Banca de DEFESA: IRACI DUARTE DE LIMA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : IRACI DUARTE DE LIMA
DATA : 15/12/2017
HORA: 15:00
LOCAL: Sala de Videoconferência do NESC
TÍTULO:

Influence of social and environmental factors on the epidemiological pattern of visceral leishmaniasis and HIV-AIDS in Rio Grande do Norte, RN

PALAVRAS-CHAVES:

Leishmaniose visceral. Coinfecção LV/HIV. Mudanças Sociais

PÁGINAS: 81
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Introduction: Visceral leishmaniasis (VL) is a serious disease and the risks of its development are associated with factors related to co morbidities, environmental transformations and socioeconomic aspects of the geographical area of occurrence. The understanding of these factors is crucial for the redesign of intervention measures to control this endemic disease. General objective. To analyze the epidemiological pattern of Visceral Leishmaniasis in "time space" and the factors associated with the occurrence of the disease, in the period from 1990 to 2014, identify in the State Microregions the social and environmental factors of greatest risk for the occurrence of VL, and propose a intervention protocol for specific areas in order to contribute to the eventual control of the disease. Methodology. A quantitative and retrospective ecological study was carried out with space-time analysis of the existence of spatial dependence of social and environmental factors influencing the incidence of VL. Results: LV settled in the microregions of Natal, Macaíba and Litoral Norte from 1990 to 1994. Between 2000 and 2004, it spread to other microregions of the State, establishing itself between 2010 and 2014 in the microregions of Mossoró and Açu. Concomitant to the increase in endemic areas for LV, HIV-AIDS spread in the NB in a disordered manner, with areas of HIV-AIDS and LV overlapping, favoring the correlation of LV / HIV-AIDS coinfection between 1990 and 1994 ( p = 0.0006) and 2010 to 2014 (p = 0.0094), respectively.

A negative association was observed in the incidence of VL with increased garbage collection. At the same time, it was observed that the incidence of HIV-AIDS is positively associated with better levels of income, education and population density. Conclusion: The incidence of VL is decreasing, but it prevails in male adults, in areas with low litter collection coverage and good water supply. There was reduction in children associated with the improvement of the Nutritional Status Index and the vaccine coverage. The spread of LV and HIV-AIDS determined the setting up of LV / HIV-AIDS coinfection. The incidence of HIV is increasing and its dispersion is associated with microregions with urbanized profile with good coverage of social indicators of garbage collection, public cleanliness, education, income and high population density.

MEMBROS DA BANCA:
Externo ao Programa - 1549705 - ADRIANA FERREIRA UCHOA
Externo ao Programa - 2646462 - BRUNA LEAL LIMA MACIEL
Externo à Instituição - IGOR THIAGO BORGES DE QUEIROZ E SILVA - UnP
Presidente - 350647 - SELMA MARIA BEZERRA JERONIMO
Externo à Instituição - WANESKA ALEXANDRA ALVES - UFJF