Vieira Gabriel de Deus, Basano Sergio de Almeida, Camargo Luís Marcelo Aranha
Departamento de Medicina, Faculdade São Lucas, Porto Velho, Rondônia, Brazil.
Núcleo de Medicina Tropical, Centro de Medicina Tropical de Rondônia, Porto Velho, Rondônia, Brazil.
Rev Soc Bras Med Trop. 2016 Jul-Aug;49(4):411-7. doi: 10.1590/0037-8682-0075-2016.
The morbidity and mortality profile in a given region reflects its quality of life and provides tools for improving public health policies in that region.
A cross-sectional epidemiological study was performed using secondary mortality data collected from the Monte Negro municipality of the Brazilian Western Amazon from 2000 to 2011. These data were compared with data from similar municipalities in other Brazilian macro-regions. Data were obtained through the Departamento de Informática do Sistema Único de Saúde (DATASUS) information system.
The number of deaths reported over the study period was 606. The most common cause of death was external causes of morbidity and mortality [International Classification of Diseases (ICD)-10 chapter 20], followed by diseases of the circulatory system (ICD-10 chapter 9). Among the causes of death according to age group, infectious and parasitic diseases were the most common for 2- to 9-year-old children; external causes of disease were the most prevalent for 10- to 59-year-old people; and circulatory diseases prevailed in individuals over 60 years of age. Eleven percent of deaths were due to unknown causes.
These results point to a fragility in the public policies for prevention and awareness of this problem. Infectious and parasitic diseases contribute only 4.5% of deaths, but had the third highest Disability-Adjusted Life Year score (1,190 days). Improving support to the Estratégia Saúde da Família (Family Health Strategy) program and implementing a death verification service would significantly aid in reducing the occurrence of non-transmissible chronic diseases and clarifying unknown causes of death.
特定地区的发病率和死亡率概况反映了其生活质量，并为改善该地区的公共卫生政策提供了工具。
采用横断面流行病学研究方法，使用从2000年至2011年巴西西部亚马逊州蒙特内格罗市收集的二次死亡数据。这些数据与巴西其他宏观区域类似城市的数据进行了比较。数据通过单一卫生系统信息学部（DATASUS）信息系统获取。
研究期间报告的死亡人数为606人。最常见的死亡原因是发病和死亡的外部原因[国际疾病分类（ICD）-10第20章]，其次是循环系统疾病（ICD-10第9章）。按年龄组划分的死亡原因中，2至9岁儿童最常见的是传染病和寄生虫病；10至59岁人群中最普遍的是疾病的外部原因；60岁以上人群中循环系统疾病占主导。11%的死亡原因不明。
这些结果表明在预防和认识这一问题的公共政策方面存在脆弱性。传染病和寄生虫病仅占死亡人数的4.5%，但残疾调整生命年得分第三高（1190天）。加强对家庭健康战略计划的支持并实施死亡核查服务将大大有助于减少非传染性慢性病的发生并澄清不明死因。
