Saúde, ambiente e doença reemergente: a dengue no Amazonas

Abstract

The Amazonas state faces serious public health problems related to the prevalence of dengue cases. Included in the group of diseases reemerging dengue, data that been controlled, resurfaces intensively at the present time. The analyzes and interpretations, obtained from the results of this study indicated that the municipalities with the highest prevalence of dengue, in the period corresponding to the years of 2007 to 2012, were São Gabriel da Cachoeira (700.260), Manaus (657.15), 539.18 (44.15), Tefé (533.43), Novo Aripuanã (465.81), Coari (373.76). Thus, understanding the context of increasing cases of dengue related to both environmental factors, climatic and seasonality as well as those associated those with issues of production urban space is need to undertake actions to confront this reality. The data revealed that the months of higher hospitalization coincided with beginning of the rainy period in the municipalities however the reduced network of basic sanitation if presented as a conditioning factor to be considered, since in this period the accumulated water, causes flood. On the other the relationship between outbreaks off fires and deforestation, showed no significant correlations, indicated by low records of dengue in the platforms of health. The methodology of this study developed using the database of the Ministry of Health (DATASUS) and the the foundation of health surveillance of the Amazon. The calculation of prevalence included the number of cases of dengue (probable) divided by the population of given geographical area expressed per 100 thousands inhabitant. One of the factors that intensified the dengue in the state of Amazonas was the demographic partner when associated to the movement of people as a result of the opening of work fronts, territorial occupation and income. Coari was a municipality that received a large flow of people for the execution of the Works of the Pipeline Urucu/Coari/Manaus. The cities of the South of Amazonas such as Humaitá and Novo Aripuanã, approaching the arch of deforestation, presented growth of the disease. São Gabriel da Cachoeira located in the North and Tabatinga in the triple border with Colombia and Peru, Guajará border with Peru and border with the state of Acre also showed high rates.