidemia has a prevalence rate of 65.2% and just 12% are being adequately treated. Diabetes 2 prevalence is 22%, depression 11.6%, dementia 4.5%, and metabolic syndrome 45.4%. Reduced renal filtration rate (less than 60 mL/min/1.73 m2) occurred in 53.4%. The main ophthalmologic disorders were: cataracts 59.7%, glaucoma 11.6% and retinopathies due to diabetes/hypertension 2.4%. Fifty three percent of the patients were tested for transmissible diseases: 0.9% with hepatitis B, 0.4% with hepatitis C and no one with HIV 1 2 infection. At least one malaria episode was reported by 75% of the elderly, tegumentary leishmaniasis by 14.5%, leprosy by 4.3%, tuberculosis by 2.4% and Chagas disease by 0.7%.
These preliminary results pose some questions. How is the aging process of this group that arrived at the Brazilian Amazonia nearly 30 years ago? Will parasitic-infectious diseases interfere with the aging process? Environment (diet, sun, life conditions, labor) also does it? Is the Brazilian health system prepared for this challenge? What we can say is that although the Brazilian government is trying to change the health system model to strengthen primary health care, there´s a long and winding way to success. In this scenario, CNTDs emerge as the new neglected diseases of the Brazilian Amazonia.
SIGLA DA DISCIPLINA: BMP57
NOME DA DISCIPLINA: EPIDEMIOLOGIA E BIOSTATÍSTICA APLICADAS AO TRABALHO DE CAMPO EM PARASITOLOGIA
PROGRAMA/ÁREA: BIOLOGIA DA RELAÇÃO PATÓGENO-HOSPEDEIRO
Nº DA ÁREA: BMP 5752
VALIDADE INICIAL (Ano/Semestre): 2015.2 ( De 17 a 26/9/2015)
Nº DE CRÉDITOS: 2
Carga Horária Semanal - Teóricas: 15 Práticas: 10 Estudo: 5
DURAÇÃO EM SEMANAS: 2 SEMANAS (4ª, 5ª FEIRA E SÁBADO PELA MANHÃ)
1.LUÍS MARCELO ARANHA CAMARGO
X Docente Usp, n.º 2728408
Docente externo. Data de obtenção do título: Instituição:
2. GILBERTO FONTES
Docente Usp, n.º
X Docente externo. Data de obtenção do título: 1985 (GRADUAÇÃO) E 1996 (DOUTORADO) Instituição:UNIVERSIDADE FEDERAL DE SÃO JOÃO DEL REY
Preparar a aluno de pós-gradação dos cursos da área da saúde na área prática do método epidemiológico e bioestatística para a execução adequada de estudos de campo e interpretação crítica de artigos científicos na área de parasitologia.
O método epidemiológico e o domínio básico de elementos de bioestatística são instrumentos fundamentais para o estudo das doenças parasitárias. Esta disciplina visa instrumentalizar o aluno de pós-graduação na abordagem prática das doenças parasitárias em seus cenários de origem. A superação das dificuldades práticas e dos obstáculos naturais do trabalho de campo e um planejamento adequado do projeto de pesquisa, assim como a interpretação de artigos científicos, dependem do domínio deste instrumental.
3.2 Breve história da epidemiologia
3.3. O Método Epidemiológico
3.4. Designs Epidemiológicos: vantagens, desvantagens e aplicações
3.4.1 Estudos Observacionais
3.4.2. Estudos de Intervenção
3.5. Indicadores de Saúde
3.6.2 Média, Mediana, Moda, Desvio Padrão
3.6.3 Erro Alfa e Erro Beta
3.6.4. Testes Paramétricos
3.6.5 Testes não-paramétricos
4.1 Aulas expositivas com recursos audiovisuais e internet no auditório do ICB5/USP em Monte Negro
4.2.Discussão em grupo de artigos científicos previamente selecionados
4.3 Aulas práticas em campo na cidade de Monte Negro
5.Público: 12 alunos de cursos da área da saúde
Medronho, RA (2009). Epidemiologia. Atheneu. 491 pp.
Beaglehole, R; Bonita, R & Kjellström, T (2010). Basic Epidemiology. WHO. 175.PP.
Leser, W; Barbosa, V; Baruzzi, RG; Ribeiro, MBD & Franco, LJ. (2009)Elementos de Epidemiologia Geral. Atheneu. 177 pp.
Gordis, L. (2009). Epidemiology. Saunders Elsevier 4th Ed..375.pp.
CRITÉRIOS DE AVALIAÇÃO:
Avaliação diária do desempenho prático e na discussão dos artigos científicos com nota variando de zero a 10. Equivale a 60% da nota
Prova escrita com nota variando de zero a 10. Equivale a 40% da nota.
OBSERVAÇÕES:O ICB5/USP se responsabiliza pelo alojamento dos alunos e o transporte terrestre e aquático durante as atividades
Insecticide-treated bed nets in Rondônia, Brazil: evaluation of their
impact on malaria control.
Vieira Gde D1, Basano Sde A1, Katsuragawa TH1, Camargo LM1.
Mosquito nets treated with long-lasting insecticide (LLINs), when used
in compliance with guidelines of the World Health Organization, may be
effective for malaria vector control. In 2012, approximately 150,000
LLINs were installed in nine municipalities in the state of Rondônia.
However, no studies have assessed their impact on the reduction of
malaria incidence. This study analyzed secondary data of malaria
incidence, in order to assess the impact of LLINs on the annual
parasite incidence (API). The results showed no statistically
significant differences in API one year after LLIN installation when
compared to municipalities without LLINs. The adoption of measures for
malaria vector control should be associated with epidemiological
studies and evaluations of their use and efficiency, with the aim of
offering convincing advantages that justify their implementation and
limit malaria infection in the Amazon Region.
PMID: 25351543 [PubMed - in process] Free full text
COM PESAR, CUMPRE INFORMAR QUE ONTEM ÀS 20H O IMINENTE PESQUISADOR
PROF. LUIZ HILDEBRANDO PEREIRA DA SILVA FALECEU NO INCOR EM SÃO PAULO.
O PROFESSOR TINHA 86 ANOS E DEIXA UMA GERAÇÃO DE ALUNOS E PROFESSORES
QUE AJUDOU NA FORMAÇÃO. NOSSOS SENTIMENTOS À FAMÍLIA E AMIGOS.
O ICB5/USP PROMOVE PELA SEGUNDA VEZ A DISCIPLINA “ BIOESTATÍSTICA E EPIDEMIOLOGIA APLICADA AO TRABALHO DE CAMPO EM PARASITOLOGIA”. A DISCIPLINA, QUE TEM DURAÇÃO DE 60 H E CONTABILIZA 4 CRÉDITOS NA PÓS-GRADUAÇÃO NA ÁREA DE BIOLOGIA DA RELAÇÃO PATÓGENO-HOSPEDEIRO, CONTARÁ COM A COLABORAÇÃO DO PROF. DR. GILBERTO FONTES DA UFSJ. EM 2013 A DISCIPLINA FOI AVALIADA COMO ÓTIMA POR 95% DOS 10 PARTICIPANTES. ESTE ANO CONTARÁ COM 8 ALUNOS INSCRITOS E MAIS 10 ALUNOS DE GRADUAÇÃO EM MEDICINA COMO OUVINTES. ALÉM DA ABORDAGEM DA BIO-ESTATÍSTICA VOLTADA ÀS SAÚDE, A DISCIPLINA ABORDARÁ O MÉTODO EPIDEMIOLÓGICO, INDICADORES DE SAÚDE E MEDICINA BASEADA EM EVIDÊNCIAS CIENTÍFICAS. PARTICIPARÃO ALUNOS DA UNIR, FIOCRUZ, USP, UFSJ E FSL.
J Infect Dev Ctries 2014; 8(9):1181-1187. doi:10.3855/jidc.4422
Reduction of incidence and relapse or recrudescence cases of malaria
in the western region of the Brazilian Amazon
Gabriel de Deus Vieira, Karla Nayma Mundt Gim, Guilherme Mendes
Zaqueo, Thaianne da Cunha Alves, Tony Hiroshi Katsuragawa, Sergio de
Almeida Basano, Luís Marcelo Aranha Camargo, Camila Maciel de Sousa
São Lucas College, FSL, Porto Velho, Brazil
Introduction: Malaria is one of the major parasitic diseases in the State of Rondônia, located in the western Brazilian Amazon. The basic treatment scheme for this disease is chloroquine and primaquine. This study evaluated the epidemiological profile of malaria in Rondônia between 2008 and 2012. Methodology: The epidemiological data were provided by the Health Surveillance Agency from the State of Rondônia, and socioeconomic indicators were obtained from the Brazilian Institute of Geography and Statistics, Department of Informatics of the Unified Health System, and from the National Institute for Space Research. The analyzed variables included year of diagnosis, gender, age group, main activity performed in the 15 days previous to the diagnosis, parasite species, level of parasitemia, number of relapse/recrudescence cases, and socioeconomic and environmental data for Rondônia. Results: A total of 238,626 cases of malaria were recorded in Rondônia during the study period. Of this total, 65.6% were men and the most prevalent age group was 20–39 years. Plasmodium vivax was the most common parasite (89.8%), followed by Plasmodium falciparum (9.4%). An average of 30.9% of the individuals who were tested presented with relapse/recrudescence malaria. The API value was highest in 2008 and lowest in 2012, corresponding to 42.3 cases and 19.2 cases per 1,000 inhabitants, respectively.Conclusions: A 58% reduction in the number of malaria cases and a 36.2% reduction in the number of relapse/recrudescence malaria cases were observed, due to increases in the economy, improvements in the health system, and reduction of deforestation in this region.
Keywords: Amazon; malaria; epidemiological surveillance