Atanaka-Santos Marina, Czeresnia Dina, Souza-Santos Reinaldo, Oliveira Rosely Magalhães
Departamento de Saúde Coletiva, Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso, Cuiabá, MT, Brazil.
Rev Soc Bras Med Trop. 2006 Mar-Apr;39(2):187-92. doi: 10.1590/s0037-86822006000200011. Epub 2006 May 5.
The temporal and spatial evolution of malaria in Mato Grosso was determined in periods from 1980-1985, 1986-1991, 1992-1997 and 1998-2003 and distributed by homogeneous microregion. The annual parasitic index of the state rose until 1992 and then diminished to 1.9 cases/1,000 inhabitants in 2003, the ratio of mortality and the lethality rate were greater in the 1980s. Of the 22 microregions, 13 presented an API inferior to 10 cases/1,000 inhabitants in all periods. Cases were concentrated in the microregions of Colíder, Alta Floresta, Aripuanã and Alto Guaporé. In 2003, only the microregion of Aripuanã continued to present an API superior to 50 cases/1,000 inhabitants. The microregions of Colíder, in 1983, 1985 to 1988 and 1990 and Alta Floresta, in 1991 presented deaths over 50/100,000 inhabitants, mainly in males aged 20-49 years. The distribution of the disease in microregions showed that malaria is predominantly found in concentrated sites.
马托格罗索州疟疾的时空演变情况是在1980 - 1985年、1986 - 1991年、1992 - 1997年以及1998 - 2003年期间确定的，并按同质微区域进行分布。该州的年度寄生虫指数在1992年之前上升，之后在2003年降至1.9例/1000居民，死亡率和致死率在20世纪80年代更高。在22个微区域中，有13个在所有时期的年度寄生虫指数均低于10例/1000居民。病例集中在科利德、阿尔塔弗洛雷斯塔、阿里普阿南和上瓜波雷等微区域。2003年，只有阿里普阿南微区域的年度寄生虫指数仍高于50例/1000居民。科利德微区域在1983年、1985年至1988年以及1990年，阿尔塔弗洛雷斯塔微区域在1991年的居民死亡率超过50/100000，主要是20 - 49岁的男性。疾病在微区域的分布表明，疟疾主要集中在特定地点。
