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Relationship between climatic factors and air quality with tuberculosis in the Federal District, Brazil, 2003-2012

机译:2003-2012年,巴西联邦区气候因素与空气质量与肺结核的关系

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Introduction: Despite the high rate of tuberculosis indicators in Brazil, the Federal District shows a low prevalence of the disease. Objective: To analyze the relationship between climatic factors and air quality with tuberculosis in the Brazilian Federal District. Methodology: This was an ecological and descriptive study comparing 3927 new cases of Tuberculosis registered at the Federal District Tuberculosis Control Program with data from the National Institute of Meteorology, Brazilian Institute of Geography and Statistics, Brazilian Agricultural Research Institute, Brasilia Environmental Institute, and the Federal District Planning Company. Results: From 2003 to 2012, there has been a higher incidence of Tuberculosis (27.0%) in male patients in the winter (27.2%). Patients under 15 years of age (28.6%) and older than 64 years (27.1%) were more affected in the fall. For youth and adults (15-64 years), the highest number of cases was reported during winter (44.3%). The disease was prevalent with ultraviolet radiation over 17 MJ/m 2 (67.8%; p = <0.001); relative humidity between 31.0% and 69.0% (95.8% of cases; p = <0.00); 12 h of daily sunlight or more (40.6%; p = 0.001); and temperatures between 20 ?°C and 23 ?°C (72.4%; p = <0.001). In the city of Taguatinga and surrounding area, pollution levels dropped to 15.2% between 2003 and 2012. Smoke levels decreased to 31.9%. In the Sobradinho region, particulate matter dropped to 13.1% and smoke to 19.3%, coinciding with the reduction of Tuberculosis incidence rates during the same period. Conclusion: The results should guide surveillance actions for Tuberculosis control and elimination and indicate the need to expand observation time to new climate indicators and air quality.
机译:简介:尽管巴西的结核病指标很高,但联邦区显示该病的患病率较低。目的:分析巴西联邦区气候因素和空气质量与结核病之间的关系。方法:这是一项生态学和描述性研究,将联邦地区结核病控制计划注册的3927例新结核病与美国国家气象研究所,巴西地理与统计研究所,巴西农业研究所,巴西利亚环境研究所以及联邦区规划公司。结果:从2003年到2012年,冬季男性患者的结核病发病率更高(27.0%)(27.2%)。 15岁以下(28.6%)和64岁以上(27.1%)的患者在秋季受到的影响更大。对于青年和成人(15-64岁),冬季报告的病例数最高(44.3%)。该病多见于紫外线辐射超过17 MJ / m 2(67.8%; p = <0.001);相对湿度在31.0%和69.0%之间(95.8%的情况; p = <0.00);每天日照12小时或更长时间(40.6%; p = 0.001);温度在20°C到23°C之间(72.4%; p = <0.001)。在塔瓜廷加市及周边地区,2003年至2012年,污染水平降至15.2%。烟尘水平降至31.9%。在Sobradinho地区,颗粒物含量下降至13.1%,烟气含量下降至19.3%,这与同期结核病发病率的下降相吻合。结论:结果应指导结核病控制和消除的监测行动,并表明需要将观测时间扩大到新的气候指标和空气质量。

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