Cardoso Rosilene Ferreira, Goldenberg Paulete
Secretaria de Estado da Saúde do Amapá, Macapá, Brasil.
Cad Saude Publica. 2007 Jun;23(6):1339-48. doi: 10.1590/s0102-311x2007000600009.
The present study aims to describe malaria occurrence from 1970 to 2003 in the State of Amapá, Brazil. With positive films obtained from health agencies, temporal series on the annual parasite incidence--API (per 1,000 inhabitants) were elaborated, taking into account population data available from the Brazilian Institute of Geography and Statistics. The results showed an increase in API values, although non-linear, related to the rapid population growth associated with regional economic and social development during the period, ranging from 15.1 in 1970 to 74.0 in 2000. Reversing this trend, a decrease appeared from 2001 onward, reaching a reduction of 50% in 2002. The results showed an increase in API values from 1970 to 2000, consistent with the incidence profile for malaria occurrence in the Amazon. A reduction in API was observed by 2002, reaching the goals set by the current control program.
本研究旨在描述1970年至2003年巴西阿马帕州的疟疾发病情况。利用从卫生机构获得的阳性血涂片，结合巴西地理与统计研究所提供的人口数据，编制了关于年度寄生虫发病率——API（每千居民）的时间序列。结果显示，API值有所增加，尽管呈非线性，这与该时期区域经济和社会发展带来的人口快速增长有关，API值从1970年的15.1增至2000年的74.0。自2001年起这一趋势出现逆转，到2002年下降了50%。结果显示，1970年至2000年API值上升，这与亚马逊地区疟疾发病的发病率概况一致。到2002年观察到API有所下降，达到了当前控制项目设定的目标。
