Epidemiological characteristics of mortality from infectious intestinal diseases (diarrhea) Paraguay (2015-2019)
DOI:
https://doi.org/10.52379/mcs.v8i1.364Keywords:
gastroenteritis, infections, diarrhea, ParaguayAbstract
Introduction: Infectious intestinal diseases (diarrhea) are a major cause of morbidity and mortality worldwide. In 2015, it constituted the ninth leading cause of death for all ages. Objective: To describe the epidemiological characteristics of mortality due to infectious intestinal diseases (diarrhea) in Paraguay from 2015 to 2019. Methods: Descriptive, ecological, cross-sectional, retrospective, and non-probabilistic sampling of consecutive cases was performed. ICD-10 deaths included cholera (A01), typhoid and paratyphoid fever (A01), shigellosis (A03), other bacterial intestinal infections (A04), other bacterial food poisoning (A05), amebiasis (A06), other intestinal diseases due to protozoa (A07), intestinal infections due to viruses (A08), and diarrhea and gastroenteritis of presumed infectious origin (A09). Open access data were obtained from the WEB page of the General Directorate of Strategic Information in Health of the MSP and BS of all the Departments of the country. Crude and adjusted rates (per 100,000 inhabitants) were calculated. Excel and EPI INFO 7.0 were used. Results: 495 deaths were registered; the highest prevalence was in 2019 (adjusted rate of 1.83) and the lowest in 2017 (1.36). The months with the highest mortality rates were January and July (9.9%). 51.72% were women (256), 30.91% were over 80 years old and 28.28% (140) were under 5 years old, average age 50.8, single 56.77% (281) and without any type of education 41.82% (207). A total of 80.61% (399) of the respondents resided in urban areas. The highest rates were registered in Boquerón (33.3) and Amambay (15.2). Diarrhea and gastroenteritis of infectious origin accounted for 95.56% of the cases (473). Discussion: There was a high percentage of mortality from infectious diarrhea. Extremes of life were the most vulnerable populations.
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References
Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health. 2018;6(11):e1196–252. https://doi.org/10.1016/S2214-109X(18)30386-3
GBD Diarrhoeal Diseases Collaborators. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Infect Dis. 2017;17(9):909-948. https://doi.org/10.1016/S1473-3099(17)30276-1
GBD 2016 Diarrhoeal Disease Collaborators. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11):1211-1228. https://doi.org/10.1016/S1473-3099(18)30362-1
Argentine Ministry of Health. Plan for Comprehensive Approach to Acute Diarrheal Diseases. Guide for the health team No. 8. January/2011. URL.
Riveros M, Ochoa TJ. Enteropathogens of importance in public health. Rev Peru Med Exp Public Health. 2015;32(1):135-43. URL.
Galas M. Antimicrobial resistance: from the laboratory to patient care. 2018. URL.
Boo YY, Rai K, Cupp MA, Lakhanpaul M. Factor-Litvak P, Parikh P, et al. What are the determinants of childhood infections in India’s periurban slums? A case study of eight cities. PLoS ONE. 2021;16(10):e0257797. https://doi.org/10.1371/journal.pone.0257797
Pan American Health Organization (PAHO/WHO). Strengthening of sanitation boards. 2011. URL.
Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016; 388:3027–35. http://dx.doi.org/10.1016/S0140-6736(16)31593-8
United Nations Development Program UNDP. The next frontier: human development and the Anthropocene. Information note for countries on the Human Development Report 2020. Human Development Report 2020. URL.
Weekly Epidemiological Bulletin. General Directorate of Health Surveillance (DGVS). Ministry of Public Health and Social Welfare. Edition No.: 18. May 15, 2015. URL.
Weekly Epidemiological Bulletin. General Directorate of Health Surveillance (DGVS). Ministry of Public Health and Social Welfare. Edition No. 48. SE 1 (January 1) to SE 52 (December 30). 2018. URL.
Weekly Epidemiological Bulletin. General Directorate of Health Surveillance (DGVS). Ministry of Public Health and Social Welfare. Edition No.52. SE 1 a la SE 52 (31-12-2017 al 29-12-2018). 2018. URL.
Weekly Epidemiological Bulletin. General Directorate of Health Surveillance (DGVS). Ministry of Public Health and Social Welfare. Edition No.52. SE 1 a la SE 52 (31-12-2017 al 29-12-2018). 2018. URL.
Weekly Epidemiological Bulletin. General Directorate of Health Surveillance (DGVS). Ministry of Public Health and Social Welfare. Edition No. SE 1 a la SE 47 (30-12-2018 al 23-11-2019). Pags:23 – 27. 2019. URL.
Martínez M, Fariña N, Rodríguez M, Russomando G, Parra GI. Presencia de rotavirus en adultos con diarrea en Asunción, Paraguay. Rev. argent. microbiol. 2005;37(2):99–101. URL.
Ministry of Public Health and Social Welfare. Diarrhea can be due to poor hygiene or food poisoning. 2019. URL.
Pan American Health Organization International Statistical Classification of Diseases and Health Related Problems. — 10a. revision. Washington, DC: PAHO. 1995. URL.
Ministry of Public Health and Social Welfare. General Directorate of Strategic Health Information. Historical Series of Mortality Indicators (INDIMOR).2015-2019. 2019. URL.
INE- National Statistics Institute (INE). Projection of the Population by Sex and Age, 2019. 2019. URL.
National Statistics Institute. C4. Paraguay. Total population, estimated and projected, by department, sex and age, 2000-2025. 2023. URL.
World Health Organization (WHO). Age Standarization of Rates: A new WHO Standard. GPE. Discussion Paper Series N ? 31. 2023. URL.
López, M. The older adult population in Paraguay: With reduced access to pensions and submerged in informality. 2021. URL.
PAHO. Crecimiento acelerado de la población adulta de 60 años. 2023. URL.
STP. Aging Paraguay. URL.
United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision, volume II, demographic profiles. New York: United Nations;2017. URL.
World Health Organization. Global strategy and plan of action on aging and health. 69th World Health Assembly, Geneva, April 22, 2016 (A69/17). URL.
World Health Organization. Global strategy and plan of action on aging and health. 69th World Health Assembly, Geneva, April 22, 2016 (A69/17). URL.
Pan American Health Organization. Health in the Americas, 2017 edition. Summary: regional overview and country profiles. 2017. URL.
Díaz SL, Jarquin C, Morales AJ, Morales M, Valenzuela C. Burden of salmonellosis and shigellosis in four departments of Guatemala, 2010. Rev Panam Salud Publica.2015;38(4):326–32. URL.
Huber C, Orrego MV, Ortiz F, Álvarez M, Weiler N, Huber C, et al. Prevalencia de patógenos causantes de enfermedad diarreica aguda en el área Metropolitana de Asunción y Central. Rev. salud publica Parag. 2019;9(2):41–5. https://doi.org/10.18004/rspp.2019.diciembre.41-45
Ramirez, ME. Brief tour of the great pandemics and epidemics that hit the world and Paraguay.2020. URL.
WHO. Cholera. 2021. URL.
Sotelo AB, Martínez C, Sánchez S, Sotelo AB, Martínez C, Sánchez S. Características epidemiológicas y clínicas de los brotes de Enfermedades Transmitidas por Alimentos. Paraguay 2015 - 2016. Rev. salud publica Parag. 2019;9(1):33–40. https://doi.org/10.18004/rspp.2019.junio.33-40
PAHO. MSP and BS. Foodborne Disease Surveillance Manual. 2017. URL.
Degiuseppe JI. Trend of hospital discharges for intestinal infectious diseases in children in Argentina, 2005-2013. Arch Argent Pediatr 2017;115(4):350-356. http://dx.doi.org/10.5546/aap.2017.350
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Copyright (c) 2024 Eva Fabiana Merles Aranda, Juan Edgar Tullo Gómez, Derlis Duarte Zoilán, Elder Oliveira Da Silva, Myriam Elizabeth Rivas Kiese, Pasionaria Ramos
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