Machado Filho Amantino Camilo
Fundação de Medicina Tropical do Amazonas, Universidade do Estado do Amazonas, Manaus, AM, Brazil.
Rev Soc Bras Med Trop. 2008 May-Jun;41(3):243-6. doi: 10.1590/s0037-86822008000300004.
Starting in 1999, the Ministry of Health implemented its Tuberculosis Control Program in the municipality of São Gabriel da Cachoeira, State of Amazonas. With the aim of investigating whether this strategy had promoted changes in tuberculosis incidence among indigenous people in that area, the medical records of 768 patients were studied retrospectively, divided in two groups. Group I consisted of cases treated between 1994 and 1998 and Group II consisted of cases treated between 1999 and 2003. The mean annual incidence rates were, respectively, 239 and 284 cases of all tuberculosis forms per 100,000 inhabitants. The pulmonary form predominated, accounting for 88.2% and 85.9% of the cases, and the cure rate was high (97.2% and 91.5%), respectively in Groups I and II. There was no impact with regard to reducing the incidence rate of this disease, thus showing that a high risk of contracting tuberculosis persists among indigenous people in that area.
自1999年起，巴西卫生部在亚马孙州卡舒埃拉瀑布市实施结核病控制项目。为调查该策略是否促使该地区原住民结核病发病率发生变化，对768例患者的病历进行回顾性研究，并将其分为两组。第一组为1994年至1998年接受治疗的病例，第二组为1999年至2003年接受治疗的病例。所有结核病类型的年平均发病率分别为每10万居民239例和284例。以肺结核为主，分别占第一组和第二组病例的88.2%和85.9%，治愈率较高（分别为97.2%和91.5%）。该策略对降低该疾病发病率没有影响，表明该地区原住民感染结核病的风险依然很高。
