Environmental and social effects on the incidence of tuberculosis in three Brazilian municipalities and in Federal District

Keywords: Tuberculosis, Social determinants, Environmental variables

Abstract

Introduction: The territorial characteristics, heterogeneities of landscapes, and the regional profiles of Brazil show great disparities in the spatial distribution of tuberculosis burden. Objective of this study is to analyze the effects of environmental and social factors on tuberculosis incidence in three Brazilian municipalities and in the Federal District of Brazil.

Methodology: We performed an ecological study carried out with 131,576 new cases of tuberculosis registered in the Brazilian national disease notification system. For our research we used climatic data, topographic data and socioeconomic data.

Results: Wind speed and vapor pressure increased the risk of tuberculosis infection between 4.6 and 5.8 times in the 3 municipalities, in comparison with the Federal District. In Recife socioeconomic aspects showed a greater association with tuberculosis. Lack of garbage collection, poor basic sanitation, and access to drinking water, respectively, increased 49, 33, and 28 times the risk of infection. In the multiple regression analysis, Rio de Janeiro showed several environmental characteristics – such as precipitation (p = 0.002), radiation (p = 0.020) and water vapor (p = 0.055) – and social characteristics associated with tuberculosis – such as the lack of sewage treatment, which revealed a 13.5-fold higher risk of infection (p < 0.001).

Conclusions: Incidence in the areas studied was influenced by environmental and social conditions at different levels depending on the territory where the problem was identified. The results make it possible to guide an urban and social policy to reach the targets set out in the WHO End tuberculosis Strategy in large Brazilian urban agglomerations.

Author Biographies

Antônio Felipe Couto Junior, Institute of Geosciences, University of Brasília (UNB), Brasília, DF, Brazil

Universidade de Bras´´ilia, Geoscience Institute.

Jose Ueleres Braga, Reference Center Prof. Hélio Fraga from ENSP-FIOCRUZ

National School of Public Health, Universidade do Estado do Rio de Janeiro

Silvano Oliveira, Statistics Department, Ministry of Health (MS), Brasília, DF, Brazil

Ministério da Saúde, Brazil

Published
2021-08-31
How to Cite
1.
Monteiro de Castro Fernandes F, Couto Junior AF, Braga JU, Oliveira S, do Socorro Nantua Evangelista M (2021) Environmental and social effects on the incidence of tuberculosis in three Brazilian municipalities and in Federal District. J Infect Dev Ctries 15:1139-1146. doi: 10.3855/jidc.13674
Section
Original Articles