Santo Augusto Hasiak
Faculdade de Saúde Pública, Universidade de São Paulo, Rua Pará 21, São Paulo, SP 01243, Brazil.
Cad Saude Publica. 2007 Dec;23(12):2917-27. doi: 10.1590/s0102-311x2007001200013.
Cysticercosis-related mortality has not been studied in Brazil. Deaths recorded in the State of São Paulo from 1985 to 2004 in which cysticercosis was mentioned on any line or in any part of the death certificate were studied. Causes of death were processed using the Multiple Cause Tabulator. Over this 20-year period, cysticercosis was identified in 1,570 deaths: as the underlying cause in 1,131 and as an associated cause of death in 439. Standardized mortality rates with cysticercosis as the underlying cause showed a downward trend and were higher among men and older individuals. Intracranial hypertension, cerebral edema, hydrocephalus, inflammatory diseases of the central nervous system, and cerebrovascular diseases were the main associated causes in deaths due to cysticercosis. AIDS was the principal underlying cause of death in which cysticercosis was an associated cause. The counties (municipalities) with the most cysticercosis-related deaths were São Paulo, Campinas, Ribeirão Preto, and Santo André. Wide variation was observed between counties regarding the value ascribed to cysticercosis as the underlying cause of death. This leads to underestimation of the disease's importance in planning health interventions.
巴西尚未对囊尾蚴病相关死亡率进行研究。对1985年至2004年圣保罗州记录的死亡病例进行了研究，这些病例在死亡证明的任何一行或任何部分提及了囊尾蚴病。使用多重死因制表器对死因进行处理。在这20年期间，在1570例死亡病例中发现了囊尾蚴病：作为根本死因的有1131例，作为相关死因的有439例。以囊尾蚴病为根本死因的标准化死亡率呈下降趋势，男性和老年人的死亡率更高。颅内高压、脑水肿、脑积水、中枢神经系统炎症性疾病和脑血管疾病是囊尾蚴病死亡的主要相关死因。艾滋病是以囊尾蚴病为相关死因的主要根本死因。囊尾蚴病相关死亡病例最多的县（市）是圣保罗、坎皮纳斯、里贝朗普雷图和圣安德烈。各县在将囊尾蚴病视为根本死因的价值方面存在很大差异。这导致在规划卫生干预措施时低估了该疾病的重要性。
