DeFato.com – Mossoro

Posted at 20:00 | May 28, 2022 | article

Mossoro region reduces AIDS deaths, epidemiological bulletin appears

By Edinaldo Moreno / JORNAL DE FATO . Correspondent

The Epidemiological Bulletin published by the State Department of Public Health (Sesap) shows that the AIDS mortality rate in the Mossoro area has decreased for the third consecutive year. The data refer to the year 2011 to 2021. In this period, 207 deaths as a result of the disease were recorded.

According to the document published this week, in 2021 the region that Mossoro attracted had recorded 16 deaths from the disease. In the previous year, the number of deaths reached 21. The highest number of deaths in this period was in 2019 with 24 deaths recorded.

In 2018, the Mossoro region recorded 15 deaths. In 2017, the region recorded the highest number of deaths from the disease. The total number was 25. In 2016 there were 19. In the previous year 13 and in 2014 it was the lowest with 10 deaths recorded. In 2013, there were 21 deaths, in 2012 there were 22 deaths and in 2011 a total of 21 AIDS victims were registered.

From January 2011 to December 2021, 1,404 deaths from AIDS were recorded in Rio Grande do Norte. Of these, 1015 (72.3%) occurred in men and 389 (27.7%) in women. The prevalent age range ranged from 40 to 49 years with 29.5% of the registered cases.

The highest concentration of deaths occurred in District Seven, with 54.2% of the state’s total. In the period analyzed, there was a 19.4% increase in the number of AIDS-related deaths in the state. Health District Two, which includes Mossoro as the main municipality, has recorded just over 14% of the deaths.

In 2021, when analyzing deaths by health district, it appears that health districts III, VII, and VIII showed higher mortality rates than the state (4.2 deaths per 100,000 population). The AIDS mortality rate (per 100,000 population) in District Two was 3.2.

The RN mortality rate in 2020 was 3.5 deaths per 100,000 inhabitants, which is lower than the rate observed in the Northeast region (3.6 deaths per 100,000 inhabitants) and in Brazil, which provided a coefficient of 4.0 deaths per 100,000 inhabitants.

cases

Also according to the bulletin, the Mossoro region recorded a total of 451 cases between 2014 and 2021. Specifically, 2021 was the year with the highest number of incidents in this period, with 72 cases. The youngest was recorded in 2014 with a total of 25 cases.

Rio Grande do Norte, between 2011 and 2021, had 6,470 cases of AIDS, with 64 cases of AIDS in children under five, 1,057 pregnant women living with HIV, and 1,068 children exposed to HIV.

During this period, there was a growth of 36.8% in the registration of AIDS cases, 28.8% in the cases of HIV infection, 74% in the number of cases of pregnant women infected with HIV, and 203.2% in the identification of children with HIV infection and 19.4% in the incidence of deaths due to AIDS.

The rate of AIDS detection increased during the assessed period from 15.5 cases per 100,000 inhabitants in 2011 to 19.1 cases per 100,000 inhabitants in 2021, revealing an increase of 23.3%. Except for Seridó, which saw a 20% decrease, other regions showed an increase in detection rate, with changes of 94.4% in Agreste, 17.4% in the West, 43.4% in Mato Grande, 30.7% in Trairi/Potengi, 56.1% in Alto Oeste, 9.9% in the metropolitan area and 71.9% in the Valle do Aco.

Between 2011 and 2021, there were 4,650 cases (71.9%) in men and 1,820 (28.1%) in women. The detection rate in men increased from 22.7 to 29.5 cases per 100,000 inhabitants, which is an increase of 30%. The rate among women increased from 8.7 to 9.3 cases per 100,000 inhabitants, which indicates a 7% growth in this group.

The highest concentration of cases, between 2011 and 2021, was observed in individuals aged 30–39 years (31.1%). In men, the age group that showed the greatest variance was between 13 and 19 years (184%), and in women, the greatest growth was observed in the age group 60 years and over (150%).

Data were obtained by crossing the SINAN, the Mortality System (SIM), the Logistics Drug Control System (SICLOM), the HIV Clinical Monitoring System (SIMC), and the Laboratory Screening Surveillance System (SISCEL). ). The relationship between these different databases makes it possible to identify cases that are not included in the official databases, which provides a significant increase in the number of cases identified in the country.

The Mossoro region has not recorded AIDS cases in children since 2019

Data from the State Department of Public Health’s Sexually Transmitted Diseases, AIDS and Viral Hepatitis Program (Sesap) showed that in the past three years the Mossoro region has not recorded a case in children (under 13 years of age).

The last cases were recorded in 2018. In that year there were 4 cases in this age group. The same number in 2017. In 2016, there were no records of cases. In 2015, there were two cases. In 2013 and 2014 there was one case each. In 2012, there were 3 cases and in the previous year a confirmed case.

From 2011 to 2021, of the 107 registered children with AIDS (<13 years), 64 (59.8%) were diagnosed before age 5. Vertical transmission is the dominant exposure category with percentages of around 76.6%.

The highest incidence was in the metropolitan area, which provided 51.4% of the total number of identified cases. The municipalities with the highest concentration of cases were Natal, Moussoro and Parnamariam.

As of 2019, there is a trend towards a decrease in the incidence of AIDS in children. In 2020, the RN recorded 3 cases of AIDS in children under the age of five, achieving the set goal of identifying up to 5 cases. For 2021, a 10% decrease in the number of cases was expected, which corresponds to a target of up to two cases, but no case of the disease was recorded and the country was able to reach the agreed target.

The AIDS detection rate in children under 5 has been used as an indicator for monitoring vertical transmission of HIV and is directly related to the adoption or lack of preventive measures such as prenatal diagnosis and delivery, use of antiretrovirals (ARVs) by pregnant women during pregnancy and childbirth, use of Antiretroviral drugs by the newborn after birth, availability of lactation inhibitors (cabergoline) and provision of infant formula for children up to 6 months of age.