Segura Ángela María, Cardona Doris, Garzón María Osley
Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia.
Biomedica. 2013 Sep;33 Suppl 1:52-62.
Yellow fever is a neglected tropical disease, thus, knowing the trends in mortality from this disease in Colombia is an important source of information for decision making and identifying public health interventions.
To analyze trends in yellow fever mortality in Colombia during the 1998-2009 period and the differences in the morbidity and mortality information sources for the country, which affect indicators such as the lethality one.
This is a descriptive study of deaths by yellow fever according to the Departamento Administrativo Nacional de Estadística and the incidence of the disease according to the Instituto Nacional de Salud . We used secondary sources of information in the calculation of proportions of socio-demographic characteristics of the deceased and epidemiological measures of lethality, incidence and mortality from yellow fever by department of residence of the deceased.
Yellow fever deaths occur primarily in men of working age residing in scattered rural areas, who were members of the regimen vinculado, and who were living in the eastern, southeastern, northern and central zones in the country. We observed inconsistencies in the reports that affect the comparative analysis.
The inhabitants of the departments located in national territories and Norte de Santander have an increased risk of illness and death from yellow fever, but this information could be underestimated, according to the source of information used for its calculation.
黄热病是一种被忽视的热带疾病,因此,了解哥伦比亚这种疾病的死亡率趋势是决策和确定公共卫生干预措施的重要信息来源。
分析1998 - 2009年期间哥伦比亚黄热病死亡率趋势以及该国发病率和死亡率信息来源的差异,这些差异会影响诸如致死率等指标。
这是一项根据国家行政统计局对黄热病死亡情况的描述性研究,以及根据国家卫生研究所对该疾病发病率的研究。我们在计算死者的社会人口学特征比例以及按死者居住部门划分的黄热病致死率、发病率和死亡率的流行病学指标时,使用了二手信息来源。
黄热病死亡主要发生在居住在分散农村地区的劳动年龄男性身上,他们是vinculado制度的成员,居住在该国东部、东南部、北部和中部地区。我们观察到报告中的不一致情况影响了比较分析。
根据用于计算的信息来源,位于国家领土和北桑坦德省的部门居民感染黄热病并死亡的风险增加,但这些信息可能被低估。