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Previous issue date: 2017-11-20 / Introdu??o: apesar da cobertura midi?tica trazer a certeza de uma rela??o entre o V?rus da Zica e microcefalia em rec?m-nascidos, configurando um aumento no agrupamento das anomalias cong?nitas no Nordeste brasileiro, sugere-se que a incid?ncia de anomalia cong?nitas no Rio Grande do Norte n?o seja diferente quando comparada a sua distribui??o espacial antes e ap?s Zica, isso porque fatores como os ambientais, socioecon?micos e biol?gicos podem contribuir para a perman?ncia de uma alta incid?ncia no estado. Objetivo: analisar a distribui??o temporo-espacial das taxas de incid?ncia de anomalias cong?nitas no Rio Grande do Norte, antes e ap?s a epidemia v?rus da zica atrav?s de uma an?lise geoestat?stica e correla??o com os determinantes sociais em sa?de M?todos: trata-se de um estudo epidemiol?gico do tipo ecol?gico, retrospectivo que avaliou os casos notificados de anomalias cong?nitas no Rio Grande do Norte agrupando em dois bi?nios (2005-2006 e 2015-2016), configurando per?odos antes e ap?s a epidemia de zica atrav?s de uma an?lise espacial, cujos dados obtidos do DATASUS e da Secretaria Estadual de Sa?de, foram agrupados no SPSS 13.0 e analisados no Terraview vers?o 4.2.2. Resultados: a taxa de anomalias cong?nitas no per?odo pr?-Zica foi de 11,83 casos/1.000 nascidos vivos e no per?odo p?s-Zica aumentou para 14,24 casos/1.000 nascidos vivos, resultado do aumento dos casos notificados. Foi observada que a mesorregi?o Agreste Potiguar ? a que possui maior n?mero de casos notificados de Zica assim como ? a regi?o que concentra maior n?mero de casos de anomalias cong?nitas no per?odo estudado, estando correlacionada com regi?o com grandes dicotomias sociais. Conclus?es: o presente parece revelar que as anomalias cong?nitas sempre estiveram presentes no estado e nenhuma outra a??o foi suscitada com tamanha import?ncia como no per?odo Zica. Estrat?gias para minimizar os casos de anomalias cong?nitas atrav?s de a??es de planejamento familiar, controle da idade materna, programas de vacina??o, controle na venda de medicamentos abortivos, combate ao consumo de drogas, ?lcool e fumo podem facilmente ser desenvolvida e ganhar ades?o midi?tica, fato que nem sempre ? percebido, tendo a m?dia dado um enfoque ao aumento dos casos de notifica??o sem buscar entender o processo. / Introduction: although the media coverage provides certainty of a relationship between the Zika virus and microcephaly in newborns, which is an increase in the grouping of congenital anomalies in the Brazilian Northeast, it is suggested that the incidence of congenital anomaly in Rio Grande do Sul North isn?t different when compared to its spatial distribution before and after Zika, because factors such as environmental, socioeconomic and biological can contribute to the permanence of a high incidence in the state. The objective of the present study is to analyze the temporal-spatial distribution of the incidence rates of congenital anomalies in Rio Grande do Norte, before and after the epidemic virus Zika through a geostatistical analysis and correlation with the social determinants in health. Methods: this is an ecological that evaluated the reported cases of congenital anomalies in Rio Grande do Norte before and after the Zika epidemy through a spatial analysis, whose data were grouped in SPSS 13.0 and analyzed in Terraview version 4.2.2. Results: the rate of congenital anomalies in the pre-Zika period was 11.83 cases / 1.000 live births and in the post Zika period it increased to 14.24 cases/1.000 live births, a result of the increase in reported cases. It was visualized that the Agreste Potiguar mesoregion is the one with the highest number of reported cases of Zika, as it is the region that concentrates the largest number of cases of congenital anomalies in the period studied, being correlated with the region with great social dichotomies. Conclusion: the present study revealed that congenital anomalies were always present in the state and no other action was raised with such importance as in the Zika period. Strategies to minimize cases of congenital anomalies through family planning actions, maternal age control, vaccination programs, control in the sale of abortive drugs, drug, alcohol and tobacco use can easily be developed and gain media adherence, fact which is not always perceived, the media having given a focus to the increase of the cases of notification without seeking to understand the process.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24618 |
| Date | 20 November 2017 |
| Creators | Lima J?nior, Francisco Assis Vieira |
| Contributors | 25761112892, Alves, Carla Ismirna Santos, 90412001420, Souza, Dami?o Ernane de, 79881122449, Pereira, Silvana Alves |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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